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
相关论文
共 43 条
  • [31] We don't carry that - Failure of pharmacies in predominantly nonwhite neighborhoods to stock opioid analgesics
    Morrison, RS
    Wallenstein, S
    Natale, DK
    Senzel, RS
    Huang, LL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (14) : 1023 - 1026
  • [32] A review of barriers to utilization of the medicare hospice benefits in urban populations and strategies for enhanced access
    O'Mahony, Sean
    McHenry, Janet
    Snow, Daniel
    Cassin, Carolyn
    Schumacher, Donald
    Selwyn, Peter A.
    [J]. JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2008, 85 (02): : 281 - 290
  • [33] How health care systems can begin to address the challenge of limited literacy
    Paasche-Orlow, Michael K.
    Schillinger, Dean
    Greene, Sarah M.
    Wagner, Edward H.
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2006, 21 (08) : 884 - 887
  • [34] Health literacy in palliative medicine #153
    Reisfield, Gary M.
    Wilson, George R.
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (01) : 105 - 106
  • [35] Rosenfeld Peri, 2007, Am J Hosp Palliat Care, V24, P408, DOI 10.1177/1049909107302303
  • [36] Functional health literacy and the quality of physician-patient communication among diabetes patients
    Schillinger, D
    Bindman, A
    Wang, F
    Stewart, A
    Piette, J
    [J]. PATIENT EDUCATION AND COUNSELING, 2004, 52 (03) : 315 - 323
  • [37] SMITH TJ, 1998, CANC POLICY
  • [38] SMITH TJ, 1997, ASCO ED BOOK, P303
  • [39] Tarzian Anita J, 2005, J Palliat Med, V8, P36, DOI 10.1089/jpm.2005.8.36
  • [40] Cancer disparities by race/ethnicity and socioeconomic status
    Ward, E
    Jemal, A
    Cokkinides, V
    Singh, GK
    Cardinez, C
    Ghafoor, A
    Thun, M
    [J]. CA-A CANCER JOURNAL FOR CLINICIANS, 2004, 54 (02) : 78 - 93