Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis

Abstract Background Efforts inequities in access to palliative and end-of-life care require comprehensive understanding about the extent of and reasons for inequities. Most research on this topic examines differences in receipt of care. There is a need, particularly in the UK, for theoretically driv...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maddy French, Thomas Keegan, Eleftherios Anestis, Nancy Preston
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Socioeconomic position Healthcare utilisation Access to healthcare Palliative care End-of-life care Special situations and conditions RC952-1245
Acceso en línea:	https://doaj.org/article/090b484230554a0388aca7e886d9edf8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:090b484230554a0388aca7e886d9edf8
record_format	dspace
spelling	oai:doaj.org-article:090b484230554a0388aca7e886d9edf82021-11-21T12:08:07ZExploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis10.1186/s12904-021-00878-01472-684Xhttps://doaj.org/article/090b484230554a0388aca7e886d9edf82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12904-021-00878-0https://doaj.org/toc/1472-684XAbstract Background Efforts inequities in access to palliative and end-of-life care require comprehensive understanding about the extent of and reasons for inequities. Most research on this topic examines differences in receipt of care. There is a need, particularly in the UK, for theoretically driven research that considers both receipt of care and the wider factors influencing the relationship between socioeconomic position and access to palliative and end-of-life care. Methods This is a mixed studies narrative synthesis on socioeconomic position and access to palliative and end-of-life care in the UK. Study searches were conducted in databases AMED, Medline, Embase, CINAHL, SocIndex, and Academic Literature Search, as well as grey literature sources, in July 2020. The candidacy model of access, which describes access as a seven-stage negotiation between patients and providers, guided study searches and provided a theoretical lens through which data were synthesised. Results Searches retrieved 5303 studies (after de-duplication), 29 of which were included. The synthesis generated four overarching themes, within which concepts of candidacy were evident: identifying needs; taking action; local conditions; and receiving care. Conclusion There is not a consistent or clear narrative regarding the relationship between socioeconomic position and receipt of palliative and end-of-life care in the UK. Attempts to address any inequities in access will require knowledge and action across many different areas. Key evidence gaps in the UK literature concern the relationship between socioeconomic position, organisational context, and assessing need for care.Maddy FrenchThomas KeeganEleftherios AnestisNancy PrestonBMCarticleSocioeconomic positionHealthcare utilisationAccess to healthcarePalliative careEnd-of-life careSpecial situations and conditionsRC952-1245ENBMC Palliative Care, Vol 20, Iss 1, Pp 1-20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Socioeconomic position Healthcare utilisation Access to healthcare Palliative care End-of-life care Special situations and conditions RC952-1245
spellingShingle	Socioeconomic position Healthcare utilisation Access to healthcare Palliative care End-of-life care Special situations and conditions RC952-1245 Maddy French Thomas Keegan Eleftherios Anestis Nancy Preston Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
description	Abstract Background Efforts inequities in access to palliative and end-of-life care require comprehensive understanding about the extent of and reasons for inequities. Most research on this topic examines differences in receipt of care. There is a need, particularly in the UK, for theoretically driven research that considers both receipt of care and the wider factors influencing the relationship between socioeconomic position and access to palliative and end-of-life care. Methods This is a mixed studies narrative synthesis on socioeconomic position and access to palliative and end-of-life care in the UK. Study searches were conducted in databases AMED, Medline, Embase, CINAHL, SocIndex, and Academic Literature Search, as well as grey literature sources, in July 2020. The candidacy model of access, which describes access as a seven-stage negotiation between patients and providers, guided study searches and provided a theoretical lens through which data were synthesised. Results Searches retrieved 5303 studies (after de-duplication), 29 of which were included. The synthesis generated four overarching themes, within which concepts of candidacy were evident: identifying needs; taking action; local conditions; and receiving care. Conclusion There is not a consistent or clear narrative regarding the relationship between socioeconomic position and receipt of palliative and end-of-life care in the UK. Attempts to address any inequities in access will require knowledge and action across many different areas. Key evidence gaps in the UK literature concern the relationship between socioeconomic position, organisational context, and assessing need for care.
format	article
author	Maddy French Thomas Keegan Eleftherios Anestis Nancy Preston
author_facet	Maddy French Thomas Keegan Eleftherios Anestis Nancy Preston
author_sort	Maddy French
title	Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
title_short	Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
title_full	Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
title_fullStr	Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
title_full_unstemmed	Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis
title_sort	exploring socioeconomic inequities in access to palliative and end-of-life care in the uk: a narrative synthesis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/090b484230554a0388aca7e886d9edf8
work_keys_str_mv	AT maddyfrench exploringsocioeconomicinequitiesinaccesstopalliativeandendoflifecareintheukanarrativesynthesis AT thomaskeegan exploringsocioeconomicinequitiesinaccesstopalliativeandendoflifecareintheukanarrativesynthesis AT eleftheriosanestis exploringsocioeconomicinequitiesinaccesstopalliativeandendoflifecareintheukanarrativesynthesis AT nancypreston exploringsocioeconomicinequitiesinaccesstopalliativeandendoflifecareintheukanarrativesynthesis
_version_	1718419166957928448

Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis

Ejemplares similares