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  11. 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

Tuzhen Xu1, Dan Song2, Gloria M Rose1

  • 1Prairie View A&M University, College of Nursing, Houston, TX, USA.

The American Journal of Hospice & Palliative Care
|June 14, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Asian Americans face barriers to hospice care due to communication, cultural beliefs, and healthcare system issues. Culturally competent care and provider training are crucial for improving end-of-life care access.

Area of Science:

  • Health Disparities
  • End-of-Life Care
  • Cultural Competence in Healthcare

Background:

  • Hospice care utilization remains low among Asian American (AA) communities despite national improvements.
  • Understanding barriers specific to this population is essential for equitable care.

Purpose of the Study:

  • To systematically map the existing literature on barriers to hospice use in Asian American communities.
  • To identify the roles of communication, cultural beliefs, and healthcare system factors in hospice utilization.

Main Methods:

  • A scoping review of studies published between January 2010 and December 2024.
  • Systematic search of seven major academic databases using Arksey and O'Malley's framework.
  • Inclusion of 25 studies, primarily cross-sectional surveys and qualitative descriptive designs.
Keywords:
Asian Americanbarrierscultural barriersculturally competent care

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Main Results:

  • Key barriers identified include language and communication challenges.
  • Cultural values, family-centered decision-making, filial piety, and religious beliefs significantly impact hospice use.
  • Low acculturation and mistrust of the healthcare system are also significant barriers.

Conclusions:

  • Enhancing culturally competent hospice care is vital to address end-of-life care disparities for Asian Americans.
  • Comprehensive cultural competence training for healthcare providers is recommended.
  • Further research should focus on tailoring interventions for diverse Asian American subgroups.
end-of-life care disparities
hospice care utilization