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    "Intra-community communication influencing African-American hospice utilization"

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    Author
    Rickelman, Lauren S.
    Advisor
    Durham, Wesley T.
    Henning, Zachary T.
    Young, Stephanie L.
    Keyword
    African-American
    healthcare services
    identity and race
    Title
    "Intra-community communication influencing African-American hospice utilization"
    Publication Date
    2011
    Author Degree Title
    Master of Arts in Communication
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12419/308
    Abstract
    Members of the African-American community make end-of-life decisions to not utilize hospice services to the same extent as other populations. Prior research has indicated that reasons for underutilization include lack of knowledge, misinformation, and cultural/religious barriers (e.g. Cort, 2004; Taxis, 2006; Reese, Ahern, Nair, O'Faire, & Warren, 1999; Winston, Leshner, Kramer, & Allen, 2005). This paper examines this issue from the standpoint of communication within the African-American community and how this communication influences the decision-making process at the end of life. Qualitative methods of focus groups with key community influencers and structured interviews with family members of deceased African-American hospice patients were employed and revealed data themes that affirmed lack of knowledge, misinformation, and cultural/religious norms act as barriers to hospice utilization among members of African-American communities. Social Identity Theory (Tajfel & Turner, 1979), offers a view of this intra-community communication through the lens of in-group/out-group behaviors, and recognizes implications for future improvement in hospice outreach.
    Description
    Thesis available in Rice Library University Archives and Special Collection.
    Collections
    Master of Arts in Communication (MAC)

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