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首页> 外文期刊>The American journal of hospice and palliative care >Hispanic access to hospice services in a predominantly Hispanic community.
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Hispanic access to hospice services in a predominantly Hispanic community.

机译：西班牙裔主要在西班牙裔社区中获得临终关怀服务。

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Although the largest minority population in the United States, Hispanics are under-represented in hospice at the national level. The study purpose was to document Hispanic access to hospice services in an environment where Hispanics are a majority population. The framework for the study was Aday and Anderson's model for access to medical care. In this framework, access is not defined as availability of services and resources, but whether services are actually used by the people who need them. We completed retrospective chart reviews of 500 Medicare beneficiaries who died in four hospices. Study variables were decedent characteristics and access to hospice and hospice disciplines. Results showed that Hispanics and whites differed on characteristics known to influence access to health services, e.g., preferred language and type of caregiver Although the proportion of Hispanic elders dying in hospice was less than the proportion living in the community, the proportions of Hispanic elders who died in the community or died in their homes were not differentfrom the proportion that died in hospice. When access to hospice disciplines was compared between Hispanic and white decendents, the results showed one difference-more whites than Hispanics had access to volunteer services. Overall, the study showed that Hispanics were not underrepresented in hospice, and they had equal access to hospice disciplines. These findings differ from national data and may be associated with Hispanics being the majority population in the community. To learn how population dominance influences minority access to services, Hispanic access to hospice could be studied in locales with varying proportions of Hispanics in the population.
机译：尽管拉美裔美国人是美国人口最多的国家，但在国家一级的临终关怀中代表人数却不足。该研究的目的是记录在拉美裔占多数的环境中拉美裔获得临终关怀服务的途径。该研究的框架是Aday和Anderson的获得医疗服务的模型。在此框架中，访问的定义不是服务和资源的可用性，而是服务的实际用途是否由需要它们的人使用。我们完成了对500名死于四家医院的Medicare受益人的回顾性图表审查。研究变量是先天特征，并进入临终关怀和临终关怀学科。结果表明，西班牙裔和白人在影响获得医疗服务的特征方面有所不同，例如，偏好的语言和看护者的类型尽管死于临终关怀的西班牙裔老年人的比例低于社区居民的比例，但在社区死亡或在家中死亡与临终关怀死亡的比例没有什么不同。当比较西班牙裔和白人后裔接受临终关怀学科的机会时，结果显示，与西班牙裔人获得志愿服务相比，白人的差异要大得多。总体而言，该研究表明，拉美裔人在临终关怀组织中所占的比例并不低，他们平等地接受临终关怀学科。这些发现与国家数据不同，并且可能与西班牙裔是该社区的大多数人口有关。为了了解人口优势如何影响少数族裔获得服务，可以在人口中西班牙裔比例不同的地区研究西班牙裔获得临终关怀的机会。

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