Developing and Testing the Feasibility of a Culturally Based Tele-Palliative Care Consult Based on the Cultural Values and Preferences of Southern, Rural African American and White Community Members: A Program by and for the Community
Ronit Elk, Linda L. Emanuel, Joshua Hauser, Marie Bakitas, Sue E. Levkoff
Abstract
The first culturally based PC consult program in the United States was developed in partnership with AA and W Southern rural community members. This program was feasible to implement in a small rural hospital but low referral by hospitalists was the major obstacle. Program effectiveness is currently being tested in a randomized clinical trial in three southern, rural states in partnership with hospitalists. This method can serve as a model that can be replicated and adapted to other settings and with other ethnic groups.
Topics & Concepts
Focus groupEthnic groupThematic analysisPalliative careParticipatory action researchCultural diversityMedicineFamily medicineProtocol (science)Cultural competenceNursingCulturally sensitivePsychologyGerontologyQualitative researchSociologyAlternative medicineSocial psychologyPedagogySocial scienceAnthropologyPathologyPalliative Care and End-of-Life IssuesPatient-Provider Communication in HealthcarePatient Satisfaction in Healthcare