Addressing the underutilization of hospice care in Asian American communities: A scoping review

Addressing the underutilization of hospice care in Asian American communities: A scoping review
American Journal of Hospice and Palliative Medicine; by Tuzhen Xu, Dan Song, Gloria M. Rose; 6/25
Despite national improvements in hospice care, utilization remains low among Asian American (AA) communities. Identified barriers to hospice utilization included language and communication challenges; cultural values and beliefs surrounding death; family-centered decision-making and filial piety; religious influences such as beliefs in karma and suffering; and broader issues like low acculturation and mistrust of the healthcare system. Comprehensive cultural competence training is needed for healthcare providers, especially physicians, nurse practitioners, registered nurses, and social workers involved in hospice and palliative care.