Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Indian Journal of Palliative Care Pub Date : 2022-10-01 Epub Date: 2022-08-25 DOI:10.25259/IJPC_21_21
Komal Kashyap, Joris Gielen
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引用次数: 0

Abstract

People who belong to ethnic, racial and cultural minorities often have less access to healthcare and have poorer health outcomes when compared to the majority population. In the COVID pandemic, too, health disparities have been observed. Similar disparities have been noted in patients with advanced disease and suffering from pain, with minority patients having less access to or making less use of palliative care. In the US, a range of solutions has been proposed to address the issue of inequality in access to healthcare, with cultural competence figuring prominently among them. This study explores whether and how cultural competence may be applied to palliative care in India to improve access and health outcomes. In the literature, it is argued that, in diverse societies, cultural competence is an essential part of the solution towards equitable healthcare systems. Solutions to problems of healthcare disparities must go beyond an increase in financial resources as more financial resources will not necessarily make the healthcare system more equitable. A culturally competent system recognises and integrates at all levels the culture as a significant component of care, which is particularly relevant at the end of life. If efficiently implemented, cultural competence will lead to higher patient satisfaction, better follow-up and patient compliance and an improved reputation of palliative care among minorities. This may help to reduce inequalities in access and health outcomes in palliative care.

通过文化能力改善姑息治疗的可及性和健康结果:探索印度的机遇和挑战。
与多数人口相比,在族裔、种族和文化上属于少数群体的人获得医疗保健的机会往往较少,健康结果也较差。在COVID大流行中,也观察到健康差异。在患有晚期疾病和疼痛的患者中也注意到类似的差异,少数民族患者获得或使用姑息治疗的机会较少。在美国,已经提出了一系列解决方案来解决获得医疗保健的不平等问题,文化能力是其中的重要组成部分。本研究探讨了文化能力是否以及如何应用于印度的姑息治疗,以改善可及性和健康结果。在文献中,有人认为,在不同的社会中,文化能力是解决公平医疗保健系统的重要组成部分。解决医疗保健不平等问题必须超越财政资源的增加,因为更多的财政资源并不一定会使医疗保健系统更加公平。一个具有文化能力的系统承认并在各个层面整合文化,将其作为护理的重要组成部分,这在生命结束时尤为重要。如果有效地实施,文化能力将导致更高的患者满意度,更好的随访和患者依从性,并改善少数民族的姑息治疗声誉。这可能有助于减少姑息治疗的可及性和健康结果方面的不平等。
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来源期刊
Indian Journal of Palliative Care
Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.30
自引率
0.00%
发文量
57
期刊介绍: Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.
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