title: Providing Appropriate End-of-Life Care to Religious and Ethnic Minorities.
abstract: There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life. Failure to address a patient's cultural and RS needs can lead to diminished quality of care and worse health outcomes. Given the multitude of cultural and RS values, we believe that a framework of cultural and RS curiosity along with a willingness to engage patients in discussions about these elements of their care within an interdisciplinary team should be the goal of all providers who are discussing goals, preferences, and values with patients facing advanced terminal illness.
authors.affiliation: Department of Internal Medicine, Mayo Clinic, Rochester, MN.
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Partain
authors.affiliation: Division of Palliative Medicine, Mayo Clinic, Rochester, MN.
authors.forename: Cory
authors.initials: C
authors.lastname: Ingram
authors.affiliation: Division of Palliative Medicine, Mayo Clinic, Rochester, MN. Electronic address: strand.jacob@mayo.edu.
authors.forename: Jacob J
authors.initials: JJ
authors.lastname: Strand
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D001293:Attitude to Death / Q000208:ethnology*; D001294:Attitude to Health / Q000208:ethnology*; D065246:Culturally Competent Care / Q000379:methods / Q000592:standards*; D005006:Ethnicity; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D054525:Minority Health; D009362:Neoplasm Metastasis; D057240:Patient Preference / Q000208:ethnology; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000473:pathology*; D010817:Physician-Patient Relations; D011368:Professional-Family Relations; D012068:Religion and Medicine; D029181:Spirituality; D013727:Terminal Care / Q000379:methods / Q000592:standards*; D014342:Truth Disclosure
chemical_list: D000970:Antineoplastic Agents