Barriers to Effective Palliative Care for Low-Income Patients in Late Stages of Cancer: Report of a Study and Strategies for Defining and Conquering the Barriers

被引:24
作者
Lyckholm, Laurie J. [1 ]
Coyne, Patrick J. [2 ]
Kreutzer, Kathleen O. [3 ]
Ramakrishnan, Viswanathan [4 ]
Smith, Thomas J. [1 ]
机构
[1] Virginia Commonwealth Univ, Div Hematol Oncol & Palliat Care, Massey Canc Ctr, Sch Med, Richmond, VA 23298 USA
[2] Virginia Commonwealth Univ, Palliat Care Serv, Massey Canc Ctr, Med Coll Virginia Hosp, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Curriculum Off, Sch Med, Richmond, VA 23298 USA
[4] Virginia Commonwealth Univ, Dept Biostat, Massey Canc Ctr, Sch Med, Richmond, VA 23298 USA
关键词
Palliative; Poverty; Disparity; Minority; Barriers; HEALTH LITERACY; MEDICARE BENEFICIARIES; PAIN MANAGEMENT; UNITED-STATES; INNER-CITY; MINORITY; HOSPICE; LIFE; PHARMACIES; ATTITUDES;
D O I
10.1016/j.cnur.2010.03.007
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The discipline of palliative care is growing rapidly in the United States but, as in many other areas of medical care, multiple barriers exist to providing such care to low-income patients with end-stage cancer and other diseases. Reports vary with regard to definition and scope of these and other barriers. This article briefly reports a pilot study of perceived barriers to palliative care and related issues in an urban cancer clinic, reviews the current literature, and suggest ways to identify and overcome such barriers in low-income, patients with cancer.
引用
收藏
页码:399 / +
页数:13
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