Review

. 2018 Aug;34(3):303-315.

doi: 10.1016/j.soncn.2018.06.011. Epub 2018 Aug 23.

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

Ronit Elk¹, Tisha M Felder², Ebru Cayir², Cleo A Samuel²

Affiliations

¹ Ronit Elk, PhD: Research Associate Professor, Co-Director, Palliative Care Initiative, College of Nursing, University of South Carolina, Columbia, SC. Tisha M. Felder, PhD, MSW: Assistant Professor, Director, Diversity, Equity and Inclusion, College of Nursing, Cancer Prevention & Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC. Ebru Cayir, MD: PhD Candidate, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Cleo A. Samuel, PhD: Assistant Professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.. Electronic address: elk@mailbox.sc.edu.
² Ronit Elk, PhD: Research Associate Professor, Co-Director, Palliative Care Initiative, College of Nursing, University of South Carolina, Columbia, SC. Tisha M. Felder, PhD, MSW: Assistant Professor, Director, Diversity, Equity and Inclusion, College of Nursing, Cancer Prevention & Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC. Ebru Cayir, MD: PhD Candidate, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Cleo A. Samuel, PhD: Assistant Professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.

PMID: 30146346
PMCID: PMC7233309
DOI: 10.1016/j.soncn.2018.06.011

Review

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

Ronit Elk et al. Semin Oncol Nurs. 2018 Aug.

. 2018 Aug;34(3):303-315.

doi: 10.1016/j.soncn.2018.06.011. Epub 2018 Aug 23.

Authors

Ronit Elk¹, Tisha M Felder², Ebru Cayir², Cleo A Samuel²

Affiliations

¹ Ronit Elk, PhD: Research Associate Professor, Co-Director, Palliative Care Initiative, College of Nursing, University of South Carolina, Columbia, SC. Tisha M. Felder, PhD, MSW: Assistant Professor, Director, Diversity, Equity and Inclusion, College of Nursing, Cancer Prevention & Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC. Ebru Cayir, MD: PhD Candidate, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Cleo A. Samuel, PhD: Assistant Professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.. Electronic address: elk@mailbox.sc.edu.
² Ronit Elk, PhD: Research Associate Professor, Co-Director, Palliative Care Initiative, College of Nursing, University of South Carolina, Columbia, SC. Tisha M. Felder, PhD, MSW: Assistant Professor, Director, Diversity, Equity and Inclusion, College of Nursing, Cancer Prevention & Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC. Ebru Cayir, MD: PhD Candidate, Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Cleo A. Samuel, PhD: Assistant Professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.

PMID: 30146346
PMCID: PMC7233309
DOI: 10.1016/j.soncn.2018.06.011

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.

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

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

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