ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2023
Improving access to palliative care for people experiencing socioeconomic inequities: findings from a community-based pilot research study.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Article
- Exploring the factors that prevent or facilitate palliative care at 'home' for adults experiencing structural vulnerability: a scoping review.International journal for equity in health · 2026Article
- Palliative care, socioeconomic position, and end-of-life cancer quality outcomes: a mediation analysis.EClinicalMedicine · 2026Article
- A modified world café approach to identify the core components of palliative care models for underserved populations.BMC health services research · 2025Article
- Impact of a community-based educational intervention on the knowledge of palliative care: a pretest-posttest study.BMC nursing · 2025Article
- Improving equity and wellness in cancer care with people of Latin American and African Descent: a study protocol.Frontiers in oncology · 2025Article
- The impact of socioeconomic inequality on access to health care for patients with advanced cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2024Article
- Describing the characteristics and symptom profile of a group of urban patients experiencing socioeconomic inequity and receiving palliative care: a descriptive exploratory analysis.Palliative care and social practice · 2024Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn Canada, people experiencing socioeconomic inequities have higher rates of late diagnosis and lower survival rates than the general population. Palliative care services focussed on this population are scarce. We developed a community-based nursing intervention to improve access to palliative care for people experiencing socioeconomic inequities and living with life-limiting illnesses in an urban Canadian setting.
methodsThis community-based, qualitative research study combined critical and participatory research methodologies. The study was conducted in partnership with the Palliative Care Outreach Advocacy Team (PCOAT) based in Edmonton, Alberta, a team dedicated to serving populations experiencing socioeconomic inequities who require palliative care. Following an exploratory phase that served to delineate the intervention, we undertook a one-year pilot implementation during which a part-time registered nurse (RN) joined PCOAT. The RN engaged in trust building, resolution of health and practical needs and complex care coordination. Twenty-five patients participated in the intervention. Participants were interviewed at least once to explore their experiences with the intervention. Data were analyzed through thematic analysis.
resultsMost participants were men, were Indigenous and had advanced cancer. Participants had significant financial concerns, lived or had lived in precarious housing situations and had previously faced serious challenges accessing health care. Participants reported social and health needs including housing, finances, transportation, symptom control, harm reduction and end-of-life care. Participants reported improved access to health and social services and expressed satisfaction with the study intervention.
conclusionStudy findings suggest the study intervention may have contributed to improved access to palliative care, improved experiences for participants and increased equity in the delivery of care.
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