Abstract
Context
Individuals from low socioeconomic (SE) groups have less resources and poorer health outcomes. Understanding the nature of access to appropriate end-of-life care services for this group is important.
Objectives
To evaluate the literature in the developed world for barriers to access for low SE groups.
Methods
Electronic databases searched in the review included MEDLINE (1996–2010), CINAHL (1996–2010), PsychINFO (2000–2010), Cochrane Library (2010), and EMBASE (1996–2010). Publications were searched for key terms “socioeconomic disadvantage,” “socioeconomic,” “poverty,” “poor” paired with “end-of-life care,” “palliative care,” “dying,” and “terminal Illness.” Articles were analyzed using existing descriptions for dimensions of access to health services, which include availability, affordability, acceptability, and geographical access.
Results
A total of 67 articles were identified for the literature review. Literature describing end-of-life care and low SE status was limited. Findings from the review were summarized under the headings for dimensions of access.
Conclusion
Low SE groups experience barriers to access in palliative care services. Identification and evaluation of interventions aimed at reducing this disparity is required.
Individuals from low socioeconomic (SE) groups have less resources and poorer health outcomes. Understanding the nature of access to appropriate end-of-life care services for this group is important.
Objectives
To evaluate the literature in the developed world for barriers to access for low SE groups.
Methods
Electronic databases searched in the review included MEDLINE (1996–2010), CINAHL (1996–2010), PsychINFO (2000–2010), Cochrane Library (2010), and EMBASE (1996–2010). Publications were searched for key terms “socioeconomic disadvantage,” “socioeconomic,” “poverty,” “poor” paired with “end-of-life care,” “palliative care,” “dying,” and “terminal Illness.” Articles were analyzed using existing descriptions for dimensions of access to health services, which include availability, affordability, acceptability, and geographical access.
Results
A total of 67 articles were identified for the literature review. Literature describing end-of-life care and low SE status was limited. Findings from the review were summarized under the headings for dimensions of access.
Conclusion
Low SE groups experience barriers to access in palliative care services. Identification and evaluation of interventions aimed at reducing this disparity is required.
| Original language | English |
|---|---|
| Pages (from-to) | 105-118 |
| Number of pages | 14 |
| Journal | Journal of Pain and Symptom Management |
| Volume | 42 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jul 2011 |
| Externally published | Yes |