End-of-Life Care for an Undocumented Mexican Immigrant
| Autor: | Lilit Karapetyan, Heather Laird-Fick, Om Dawani |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
media_common.quotation_subject
Decision Making Immigration Population Uterine Cervical Neoplasms Health Services Accessibility Insurance Coverage 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach Political science Humans 030212 general & internal medicine Neoplasm Metastasis education Mexico media_common Terminal Care education.field_of_study Poverty Patient Protection and Affordable Care Act Communication Barriers Undocumented Immigrants Perspective (graphical) Sarcoma General Medicine United States 030220 oncology & carcinogenesis Limited English proficiency Carcinoma Squamous Cell Female Demographic economics Medicaid End-of-life care |
| Zdroj: | Journal of Palliative Care. 33:63-64 |
| ISSN: | 2369-5293 0825-8597 |
| Popis: | The immigrant population in the United States has grown over the past years. Undocumented immigrants account for 14.6% of the uninsured population in the United States. Decisions about end-of-life treatment are often difficult to reach in the best of situations. We present a 43-year-old undocumented Mexican female immigrant with metastatic sarcomatoid squamous cell cervical cancer and discuss the barriers that she faced during her treatment. Limited English proficiency, living below the poverty line, low level of education, and lack access to Medicare, Medicaid, or other insurance coverage under the Affordable Care Act are major causes of decreased health-care access and service utilization by the immigrant population. Latinos are less likely to be referred to hospice by oncologists, and nearly a third of hospice agencies offer limited or no services to undocumented immigrants. Undocumented immigrants with terminal diagnoses generally do not have access to comprehensive or multidisciplinary follow-up treatment. Instead, one of their few options is to return to their home countries without any long-term treatment. This article discusses the many barriers and proposes areas for reform. |
| Databáze: | OpenAIRE |
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