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Racial Disparities at the End of Life [1]

['Daniel Dierfeldt', 'Kerstin Knopf', 'Linda Jackson']

Date: 2023-03

Successful end-of-life care relies on trusting relationships between physicians and patients.5,6 Trust in physicians is associated with higher patient satisfaction, better perceived quality of care, enhanced treatment adherence, improved satisfaction, and higher quality of life with fewer symptoms.7–9 Extra effort is needed to build trust with minority patients in interracial settings.10–12 Research shows that building trust depends on the physician's communication skills and knowledge about the patient.8 Successful communication in end-of-life care includes the assessment of patients' values, beliefs, and preferences before life-altering decisions need to be made. Using two-way conversation and open-ended questions allows for combining the patient's preferences with the physician's medical knowledge. This technique facilitates collaborative decision-making, leading to better treatment adherence, health outcomes, and perceived quality of care.8,13–16 Transparency is another trust-building strategy, which includes providing timely and realistic prognostic information, setting realistic expectations about treatment outcomes, and disclosing clinical information.12,17

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[1] Url: https://www.aafp.org/pubs/afp/issues/2021/1000/p346.html

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