ArticleJournal of general internal medicine2009
Cultural beliefs about a patient's right time to die: an exploratory study.
Article in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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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.
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Who cites it
5 citing papers in PubMed.
- Use of artificial nutrition near the end of life: Results from a French national population-based study of hospitalized cancer patients.Cancer medicine · 2020Article
- Older Adult and Surrogate Perspectives on Serious, Difficult, and Important Medical Decisions.Journal of the American Geriatrics Society · 2018Article
- "It doesn't exist…": negotiating palliative care from a culturally and linguistically diverse patient and caregiver perspective.BMC palliative care · 2018Article
- A knowledge synthesis of culturally- and spiritually-sensitive end-of-life care: findings from a scoping review.BMC geriatrics · 2016Article
- Racial variation in willingness to trade financial resources for life-prolonging cancer treatment.Cancer · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneralist physicians must often counsel patients or their families about the right time to die, but feel ill-prepared to do so. Patient beliefs may help guide the discussions.
objectiveBecause little prior research addresses such beliefs, we investigated them in this exploratory, hypothesis-generating study. DESIGN AND SUBJECTS: Anticipating culture as a key influence, we interviewed 26 Mexican Americans (MAs), 18 Euro-Americans (EAs), and 14 African Americans (AAs) and content-analyzed their responses. MAIN
resultsNearly all subjects regardless of ethnic group or gender said God determines (at least partially) a patient's right time to die, and serious disease signals it. Yet subjects differed by ethnic group over other signals for that time. Patient suffering and dependence on "artificial" life support signaled it for the MAs; patient acceptance of death signaled it for the EAs; and patient suffering and family presence at or before the death signaled it for the AAs. Subjects also differed by gender over other beliefs. In all ethnic groups more men than women said the time of death is unpredictable; but more women than men said the time of death is preset, and family suffering signals it. Furthermore, most MA women--but few others--explicitly declared that family have an important say in determining a patient's right time to die. No confounding occurred by religion.
conclusionsAmericans may share some beliefs about the right time to die but differ by ethnic group or gender over other beliefs about that time. Quality end-of-life care requires accommodating such differences whenever reasonable.
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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.