Social Inequalities in Palliative Care for Cancer Patients in the United States: A Structured Review

Semin Oncol Nurs. 2018 Aug;34(3):303-315. doi: 10.1016/j.soncn.2018.06.011. Epub 2018 Aug 23.

Abstract

Objectives: To identify patterns of access to and use or provision of palliative care services in medically underserved and vulnerable groups diagnosed with cancer.

Data sources: Google Scholar, PubMed, MEDLINE, and Web of Science were searched to identify peer-reviewed studies that described palliative care in medically underserved or vulnerable populations diagnosed with cancer.

Conclusion: Disparities in both access and referral to palliative care are evident in many underserved groups. There is evidence that some groups received poorer quality of such care.

Implications for nursing practice: Achieving health equity in access to and receipt of quality palliative care requires prioritization of this area in clinical practice and in research funding.

Keywords: Palliative care; cancer; under-served populations; vulnerable populations.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Comprehensive Health Care / organization & administration
  • Economic Status*
  • Health Services Accessibility / organization & administration*
  • Hospice and Palliative Care Nursing / organization & administration*
  • Humans
  • Neoplasms / nursing*
  • Nurse-Patient Relations
  • Oncology Nursing / organization & administration*
  • Pain Management / nursing
  • Palliative Care / organization & administration*
  • Quality of Health Care
  • Socioeconomic Factors
  • United States