A Decade of Studying Drivers of Disparities in End-of-Life Care for Black Americans: Using the NIMHD Framework for Health Disparities Research to Map the Path Ahead.

Objective: The purpose of this paper is to provide a review of the existing literature on racial disparities in quality of palliative and end-of-life care and to demonstrate gaps in the exploration of underlying mechanisms that produce these disparities.

Background: Countless studies over several decades have revealed that our healthcare system in the United States consistently produces poorer quality end-of-life care for Black compared with White patients. Effective interventions to reduce these disparities are sparse and hindered by a limited understanding of the root causes of these disparities.

"I was not able to keep myself away from tending to her immediate needs": Primary Care Physicians' Perspectives of Serious Illness Conversations at Community Health Centers.

Purpose: Seriously ill patients in low-income and minority populations have lower rates of advance care planning. Initiatives that promote serious illness (SI) conversations in community health centers (CHCs) can reach broad, diverse patient populations. This qualitative study explored the experiences of primary care physicians in conducting SI conversations at CHCs in order to understand challenges and needs in this setting.

Roux-en-Y Gastric Bypass Is Associated With Hyperinsulinemia But Not Increased Maximal -Cell Function.

Context: Roux-en-Y gastric bypass (RYGB) is associated with postprandial hyperinsulinemia.

Objective: This study assessed whether increased blood insulin levels may be due to an increase in maximal -cell function.

Design Setting And Participants: We performed a cross-sectional study at Columbia University Medical Center, New York, New York.