Evidence map›Paper›PMID 19190015›Full record

ArticleBMJ (Clinical research ed.)2009

Vulnerability and access to care for South Asian Sikh and Muslim patients with life limiting illness in Scotland: prospective longitudinal qualitative study.

Allison Worth, Tasneem Irshad, Raj Bhopal, Duncan Brown, Julia Lawton, Elizabeth Grant, Scott Murray, Marilyn Kendall, James Adam, Rafik Gardee and 1 more

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 8 pooled it
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 8 syntheses or guidelines pooled it, 156 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Allison WorthPrimary Palliative Care Research Group, Centre for Population Health Sciences, University of Edinburgh, Edinburgh EH8 9DX.
Tasneem Irshad
Raj Bhopal
Duncan Brown
Julia Lawton
Elizabeth Grant
Scott Murray
Marilyn Kendall
James Adam
Rafik Gardee
Aziz Sheikh
University of Edinburgh · GBMarie Curie Hospice · GBOffice of Minority Health · US

Funding

Chief Scientist Office
6 · The paper itself

Abstract

objectivesTo examine the care experiences of South Asian Sikh and Muslim patients in Scotland with life limiting illness and their families and to understand the reasons for any difficulties with access to services and how these might be overcome.

designProspective, longitudinal, qualitative design using in-depth interviews.

settingCentral Scotland.

participants25 purposively selected South Asian Sikh and Muslim patients, 18 family carers, and 20 key health professionals.

results92 interviews took place. Most services struggled to deliver responsive, culturally appropriate care. Barriers to accessing effective end of life care included resource constrained services; institutional and, occasionally, personal racial and religious discrimination; limited awareness and understanding among South Asian people of the role of hospices; and difficulty discussing death. The most vulnerable patients, including recent migrants and those with poor English language skills, with no family advocate, and dying of non-malignant diseases were at particularly high risk of inadequate care.

conclusionsDespite a robust Scottish diversity policy, services for South Asian Sikh and Muslim patients with life limiting illness were wanting in many key areas. Active case management of the most vulnerable patients and carers, and "real time" support, from where professionals can obtain advice specific to an individual patient and family, are the approaches most likely to instigate noticeable improvements in access to high quality end of life care. Improving access to palliative care for all, particularly those with non-malignant illnesses, as well as focusing on the specific needs of ethnic minority groups, is required.

Indexed as

Adaptation, PsychologicalAdultAgedAsia, WesternAttitude of Health PersonnelCaregiversCritical IllnessCultureDelivery of Health CareFemaleHealth Services AccessibilityHumansIslamMaleMiddle AgedPalliative Care

Identifiers

PMID19190015
PMCPMC2636416
OpenAlexW2041670111

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.