ArticleBMJ supportive & palliative care2020
Persistent inequalities in Hospice at Home provision.
Article in BMJ supportive & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Pooled it
- How is community based 'out-of-hours' care provided to patients with advanced illness near the end of life: A systematic review of care provision.Palliative medicine · 2023Pooled it
- Hospice care access inequalities: a systematic review and narrative synthesis.BMJ supportive & palliative care · 2022Pooled it
- Effectiveness and cost-effectiveness of out-of-hours palliative care: a systematic review.HRB open research · 2020Pooled it
- What do patients and family-caregivers value from hospice care? A systematic mixed studies review.BMC palliative care · 2019Pooled it
- Barriers to timely transitions to comfort care in cancer patients: a review.Annals of medicine and surgery (2012) · 2025Review
- Trends in palliative care utilization among older adult decedents with and without cancer in Taiwan: a population-based comparative study.The Lancet regional health. Western Pacific · 2025Article
- End-of-life dignity in Home Hospice: Insights from staff members' narratives.Palliative care and social practice · 2025Article
- Providing 'professionalism with compassion'; how the time for caring communication can improve experiences at the end-of-life at home, findings from a realist evaluation.BMC palliative care · 2024Article
- Equity of access to palliative care: a scoping review.International journal for equity in health · 2024Article
- Integration of primary care and palliative care services to improve equality and equity at the end-of-life: Findings from realist stakeholder workshops.Palliative medicine · 2024Article
- A framework for more equitable, diverse, and inclusive Patient and Public Involvement for palliative care research.Research involvement and engagement · 2024Article
- Article
- Palliative care consultation in the last week of life and associated factors: a cross-sectional general population study.Palliative care and social practice · 2024Article
- Total pain and social suffering: marginalised Greenlanders' end-of-life in Denmark.Frontiers in sociology · 2023Article
- The end of life experiences of people living with socio-economic deprivation in the developed world: an integrative review.BMC palliative care · 2022Review
- Exploring socioeconomic inequities in access to palliative and end-of-life care in the UK: a narrative synthesis.BMC palliative care · 2021Article
- Disparities in access to palliative care facilities for patients with and without cancer: A retrospective review.Palliative medicine · 2021Article
- The impact of poverty and deprivation at the end of life: a critical review.Palliative care and social practice · 2021Review
- Gender and palliative care: a call to arms.Palliative care and social practice · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the nature and scope of a new Hospice at Home (H@H) service and to identify its equality of provision.
methodsCase note review of patients supported by a H@H service for 1 year from September 2012 to August 2013 (n=321). Descriptive analysis to report frequencies and proportions of quantitative data extracted from service logs, referral forms and care records; thematic analysis of qualitative data from care record free text.
resultsDemand outstripped supply. Twice as many night care episodes were requested (n=1237) as were provided (n=613). Inequalities in access to the service related to underlying diagnosis and socioeconomic status. 75% of patients using the service had cancer (221/293 with documented diagnosis). Of those who died at home in the areas surrounding the hospice, 53% (163/311) of people with cancer and 11% (49/431) of those without cancer received H@H support. People who received H@H care were often more affluent than the population average for the area within which they lived. Roles of the service identified included: care planning/implementation, specialist end-of-life care assessment and advice, 'holding' complex patients until hospice beds become available and clinical nursing care.
conclusionThere is significant unmet need and potentially large latent demand for the H@H service. People without cancer or of lower socioeconomic status are less likely to access the service. Action is needed to ensure greater and more equitable service provision in this and similar services nationally and internationally.
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Registered trials
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.