ArticlePalliative medicine2023
Facilitating equitable access to hospice care in socially deprived areas: A mixed methods multiple case study.
Article in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Patients' dignity in palliative care: An integrative review of lived experiences and family perspectives across cultures.Palliative medicine · 2026Review
- The impact of area deprivation on access to and utilization of health services in the last year of life: A retrospective population-based cohort study.Palliative care and social practice · 2025Article
- "You can't die here": an exploration of the barriers to dying-in-place for structurally vulnerable populations in an urban centre in British Columbia, Canada.BMC palliative care · 2024Article
- Reflecting on choices and responsibility in palliative care in the context of social disadvantage.Palliative care and social practice · 2023Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundThere is uncertainty about the factors influencing inequities in access to palliative care in socially deprived areas, including the role of service models and professional perceptions.
aimTo explore the relationship between social deprivation and access to hospice care, including factors influencing access and professional experiences of providing care.
designA mixed-methods multiple case study approach was used. Hospice referrals data were analysed using generalised linear mixed models and other regression analyses. Qualitative interviews with healthcare professionals were analysed using thematic analysis. Findings from different areas (cases) were compared in a cross-case analysis.
settingThe study took place in North West England, using data from three hospices (8699 hospice patients) and interviews with 42 healthcare professionals.
resultsSocial deprivation was not statistically significantly, or consistently, associated with hospice referrals in the three cases (Case 1, Incidence Rate Ratio 1.04,
conclusionHospice care in the UK can be organised in ways that facilitate referrals of patients from socially deprived areas, although uncertainty about what constitutes need limits conclusions about equity. Grounding professional narratives around expectations, responsibility, and choice in frameworks that recognise the sociostructural influences on end-of-life circumstances may help to foster more equitable palliative care.
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