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"Forty years after the hospice movement began in the United States, end-of-life care has evolved into a mega-industry. Although the hospice movement significantly enhanced the awareness, needs, and care of the dying and their family members, many challenges still exist within the end-of-life service delivery continuum. The primary purpose of this proposal is to provide an overview of the experiences encountered by ethnic minorities as they move through the labyrinth of end-of-life care in the United States. Barriers in accessing end-of life care for ethnic minorities and the need for structural changes in the service delivery system of end-of-life services will be explored utilizing a tri-level theoretical framework of institutional isomorphism, anti-oppressive framework, and feminist intersectionality. The importance of mitigating health care disparities in end-of-life care system for ethnic minorities is explored, and consideration for further research to address barriers and to find effective solutions to diminish disparities in end-of-life care is discussed."
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