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IDENTIFYING BARRIERS AND SOLUTIONS TO INCREASE PALLIATIVE CARE ACCESS TO VULNERABLE POPULATIONS
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Journal Article
IDENTIFYING BARRIERS AND SOLUTIONS TO INCREASE PALLIATIVE CARE ACCESS TO VULNERABLE POPULATIONS
2025
Overview
Significance & Background: How an individual with a life-limiting disorder such as cancer responds to adverse health outcomes can be varied depending upon their beliefs and values. However, providing timely resources can be difficult if the individual is wary of what palliative care entails, if they have barriers to receiving palliative care, and how to best identify if palliative care is needed. NIH states that vulnerable populations are people who have a high incidence of health care disparities which can compound health issues. Social determinants of health such as socioeconomic factors and physical environment, have a direct effect on an individual's well-being which in turn compounds the barriers in receiving timely care. Understanding the barriers and identifying solutions has the propensity of improving patient outcomes in vulnerable populations. Purpose: This project will identify the barriers facing vulnerable populations to receive palliative care, what solutions have been found, and how to best reach individuals who show a need for a palliative care consultation. Interventions: A literature review was conducted utilizing a comprehensive search of Pubmed and Gale databases; the keywords of 'palliative care', 'barriers', 'solutions', 'vulnerable', 'underserved, and 'minority' were used. Studies were assessed for key topics regarding barriers and solutions regarding palliative care accessibility for the specific populations of vulnerable individuals as categorized by NIH. Fourteen qualitative studies were utilized, barriers and solutions, and population were delineated and compiled into common themes. Results: Several barriers were identified such as indifference to linguistic differences, stigmatization of individuals who used substances, and discrimination against individuals who were unhoused. Several solutions were identified such as increased care coordination, technology integration into care, and increased education regarding patient's diverse cultural and belief systems. Limitations were noted such as study sample sizes and accessibility of study participants. Discussion: Based on these results, individuals categorized as vulnerable populations are lacking access to adequate palliative care due to barriers of logistics, linguistics, and unconscious biases. Practical implications for healthcare providers are improving the education of the multidisciplinary team and improving health literacy of vulnerable populations to view palliative as a viable option in the presence of a life-limiting illness.
Publisher
Oncology Nursing Society
Subject
