In the retrospective cohort study of Dutch hospice care by De Graaf et al., only 3% of the patients was of non-Dutch background. This seems to indicate an underrepresentation of people with a migration background in hospices, even when taking into account the low number of persons aged 70+ with a non-Dutch background. The underrepresentation can be explained by cultural differences regarding optimal palliative care and the role of family in care, by lack of knowledge about hospice care and by lack of palliative care tailored to the needs of patients with a migration background.
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