Deterrents to access and service for blacks and Hispanics: the Medicare Hospice Benefit, healthcare utilization, and cultural barriers.

摘要: The Medicare Hospice Benefit may limit access for Blacks and Hispanics because of its requirement continuity care, entailing the availability a primary caregiver. literature on utilization healthcare services by shows these groups were likely to receive too little late. Kalish Reynolds' (1976) research attitudes Blacks, Mexican-Americans, Whites toward dying cultural differences that could affect acceptance hospice philosophy. In other reviewed in this paper distrust White service providers was significant barrier using health services. Lack familiarity with care system language barriers most often Hispanics. Black caregivers are more than have persons living them, be extended family members or nonrelated, limited their ability provide caregiving support lack economic resources. appear circumscribed system, narrowly defined blood kinship, females as expected caregivers.