{"id":"https://openalex.org/W4286294571","doi":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585","title":"Medical oncologists' perspectives of end-of-life care communication with racial/ethnic minority and limited English proficiency patients.","display_name":"Medical oncologists' perspectives of end-of-life care communication with racial/ethnic minority and limited English proficiency patients.","publication_year":2022,"publication_date":"2022-06-01","ids":{"openalex":"https://openalex.org/W4286294571","doi":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2022.40.16_suppl.e18585","doi":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075757286","display_name":"Maria De Lourdes Garcia-Jimenez","orcid":"https://orcid.org/0000-0002-0626-3237","observed_orcids":["https://orcid.org/0000-0002-0626-3237"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maria De Lourdes Garcia-Jimenez","raw_affiliation_strings":["UCLA David Geffen School of Medicine, Los Angeles, CA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA David Geffen School of Medicine, Los Angeles, CA;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080006341","display_name":"John A. Glaspy","orcid":"https://orcid.org/0000-0002-1800-9076","observed_orcids":["https://orcid.org/0000-0002-1800-9076"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]},{"id":"https://openalex.org/I4390039293","display_name":"UCLA Jonsson Comprehensive Cancer Center","ror":"https://ror.org/0599cs764","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799798094","https://openalex.org/I4390039293"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John A. Glaspy","raw_affiliation_strings":["Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA;","institution_ids":["https://openalex.org/I161318765","https://openalex.org/I4390039293"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078148438","display_name":"Sidharth R. Anand","orcid":"https://orcid.org/0000-0001-5750-6860","observed_orcids":["https://orcid.org/0000-0001-5750-6860"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sidharth Anand","raw_affiliation_strings":["University of California Los Angeles, Los Angeles, CA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California Los Angeles, Los Angeles, CA;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013132878","display_name":"Anne Margaret Walling","orcid":"https://orcid.org/0000-0001-6026-3249","observed_orcids":["https://orcid.org/0000-0001-6026-3249"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anne M. Walling","raw_affiliation_strings":["University of California Los Angeles, Los Angeles, CA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California Los Angeles, Los Angeles, CA;","institution_ids":["https://openalex.org/I161318765"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"40","issue":"16_suppl","first_page":"e18585","last_page":"e18585"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9580000042915344,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.01720000058412552,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.011599999852478504,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/limited-english-proficiency","display_name":"limited English proficiency","score":0.9589999914169312},{"id":"https://openalex.org/keywords/cultural-competence-training","display_name":"cultural competence training","score":0.6679999828338623},{"id":"https://openalex.org/keywords/communication-skills","display_name":"communication skills","score":0.48899999260902405},{"id":"https://openalex.org/keywords/communication-barriers","display_name":"communication barriers","score":0.6159999966621399},{"id":"https://openalex.org/keywords/language-barriers","display_name":"language barriers","score":0.6589999794960022},{"id":"https://openalex.org/keywords/cancer-care-disparities","display_name":"cancer care disparities","score":0.7369999885559082},{"id":"https://openalex.org/keywords/cancer-education","display_name":"cancer education","score":0.3490000069141388}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8318911790847778},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.7306524515151978},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5978310108184814},{"id":"https://openalex.org/C2781255760","wikidata":"https://www.wikidata.org/wiki/Q18354027","display_name":"Limited English proficiency","level":3,"score":0.568474531173706},{"id":"https://openalex.org/C47602998","wikidata":"https://www.wikidata.org/wiki/Q2588869","display_name":"Language barrier","level":2,"score":0.4813612103462219},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.46225282549858093},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.43292853236198425},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.42893898487091064},{"id":"https://openalex.org/C3020641676","wikidata":"https://www.wikidata.org/wiki/Q2065556","display_name":"Pacific islanders","level":3,"score":0.42340540885925293},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.32900717854499817},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2153441607952118},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.12600117921829224},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2022.40.16_suppl.e18585","doi":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2022.40.16_suppl.e18585","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.8740000128746033,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2337105471","https://openalex.org/W3159440133","https://openalex.org/W2462165862","https://openalex.org/W4306696335","https://openalex.org/W2155430716","https://openalex.org/W7125883804","https://openalex.org/W2086880000","https://openalex.org/W3197639793","https://openalex.org/W4286298187","https://openalex.org/W4415456675"],"abstract_inverted_index":{"e18585":[0],"Background:":[1],"Racial/ethnic":[2],"minority":[3,281],"(REM)":[4],"and":[5,32,56,64,81,107,120,128,153,167,187,200,222,263,279,294,329,344,378,399,402,426],"limited":[6],"English":[7,199,233],"proficiency":[8],"(LEP)":[9],"patients":[10,66,109,226,274,373],"with":[11,62,67,105,227,291,313,327,350,397],"cancer":[12],"receive":[13],"more":[14],"intensive":[15],"treatment":[16],"at":[17,27,83,302,337],"the":[18,28,44,316,368,384],"end-of-life":[19],"(EOL)":[20],"compared":[21],"to":[22,36,94,311,335,353,370,413],"non-Hispanic":[23,181],"whites.":[24],"Various":[25],"factors":[26],"health":[29],"system,":[30],"patient,":[31],"provider":[33,47,115,117],"level":[34],"contribute":[35],"this":[37,418],"disparity.":[38],"While":[39],"some":[40],"data":[41],"exists":[42],"on":[43,383],"role":[45],"of":[46,77,111,218,230,367,390],"communication,":[48],"little":[49],"is":[50,216,360,388,410],"known":[51],"about":[52,101,259,264,277,324,405,433],"medical":[53,78,365,423],"oncologists'":[54,424],"knowledge":[55],"attitudes":[57],"regarding":[58],"EOL":[59,102,214,240,288,325,375,394,434],"care":[60,103,215,241,289,326,376,395,435],"communication":[61,104,118,415,432],"REM":[63,106,292,328,398],"LEP":[65,108,295,330,400],"cancer.":[68],"Methods:":[69],"We":[70],"conducted":[71],"a":[72,205,280,307],"cross-sectional,":[73],"anonymous,":[74],"pilot":[75],"survey":[76,97],"oncology":[79],"attendings":[80],"fellows":[82],"one":[84],"academic":[85,364],"center.":[86],"Over":[87],"3":[88],"months,":[89,343],"57":[90],"individuals":[91],"were":[92,129,147,151,156,254],"invited":[93],"participate.":[95],"The":[96],"addressed":[98],"6":[99,303,342],"domains":[100],"(role":[110],"language,":[112],"barriers,":[113],"facilitators,":[114],"beliefs,":[116],"skills,":[119],"cultural":[121],"competency":[122],"training).":[123],"Questions":[124],"used":[125],"Likert":[126],"scales":[127],"modified":[130],"from":[131,309],"previously":[132],"validated":[133],"items":[134],"when":[135],"possible.":[136],"Results:":[137],"Of":[138],"35":[139],"individual":[140],"respondents":[141],"(61%":[142],"response":[143],"rate)":[144],"21":[145],"(60%)":[146],"male,":[148],"14":[149],"(40%)":[150],"female,":[152],"29":[154],"(83%)":[155],"attendings.":[157],"Average":[158],"participant":[159],"age":[160],"was":[161,172],"42":[162],"years":[163,169],"(range":[164,174],"31-60":[165],"years)":[166],"average":[168],"in":[170,239,318,341,374,392,417,428],"practice":[171],"9":[173,340],"2-25":[175],"years).":[176],"Twenty-three":[177],"(66%)":[178,202],"self-identified":[179],"as":[180,185,190,198,251],"white,":[182],"11":[183],"(31%)":[184],"Asian,":[186],"1":[188],"(3%)":[189],"other.":[191],"Thirty-three":[192],"(94%)":[193],"reported":[194,203,333],"their":[195,260,275],"primary":[196],"language":[197,234,430],"23":[201],"speaking":[204],"second":[206],"language.":[207],"A":[208],"majority":[209],"(77%)":[210],"strongly":[211,224,270,282],"agreed":[212,225,271,283,349],"discussing":[213],"part":[217],"an":[219],"oncologist\u2019s":[220],"job":[221],"69%":[223],"cancer,":[228],"regardless":[229],"race/ethnicity":[231],"or":[232,304,339,347],"ability,":[235],"should":[236],"be":[237,336],"engaged":[238],"discussions.":[242],"Among":[243],"several":[244],"facilitators":[245],"identified,":[246],"two":[247],"most":[248],"highly":[249],"rated":[250,300],"\u201cVery":[252],"Important\u201d":[253],"eliciting":[255],"patient":[256,380,406],"belief":[257,381,407],"systems":[258,382],"disease":[261],"(71%)":[262],"death/dying":[265],"(69%).":[266],"However,":[267],"only":[268],"14%":[269],"they":[272,284,321],"ask":[273],"beliefs":[276],"death/dying,":[278],"feel":[285],"comfortable":[286],"having":[287,393],"discussions":[290,377,396],"(34%)":[293],"(29%)":[296],"patients.":[297],"Importantly,":[298],"77%":[299],"themselves":[301],"7":[305],"(on":[306],"scale":[308],"0":[310],"10,":[312],"10":[314],"being":[315],"best)":[317],"how":[319],"well":[320],"currently":[322],"communicate":[323],"patients,":[331,401],"74%":[332],"wanting":[334,351],"8":[338],"89%":[345],"completely":[346],"somewhat":[348],"help":[352],"improve.":[354],"Conclusions:":[355],"Our":[356],"results":[357],"suggest":[358],"there":[359,387,409],"conceptual":[361],"understanding":[362],"among":[363],"oncologists":[366],"need":[369],"engage":[371],"all":[372],"elicit":[379],"topic.":[385],"Though":[386],"lack":[389],"comfort":[391,425],"infrequent":[403],"inquiry":[404],"systems,":[408],"also":[411],"motivation":[412],"improve":[414],"skills":[416,427],"area.":[419],"Interventions":[420],"that":[421],"foster":[422],"cross-cultural,":[429],"non-congruent":[431],"are":[436],"needed.":[437]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2022-07-21T00:00:00"}