Jennifer Mack and colleagues just published a study in the Archives of Internal Medicine, showing that despite similar rates of end-of-life discussions (black vs white patients), more black patients than white patients received life-prolonging EOL care. Black patients with DNR orders were no less likely than black patients without DNR orders to receive life-prolonging EOL care. The authors conclude: "End-of-life discussions and communication goals seem to assist white patients in receiving less life-prolonging EOL care, but black patients do not experience the same benefits of EOL discussions. Instead, black patients tend to receive life-prolonging measures at the EOL even when they have DNR orders or state a preference for symptom-directed care."Selasa, 28 September 2010
Black Patients Get More Unwanted Life-Prolonging Care at the End of Life
Jennifer Mack and colleagues just published a study in the Archives of Internal Medicine, showing that despite similar rates of end-of-life discussions (black vs white patients), more black patients than white patients received life-prolonging EOL care. Black patients with DNR orders were no less likely than black patients without DNR orders to receive life-prolonging EOL care. The authors conclude: "End-of-life discussions and communication goals seem to assist white patients in receiving less life-prolonging EOL care, but black patients do not experience the same benefits of EOL discussions. Instead, black patients tend to receive life-prolonging measures at the EOL even when they have DNR orders or state a preference for symptom-directed care."
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