Abstract：
Racial/ethnic minorities are underrepresented in hospice care in the United States, despite this being the standard of care for terminally ill individuals. Research indicates that location of services (e.g., rural vs. urban) plays a role in the differences in quality and quantity of services observed. However, the influences of neighborhood structural characteristics on quality of hospice services have not been explored. The purpose of this study was to explore the relationship between hospice neighborhood characteristics and caregiver-rated satisfaction with services in Florida. Data were derived from the Consumer Assessment of Healthcare Providers and Systems Hospice Survey and American Community Survey; ArcGIS was used to generate heat maps to provide visual representations. Findings showed that higher neighborhood immigrant density predicted lower family satisfaction with timely care, communication, spiritual support, and likelihood to recommend the agency services. The U.S. population is projected to continue to grow in its diversity, and thus understanding neighborhood characteristics associated with racial/ethnic minorities\' perception of care quality are important for shaping care improvements.
摘要：
在美国，种族/少数民族在临终关怀中的代表性不足，尽管这是绝症患者的护理标准。研究表明，服务的位置(例如，农村vs.城市)在观察到的服务质量和数量差异中发挥作用。然而,邻里结构特征对临终关怀服务质量的影响尚未探讨。这项研究的目的是探讨佛罗里达州临终关怀社区特征与护理人员对服务的满意度之间的关系。数据来自医疗保健提供者和系统临终关怀调查的消费者评估和美国社区调查；ArcGIS用于生成热图以提供视觉表示。研究结果表明，较高的邻里移民密度预示着家庭对及时护理的满意度较低，通信,精神支持,以及推荐代理服务的可能性。美国人口的多样性预计将继续增长，因此，了解与种族/族裔少数群体相关的邻里特征，对于改善护理质量很重要。
