Evidence map›Paper›PMID 32641136›Full record

ArticleBMC palliative care2020

Pacific meets west in addressing palliative care for Pacific populations in Aotearoa/New Zealand: a qualitative study.

Sunia Foliaki, Veisinia Pulu, Hayley Denison, Mark Weatherall, Jeroen Douwes

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sunia FoliakiCentre for Public Health Research, Massey University, Wellington Campus, PO Box 756, Wellington, 6140, New Zealand. s.foliaki@massey.ac.nz.ORCID http://orcid.org/0000-0002-3238-5940
Veisinia PuluCentre for Public Health Research, Massey University, Wellington Campus, PO Box 756, Wellington, 6140, New Zealand.
Hayley DenisonCentre for Public Health Research, Massey University, Wellington Campus, PO Box 756, Wellington, 6140, New Zealand.
Mark WeatherallDepartment of Medicine, University of Otago, 23A Mein Street, Newtown, Wellington, 6021, New Zealand.
Jeroen DouwesCentre for Public Health Research, Massey University, Wellington Campus, PO Box 756, Wellington, 6140, New Zealand.
Massey University · NZUniversity of Otago · NZ

Funding

New Zealand Health Research Council HRC 16/464
6 · The paper itself

Abstract

backgroundWhile many Aotearoa/New Zealanders are receiving excellent palliative care the Pacific populations have limited access to available hospice and palliative care services. Little research has been conducted to identify barriers unique to Pacific populations accessing these services. The purpose of this study was to explore key stakeholders' perspectives on the determinants of low access among Pacific populations to these services.

methodsForty-five semi-structured interviews were conducted face-to-face with hospice patients and their families, hospice/health providers and key informants from the Auckland and Wellington region of Aotearoa/New Zealand. The interviews were recorded and transcribed verbatim and a thematic analysis was carried out by identifying, coding and categorising patterns in the data. Identified themes were then discussed further to determine the relevance of the data grouped by theme.

resultsFive interrelated themes affecting access emerged: perception of hospice (often negative) through lack of accurate information, but changing; families' role to look after their own and sick elderly; hospice experiences; continuity of care in the community and the need for information and communication.

conclusionHospice and associated palliative care services are under-utilised and commonly misunderstood among Pacific populations in Aotearoa/New Zealand. There is active support following appropriate information received, hence the need for community education and culturally appropriate hospice and palliative services. Inadequate inter-professional communication contributes to polypharmacy and inefficiency in continuity of care across all levels. The Pacific individual is one component of a collective that is critical in major decisions in end-of-life and life changing situations. The findings may guide policies and further research to improve Hospice and Palliative services in Aotearoa/New Zealand.

Indexed as

AgedContinuity of Patient CareFamilyFemaleHealth PersonnelHumansInterviews as TopicMaleMiddle AgedNew ZealandPalliative CareQualitative ResearchFamily obligations to elderly; educationHome careHospice and palliative carePacific communities

Identifiers

PMID32641136
PMCPMC7346658
OpenAlexW3042079042

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.