Barriers, blocks, and barricades: Disparities to access of palliative care in cancer care

IF 2.5 4区医学 Q3 ONCOLOGY

Current Problems in Cancer Pub Date : 2023-10-01 DOI:10.1016/j.currproblcancer.2023.101024

Sonia Malhotra , Michelle Christopher , Rajasree Pia Chowdry , Brenna Mossman , Amanda Cooke , Josh Deblieux , Cameron Simmons , Kiondra Fisher , Jason Webb , Michael Hoerger

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引用次数: 0

Abstract

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.

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障碍、阻碍和障碍:癌症治疗中获得姑息治疗的差异

姑息治疗(PC)是为患有严重疾病的人提供的专门医疗护理。PC模型强调疼痛和症状管理，以患者和家庭为中心的沟通，以及对患有严重疾病的家庭的纵向支持，这些家庭在多个环境中连续存在。尽管从患者、家庭和护理质量的角度来看，PC提供了好处，但仍存在一些障碍和差距。这些障碍包括个人电脑项目在地理上的缺乏，以及对住院病人、医院为基础的个人电脑项目的关注，而不是门诊和家庭为基础的模式。劳动力短缺，定义和设计PC的挑战，种族，文化和语言障碍都导致了PC内部的差异。这篇综述文章概述了PC差异，包括地理访问挑战、跨文化障碍以及症状和交流特异性差异。我们讨论了这些不平等对癌症患者的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cancer 医学-肿瘤学

CiteScore

5.10

自引率

0.00%

发文量

审稿时长

15 days

期刊介绍： Current Problems in Cancer seeks to promote and disseminate innovative, transformative, and impactful data on patient-oriented cancer research and clinical care. Specifically, the journal''s scope is focused on reporting the results of well-designed cancer studies that influence/alter practice or identify new directions in clinical cancer research. These studies can include novel therapeutic approaches, new strategies for early diagnosis, cancer clinical trials, and supportive care, among others. Papers that focus solely on laboratory-based or basic science research are discouraged. The journal''s format also allows, on occasion, for a multi-faceted overview of a single topic via a curated selection of review articles, while also offering articles that present dynamic material that influences the oncology field.