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  • Title: Dying in the margins: understanding palliative care and socioeconomic deprivation in the developed world.
    Author: Lewis JM, DiGiacomo M, Currow DC, Davidson PM.
    Journal: J Pain Symptom Manage; 2011 Jul; 42(1):105-18. PubMed ID: 21402460.
    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.
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