TY - JOUR
T1 - Barriers, blocks, and barricades
T2 - Disparities to access of palliative care in cancer care
AU - Malhotra, Sonia
AU - Christopher, Michelle
AU - Chowdry, Rajasree Pia
AU - Mossman, Brenna
AU - Cooke, Amanda
AU - Deblieux, Josh
AU - Simmons, Cameron
AU - Fisher, Kiondra
AU - Webb, Jason
AU - Hoerger, Michael
N1 - Publisher Copyright:
© 2023
PY - 2023/10
Y1 - 2023/10
N2 - Palliative care (PC) is specialized medical care for people living with a serious illness. PC models have stressed pain and symptom management, communication that is patient- and family-centric and longitudinal support for families living with serious illness that is contiguous across multiple settings. Despite the benefits that PC provides from a patient, family and quality of care standpoint, several barriers and disparities exist. Included in these barriers are the lack of geographic access to PC programs as well as the focus on inpatient, hospital-based PC programs versus outpatient and home-based models. Workforce shortages, challenges with defining and designing PC, and racial, cultural and language barriers have all contributed to disparities within PC. This review article outlines PC disparities including geographic access challenges, cross-cultural barriers and symptom and communication specific disparities. We discuss the impact these inequities have on patients living with cancer.
AB - Palliative care (PC) is specialized medical care for people living with a serious illness. PC models have stressed pain and symptom management, communication that is patient- and family-centric and longitudinal support for families living with serious illness that is contiguous across multiple settings. Despite the benefits that PC provides from a patient, family and quality of care standpoint, several barriers and disparities exist. Included in these barriers are the lack of geographic access to PC programs as well as the focus on inpatient, hospital-based PC programs versus outpatient and home-based models. Workforce shortages, challenges with defining and designing PC, and racial, cultural and language barriers have all contributed to disparities within PC. This review article outlines PC disparities including geographic access challenges, cross-cultural barriers and symptom and communication specific disparities. We discuss the impact these inequities have on patients living with cancer.
KW - Advance care planning
KW - Barriers
KW - Cancer
KW - Disparities
KW - Equity
KW - Opioids
KW - Palliative care
UR - http://www.scopus.com/inward/record.url?scp=85175297751&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85175297751&partnerID=8YFLogxK
U2 - 10.1016/j.currproblcancer.2023.101024
DO - 10.1016/j.currproblcancer.2023.101024
M3 - Article
AN - SCOPUS:85175297751
SN - 0147-0272
VL - 47
JO - Current problems in cancer
JF - Current problems in cancer
IS - 5
M1 - 101024
ER -