ReviewThe American journal of hospice & palliative care2021
Sociodemographic Disparities in Access to Hospice and Palliative Care: An Integrative Review.
Review in The American journal of hospice & palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis 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
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Geographic variations in place of death and palliative care utilisation in the last three months of life in high-income countries: a systematic review.BMC palliative care · 2025Pooled it
- Gender Differences in Palliative Care Experience and Quality Perceptions Among Cancer Patients in Saudi Arabia: Implications for Nursing Practice.Current oncology (Toronto, Ont.) · 2026Article
- Economic Disparities in Palliative Care Utilization Among Cancer Patients in Saudi Arabia: A Socioeconomic Stratification Analysis.Current oncology (Toronto, Ont.) · 2026Article
- Barriers and enablers to community living: A mixed-methods systems study of young adults with life-limiting conditions.Palliative medicine · 2026Article
- Ethical considerations of AI integration in palliative care: a qualitative study.BMC palliative care · 2026Article
- A Multidimensional Narrative Review of Disparities in Hospice Care Use.The American journal of hospice & palliative care · 2026Article
- Healthcare interprofessional palliative care educational needs: a qualitative multiple case study in Jamaica.BMC medical education · 2026Article
- Advancing rural cancer control: A portfolio analysis of research funded by the National Cancer Institute, 2016-2024.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Patterns and predictors of palliative care use in acute heart failure hospitalizations.American heart journal plus : cardiology research and practice · 2026Article
- Clinician-identified health characteristics and palliative care eligibility: is dementia overlooked?The American journal of managed care · 2025Article
- Developing supportive policy environments for hospice care in china: a quantitative policy evaluation based on the PMC-Index model.BMC palliative care · 2025Article
- Aging with leukemia: public health strategies for optimizing quality of life and palliative care in refractory cases.Annals of medicine and surgery (2012) · 2025Review
- "What Good Is That?"-Perspectives of Using Telehealth to Discuss Serious Illness with Urban-Dwelling Low-Income Older Adults in Assisted Living.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Disparities Among Asian and Black Patients with Cancer in Receipt of Palliative Care in a Single Urban Academic Cancer Center.Journal of palliative medicine · 2025Article
- Association of social vulnerability with access to treatment in ovarian cancer patients.Gynecologic oncology reports · 2025Article
- Overview of barriers to healthcare access: Medical deserts and individual sandboxes.Journal of family medicine and primary care · 2025Review
- Article
- 'In our culture, we come when you die': Qualitative descriptive analysis of end-of-life perspectives in a reservation-based community.Journal of advanced nursing · 2025Article
- " I can't do it anymore": a qualitative study on the emergence of crisis in outpatient palliative care-the perspective of family caregivers.BMC palliative care · 2025Article
- "Who You Are and Where You Live Matters": Hospice Care in New York City During COVID-19 Perspectives on Hospice and Social Determinants: A Rapid Qualitative Analysis.Journal of palliative medicine · 2025Article
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.
Funding
Abstract
backgroundThere is growing evidence of disparities in access to hospice and palliative care services to varying degrees by sociodemographic groups. Underlying factors contributing to access issues have received little systematic attention.
objectiveTo synthesize current literature on disparities in access to hospice and palliative care, highlight the range of sociodemographic groups affected by these inequities, characterize the domains of access addressed, and outline implications for research, policy, and clinical practice.
designAn integrative review comprised a systematic search of PubMed, Embase, and CINAHL databases, which was conducted from inception to March 2020 for studies outlining disparities in hospice and palliative care access in the United States. Data were analyzed using critical synthesis within the context of a health care accessibility conceptual framework. Included studies were appraised on methodological quality and quality of reporting.
resultsOf the articles included, 80% employed non-experimental study designs. Study measures varied, but 70% of studies described differences in outcomes by race, ethnicity, or socioeconomic status. Others revealed disparate access based on variables such as age, gender, and geographic location. Overall synthesis highlighted evidence of disparities spanning 5 domains of access: Approachability, Acceptability, Availability, Affordability, and Appropriateness; 60% of studies primarily emphasized Acceptability, Affordability, and Appropriateness.
conclusionsThis integrative review highlights the need to consider various stakeholder perspectives and attitudes at the individual, provider, and system levels going forward, to target and address access issues spanning all domains.
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What OpenQuestion holds
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.