Race and Ethnicity and Satisfaction With Communication in the Intensive Care Unit
| Autor: | Michelle N. Gong, Ryan Fiter, Omar Sanon, Elizabeth Chuang, Clyde B. Schechter, Ann Wang, Aluko A. Hope |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Ethnic group Personal Satisfaction Article law.invention Race (biology) law Intensive care Ethnicity medicine Humans Quality (business) Health communication Minority Groups media_common business.industry Communication Hispanic or Latino General Medicine Intensive care unit Health equity Intensive Care Units Cross-Sectional Studies Family medicine business End-of-life care |
| Zdroj: | Am J Hosp Palliat Care |
| ISSN: | 1938-2715 1049-9091 |
| DOI: | 10.1177/1049909120916126 |
| Popis: | Purpose: Racial and ethnic minority patients receive poorer quality end-of-life (EoL) care compared with white patients. Differences in quality of communication (QOC) with clinicians may contribute to these disparities. We measured differences in satisfaction with communication in the intensive care unit (ICU) by race and ethnicity. Materials and Methods: This is a cross-sectional survey of family members of patients in ICUs of an academic medical center serving a diverse urban population using The Family Satisfaction with the ICU (FS-ICU) and QOC scales. Results: One hundred surveys were completed (18.8% white, non-Hispanic; 34.4% black, non-Hispanic; 31.3% Hispanic; 15.6% other race/ethnicity). Mean FS-ICU score was 84.2 (standard deviation [SD] 20.5) for white patients, 83.3 (SD 16.2) for black patients, 82.7 (SD 17.8) for Hispanic or Latino patients, and 80.9 (SD 18.8) for patients with other race/ethnicity (Kruskal-Wallis, P = .92). Differences remained insignificant when controlling for patient and respondent characteristics. The QOC scale was not scored due to nonresponse levels on questions about EoL communication. Conclusions: Uniformly high ratings may have been influenced by avoidance of EoL discussion. This study is inconclusive regarding whether QOC influences disparities in EoL care since quality of EoL communication was not captured. |
| Databáze: | OpenAIRE |
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