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The end of life experiences of people living with socio-economic deprivation in the developed world: an integrative review.
- Source :
- BMC Palliative Care; 11/5/2022, Vol. 21 Issue 1, p1-25, 25p
- Publication Year :
- 2022
-
Abstract
- Background: Those experiencing socioeconomic deprivation have poorer quality of health throughout their life course which can result in poorer quality of death – with decreased access to palliative care services, greater use of acute care, and reduced access to preferred place of care compared with patients from less deprived populations. Aim: To summarise the current global evidence from developed countries on end-of-life experience for those living with socio-economic deprivation. Design: Integrative review in accordance with PRISMA. A thorough search of major databases from 2010–2020, using clear definitions of end-of-life care and well-established proxy indicators of socio-economic deprivation. Empirical research describing experience of adult patients in the last year of life care were included. Results: Forty studies were included from a total of 3508 after screening and selection. These were deemed to be of high quality; from a wide range of countries with varying healthcare systems; and encompassed all palliative care settings for patients with malignant and non-malignant diagnoses. Three global themes were identified: 1) multi-dimensional symptom burden, 2) preferences and planning and 3) health and social care interactions at the end of life. Conclusions: Current models of healthcare services are not meeting the needs of those experiencing socioeconomic deprivation at the end-of-life. Further work is needed to understand the disparity in care, particularly around ensuring patients voices are heard and can influence service development and delivery. [ABSTRACT FROM AUTHOR]
- Subjects :
- DEATH & psychology
CINAHL database
PSYCHOLOGY information storage & retrieval systems
TERMINAL care
MEDICAL information storage & retrieval systems
SYSTEMATIC reviews
MEDICAL care
PATIENT satisfaction
SOCIOECONOMIC factors
SOCIAL isolation
ADVANCE directives (Medical care)
QUALITY of life
SOCIAL classes
MEDLINE
PALLIATIVE treatment
Subjects
Details
- Language :
- English
- ISSN :
- 1472684X
- Volume :
- 21
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Palliative Care
- Publication Type :
- Academic Journal
- Accession number :
- 160071146
- Full Text :
- https://doi.org/10.1186/s12904-022-01080-6