From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care

被引:3
作者
Bulle, Seana [1 ]
Arya, Amit [2 ,3 ,4 ,5 ]
Dosani, Naheed [6 ,7 ,8 ,9 ]
机构
[1] Univ Toronto, Dept Family & Community Med, 500 Univ Ave, Toronto, ON M5G 1V7, Canada
[2] North York Gen Hosp, Freeman Ctr Advancement Palliat Care, 4001 Leslie St Ontario, N York, ON M2K 1E1, Canada
[3] Kensington Hlth, Specialist Palliat Care Long Term Care Outreach Te, 25 Brunswick Ave, Toronto, ON M5S 2L9, Canada
[4] Univ Toronto, Dept Family & Community Med, Div Palliat Care, 500 Univ Ave, Toronto, ON M5G 1V7, Canada
[5] McMaster Univ, Dept Family Med, Div Palliat Care, 100 Main St West, Hamilton, ON L8P 1H6, Canada
[6] St Michaels Hosp, Unity Hlth Toronto, Dept Family & Community Med, 36 Queen St East, Toronto, ON M5B 1W6, Canada
[7] Inner City Hlth Associates, PEACH Palliat Educ & Care Homeless Program, 145 Front St East, Toronto, ON M5A 1E3, Canada
[8] Kensington Hosp, Kensington Hlth, 45 Brunswick Ave, Toronto, ON M5A 3M3, Canada
[9] Canadian Partnership Canc, 145 King St West, Toronto, ON M5H 1J8, Canada
关键词
cultural safety; health equity; healthcare accessibility; anti-racism; palliative care; OF-LIFE CARE; COMMUNICATION; PERSPECTIVES; ASSOCIATION; ONTARIO; DEATH;
D O I
10.3390/curroncol30090575
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The purpose of palliative care is to ease the suffering of individuals with a serious and often life-limiting illness throughout the course of their disease by providing holistic care that considers the physical, spiritual, and psychosocial dimensions of health and well-being. Research shows that a palliative approach to care is cost-effective for the healthcare system and results in improved quality of life for patients and their loved ones. However, it is well-documented in the literature that structurally vulnerable populations have greater difficulty accessing equitable and culturally safe palliative care. Several domains are identified as contributing factors to the disparities seen in the literature, including systemic racism, cultural differences around death and suffering, and language barriers. Although Canada has had a national palliative care framework since 2018, ongoing issues of access and equity continue to disproportionately impact certain groups, including racially marginalized, immigrant, and low-income communities. In this commentary, successes and ongoing gaps in providing culturally safe and anti-racist palliative care are explored. In these proposed interventions, we advocate for a palliative approach to care that is grounded in equity, justice, and human rights.
引用
收藏
页码:7920 / 7925
页数:6
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