- Title Pages
- Foreword
- Contributors
- Acknowledgement
- Chapter 1 Applying a public health perspective to end-of-life care
- Chapter 2 Place of death and end-of-life care
- Chapter 3 Circumstances of death and dying
- Chapter 4 End-of-life decisions
- Chapter 5 Economic and health-related consequences of individuals caring for terminally ill cancer patients in Canada
- Chapter 6 Aggressive treatment and palliative care at the end of life
- Chapter 7 Access to palliative care
- Chapter 8 Communication between patient and caregiver
- Chapter 9 Palliative care in primary care
- Chapter 10 Palliative care in institutional long-term care settings
- Chapter 11 Palliative care in hospitals
- Chapter 12 Non-cancer patients as an under-served group
- Chapter 13 Palliative care for the older adult
- Chapter 14 A public health framework for paediatric palliative and hospice care
- Chapter 15 End-of-life care for patients with intellectual disabilities
- Chapter 16 End-of-life care for people who live in rural or remote areas versus those who live in urban areas
- Chapter 17 Social inequalities at the end of life
- Chapter 18 Design, implementation, and evaluation of palliative care programmes and services with a public health WHO perspective
- Chapter 19 Public health policy regarding end-of-life care in sub-Saharan Africa
- Chapter 20 Palliative care in the global context: Understanding policies to support end-of-life care
- Chapter 21 The importance of family carers in end-of-life care: A public health approach
- Chapter 22 Conclusions: Palliative care—the need for a public health approach
- Index
Access to palliative care
Access to palliative care
- Chapter:
- (p.86) Chapter 7 Access to palliative care
- Source:
- A Public Health Perspective on End of Life Care
- Author(s):
Gunn Grande
- Publisher:
- Oxford University Press
This chapter describes who uses palliative care and reviews the factors affecting access to palliative care. It is difficult to estimate what the appropriate level of palliative care provision in a population should be. However, such provision varies considerably between countries and many patients across the world have little or no access to palliative care due to lack of service provision. Even within nations with good palliative care provision there is considerable local variation. Patients differ in their access to palliative care on the basis of diagnosis, age, socio-economic status, ethnic background and the presence of a family carer. Some of the factors underlying these differences are poorly understood and require further research.
Keywords: access to care, end-of-life care, health care, public health
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- Title Pages
- Foreword
- Contributors
- Acknowledgement
- Chapter 1 Applying a public health perspective to end-of-life care
- Chapter 2 Place of death and end-of-life care
- Chapter 3 Circumstances of death and dying
- Chapter 4 End-of-life decisions
- Chapter 5 Economic and health-related consequences of individuals caring for terminally ill cancer patients in Canada
- Chapter 6 Aggressive treatment and palliative care at the end of life
- Chapter 7 Access to palliative care
- Chapter 8 Communication between patient and caregiver
- Chapter 9 Palliative care in primary care
- Chapter 10 Palliative care in institutional long-term care settings
- Chapter 11 Palliative care in hospitals
- Chapter 12 Non-cancer patients as an under-served group
- Chapter 13 Palliative care for the older adult
- Chapter 14 A public health framework for paediatric palliative and hospice care
- Chapter 15 End-of-life care for patients with intellectual disabilities
- Chapter 16 End-of-life care for people who live in rural or remote areas versus those who live in urban areas
- Chapter 17 Social inequalities at the end of life
- Chapter 18 Design, implementation, and evaluation of palliative care programmes and services with a public health WHO perspective
- Chapter 19 Public health policy regarding end-of-life care in sub-Saharan Africa
- Chapter 20 Palliative care in the global context: Understanding policies to support end-of-life care
- Chapter 21 The importance of family carers in end-of-life care: A public health approach
- Chapter 22 Conclusions: Palliative care—the need for a public health approach
- Index