Evidence map›Paper›PMID 37981855›Full record

ArticleJournal of palliative care2024

Mapping Palliative Care Availability and Accessibility: A First Step to Eradicating Access Deserts in the Low- and Middle-Income Settings.

Malar Velli Segarmurthy, Richard Boon-Leong Lim, Choi Ling Yeat, Yu-Xiang Ong, Salimah Othman, Sri Wahyu Taher, Dingle Spence, Fazlina Ahmad, Richard Sullivan, William E Rosa and 1 more

Abstract read
In one paragraph

Article in Journal of palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Article
  6. The 4Palliative & supportive care · 2025
    Article
  7. Article
  8. Article
  9. Review
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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

11 authors.

Malar Velli SegarmurthyCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Richard Boon-Leong LimDepartment of Palliative Care, Hospital Selayang, Ministry of Health Malaysia, Putrajaya Wilayah, Persekutuan, Malaysia.
Choi Ling YeatDepartment of Palliative Care, Hospital Raja Permaisuri Bainun, Ipoh, Ministry of Health Malaysia, Putrajaya Wilayah, Persekutuan, Malaysia.
Yu-Xiang OngCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Salimah OthmanFamily Health Development Division, Ministry of Health Malaysia, Putrajaya Wilayah, Persekutuan, Malaysia.
Sri Wahyu TaherKlinik Kesihatan Simpang Kuala, Alor Setar, Kedah, Malaysia.
Dingle SpenceOncology and Palliative Care Unit, Hope Insititute Hospital, Jamaica.
Fazlina AhmadPalliative Care Unit, Department of Medicine, Hospital Sultanah Bahiyah Kedah, Malaysia.
Richard SullivanPalliative Care Unit, Department of Medicine, Institute of Cancer Policy, School of Cancer Sciences, King's College London, London, UK.
William E RosaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.
Nirmala Bhoo-PathyCentre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivePalliative care is unavailable and/or inaccessible for the majority of people in low- and middle-income countries (LMIC). This study aims to determine the availability and accessibility of palliative care services in Malaysia, a middle-income country that has made good progress toward universal health coverage (UHC).

methodPublicly available data, and databases of registered palliative care services were obtained from governmental and nongovernmental sources. Google Maps and Rome2Rio web-based applications were used to assess geographical disparities by estimating the median distance, travel time, and travel costs from every Malaysian district to the closest palliative care service.

resultsSubstantial variations in availability, components, and accessibility (distance, time, and cost to access care) of palliative care services were observed. In the highly developed Central Region of Peninsular Malaysia, specialty care was available within 4 km whereas in the less-developed East Coast of Peninsular Malaysia, patients had to travel approximately 46 km. In the predominantly rural East Malaysia, basic palliative care services were 82 km away and, in some instances, where land connectivity was scarce, it took 2.5 h to access care via boat. The corresponding median travel costs were USD2 (RM9) and USD23 (RM114) in Peninsular Malaysia and East Malaysia.

conclusionThe stark urban-rural divide in the availability and accessibility of palliative care services even in a setting that has made good progress toward UHC highlights the urgent need for decentralization of palliative care in the LMICs. This may be achieved by capacity building and task shifting in primary care and community settings.

Indexed as

Health Services AccessibilityPalliative CareAdultDeveloping CountriesFemaleHumansMalaysiaMaleMiddle AgedaccessibilityhospiceLMICslow- and middle-income countriesmappingpalliative care

Identifiers

PMID37981855
PMCPMC11102529

What OpenQuestion holds

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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.