Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans

J Palliat Med. 2022 Mar;25(3):479-487. doi: 10.1089/jpm.2021.0502. Epub 2021 Nov 16.


Racial disparities, including decreased hospice utilization, lower quality symptom management, and poor-quality end-of-life care have been well documented in Black Americans. Improving health equity and access to high-quality serious illness care is a national palliative care (PC) priority. Accomplishing these goals requires clinician reflection, engagement, and large-scale change in clinical practice and health-related policies. In this article, we provide an overview of key concepts that underpin racism in health care, discuss common serious illness disparities in Black Americans, and propose steps to promote the delivery of antiracist PC.

Keywords: advance care planning; health inequities; implicit bias; racial inequities, serious illness; structural racism.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Black or African American
  • Hospice Care*
  • Hospice and Palliative Care Nursing*
  • Humans
  • Palliative Care
  • Racism*
  • Terminal Care*