ArticleJournal of general internal medicine2002
Cross-cultural similarities and differences in attitudes about advance care planning.
Article in Journal of general internal medicine, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers and facilitators for GPs in dementia advance care planning: A systematic integrative review.PloS one · 2018Pooled it
- Enhancing Advance Care Planning in Primary Care: A Three-Year Implementation Study in Nebraska.Journal of the American Geriatrics Society · 2025Article
- Advance care planning in Hispanic populations with Parkinson's Disease: Investigating disparities in end-of life care.Clinical parkinsonism & related disorders · 2025Article
- Advance care planning as perceived by marginalized populations: Willing to engage and facing obstacles.PloS one · 2024Article
- Turning It Over to God: African American Assisted Living Residents' End-of-Life Preferences and Advance Care Planning.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Review
- Knowledge, attitude and practice of community-dwelling adults regarding advance care planning in Malaysia: a cross-sectional study.BMJ open · 2022Article
- Occurrence and Timing of Advance Care Planning in Persons With Dementia in General Practice: Analysis of Linked Electronic Health Records and Administrative Data.Frontiers in public health · 2022Article
- Article
- Advance care planning among older Canadians amid the COVID-19 pandemic: a focus on sexual orientation.Palliative care and social practice · 2021Article
- Development and Validation of the Readiness for End-of-Life Conversations (REOLC) Scale.Frontiers in psychology · 2021Article
- The perception of Israeli oncology staff members regarding advance care planning.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Underlying goals of advance care planning (ACP): a qualitative analysis of the literature.BMC palliative care · 2020Review
- Predictors of Advance Care Planning in Older Women: The Nurses' Health Study.Journal of the American Geriatrics Society · 2019Article
- Minority race and male sex as risk factors for non-beneficial gastrostomy tube placements after stroke.PloS one · 2018Article
- Understanding advance care planning within the South Asian community.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Clarifying Values and Preferences for Care Near the End of Life: The Role of a New Lay Workforce.Journal of community health · 2017Article
- What do Canadians think of advanced care planning? Findings from an online opinion poll.BMJ supportive & palliative care · 2015Article
- Is advice incompatible with autonomous informed choice? Women's perceptions of advice in the context of antenatal screening: a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Cancer stage knowledge and desire for information: mismatch in Latino cancer patients?Journal of cancer education : the official journal of the American Association for Cancer Education · 2013Article
- Disparities in end-of-life care: a perspective and review of quality.Population health management · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveCulture may have an important impact on a patient's decision whether to perform advance care planning. But the cultural attitudes influencing such decisions are poorly defined. This hypothesis-generating study begins to characterize those attitudes in 3 American ethnic cultures.
designStructured, open-ended interviews with blinded content analysis.
settingTwo general medicine wards in San Antonio, Texas. PATIENTS: Purposive sampling of 26 Mexican-American, 18 Euro-American, and 14 African-American inpatients. MEASUREMENTS AND MAIN
resultsThe 3 groups shared some views, potentially reflecting elements of an American core culture. For example, majorities of all groups believed "the patient deserves a say in treatment," and "advance directives (ADs) improve the chances a patient's wishes will be followed." But the groups differed on other themes, likely reflecting specific ethnic cultures. For example, most Mexican Americans believed "the health system controls treatment," trusted the system "to serve patients well," believed ADs "help staff know or implement a patient's wishes," and wanted "to die when treatment is futile." Few Euro Americans believed "the system controls treatment," but most trusted the system "to serve patients well," had particular wishes about life support, other care, and acceptable outcomes, and believed ADs "help staff know or implement a patient's wishes." Most African Americans believed "the health system controls treatment," few trusted the system "to serve patients well," and most believed they should "wait until very sick to express treatment wishes."
conclusionWhile grounded in values that may compose part of American core culture, advance care planning may need tailoring to a patient's specific ethnic views.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.