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The end of life experiences of people living with socio-economic deprivation in the developed world : an integrative review
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dc.contributor.author | Bowers, Sarah P | |
dc.contributor.author | Chin, Ming | |
dc.contributor.author | O'Riordan, Maire | |
dc.contributor.author | Carduff, Emma | |
dc.date.accessioned | 2022-11-23T10:30:07Z | |
dc.date.available | 2022-11-23T10:30:07Z | |
dc.date.issued | 2022-11-05 | |
dc.identifier | 282260169 | |
dc.identifier | 0de4cbda-5381-4fa7-95f2-6f780a24acd3 | |
dc.identifier | 36335335 | |
dc.identifier | 85141158926 | |
dc.identifier.citation | Bowers , S P , Chin , M , O'Riordan , M & Carduff , E 2022 , ' The end of life experiences of people living with socio-economic deprivation in the developed world : an integrative review ' , BMC Palliative Care , vol. 21 , 193 . https://doi.org/10.1186/s12904-022-01080-6 | en |
dc.identifier.issn | 1472-684X | |
dc.identifier.other | PubMedCentral: PMC9636719 | |
dc.identifier.uri | https://hdl.handle.net/10023/26469 | |
dc.description | Funding: The roles of Emma Carduff and Maire O'Riordan are funded by Marie Curie. Emma Carduff is Co-Applicant on an Economic and Social Research Council grant (ES/S014373/1) entitled Dying in the Margins: uncovering the reasons for unequal access to home dying for the socio-economically deprived. | en |
dc.description.abstract | Background: Those experiencing socioeconomic deprivation have poorer quality of health throughout their life course which can result in poorer quality of death - with decreased access to palliative care services, greater use of acute care, and reduced access to preferred place of care compared with patients from less deprived populations. Aim: To summarise the current global evidence from developed countries on end-of-life experience for those living with socio-economic deprivation. Design: Integrative review in accordance with PRISMA. A thorough search of major databases from 2010-2020, using clear definitions of end-of-life care and well-established proxy indicators of socio-economic deprivation. Empirical research describing experience of adult patients in the last year of life care were included. Results: Forty studies were included from a total of 3508 after screening and selection. These were deemed to be of high quality; from a wide range of countries with varying healthcare systems; and encompassed all palliative care settings for patients with malignant and non-malignant diagnoses. Three global themes were identified: 1) multi-dimensional symptom burden, 2) preferences and planning and 3) health and social care interactions at the end of life. Conclusions: Current models of healthcare services are not meeting the needs of those experiencing socioeconomic deprivation at the end-of-life. Further work is needed to understand the disparity in care, particularly around ensuring patients voices are heard and can influence service development and delivery. | |
dc.format.extent | 25 | |
dc.format.extent | 1591371 | |
dc.language.iso | eng | |
dc.relation.ispartof | BMC Palliative Care | en |
dc.subject | Palliative care | en |
dc.subject | Terminal care | en |
dc.subject | Socioeconomic factors | en |
dc.subject | Social class | en |
dc.subject | Delivery of health care | en |
dc.subject | Integrative review | en |
dc.subject | HV Social pathology. Social and public welfare | en |
dc.subject | RA0421 Public health. Hygiene. Preventive Medicine | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject | MCC | en |
dc.subject.lcc | HV | en |
dc.subject.lcc | RA0421 | en |
dc.title | The end of life experiences of people living with socio-economic deprivation in the developed world : an integrative review | en |
dc.type | Journal item | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. Population and Behavioural Science Division | en |
dc.identifier.doi | 10.1186/s12904-022-01080-6 | |
dc.description.status | Peer reviewed | en |
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