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February 28-March 01, 2019 | Paris, France
Palliative Care, Obstetrics and Gynecology
Stroke and Clinical Trials
International Conference on
Joint Event on
International Conference on
&
Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3
A narrative review of the literature on equity as it pertains to end of life care
Linda S McEnhill
Ardgowan Hospice, UK
Introduction:
A number of studies and publications over the
past decade have described powerfully the relative inequities
in access to palliative, specialist palliative and hospice care for
disenfranchised individuals and groups. Recent public health
analyses have offered useful insights but despite a range of
interventions the multifactorial barriers have been worryingly
impervious to change.
Aim:
A narrative review of the literature on equity as it pertains
to end of life care will demonstrate cross cutting themes that
impact individuals and groups who do not routinely access
palliative care and a four level analysis of access will be
undertaken with suggestions for addressing the operational
barriers of each level.
Method:
A wide ranging narrative review of the literature on
equity as it relates to end of life care has been undertaken the
conclusions of which inform practice in addressing the barriers
to access of palliative care for individuals and groups across a
spectrum of potential users.
Conclusions:
The barriers to access for individuals and groups
can be characterised into distinct groups/themes which are
useful for devising both proactive and reactive interventions to
address the same ensuring all those who need palliative care
are able to receive it in a way which affirms their personhood
and in the place(s) of their choosing, irrespective of which
condition occasions their dying.
e:
linda.mcenhill@ardhosp.co.ukRes Rep Gynaecol Obstet, Volume 3
DOI: 10.4066/2591-7366-C1-003