Evidence map›Paper›PMID 39926420›Full record

ArticlePalliative care and social practice2025

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Priya Gupta, Ashlinder Gill, Michael Panza, Olive Wahoush, Humaira Saeed, Jehan Ara Chagani, Christiana Owoo, Christopher Klinger

Abstract read
In one paragraph

Article in Palliative care and social practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Priya GuptaDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Ashlinder GillDivision of Palliative Care, Department of Family Medicine, McMaster University, 5th Floor David Braley Health Sciences Centre, 100 Main Street West, Hamilton, ON, L8P 1H6, Canada.ORCID https://orcid.org/0009-0006-3412-1179
Michael PanzaDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Olive WahoushSchool of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Humaira SaeedWilliam Osler Health System, Brampton, ON, Canada.
Jehan Ara ChaganiCentral West Local Health Integration Network, Brampton, ON, Canada.
Christiana OwooCentral West Local Health Integration Network, Brampton, ON, Canada.
Christopher KlingerDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The increasing life expectancy and resultant chronic medical comorbidities have resulted in more people requiring palliative care. Unfortunately, palliative care is restricted to marginalized populations, including refugees. In Canada, refugees are only eligible for federal health insurance, which provides basic medical and social coverage until they can obtain provincial health insurance. Objectives: This study explored limitations in providing palliative care to refugees who had either federal or provincial health insurance in two care settings in Ontario, Canada. Design: An explanatory sequential mixed-methods approach guided the review of local administrative data and interview data to understand palliative care delivery for refugees. Methods: Local administrative data from a community health centre and an acute care hospital providing a palliative care approach were collected to review healthcare utilization for refugees with palliative care needs. Interviews from two focus groups with fourteen healthcare providers shared their care experiences in coordinating palliative care for refugees with either federal or provincial health insurance. Results: Refugee patients with palliative care needs appeared to be accessing acute care services frequently to meet their needs over a 5-year period. Due to a lack of citizenship or permanent residency status, many refugees have access to only federal health insurance. Compared to those with routine provincial coverage, federally insured patients were admitted more frequently. Furthermore, healthcare provider experiences revealed that refugees with only federal insurance coverage had significant barriers to accessing community palliative care support, leading to increased reliance on acute care for quality palliative care. Conclusion: This study highlights significant gaps in palliative care access for refugees, especially those with federal health insurance. Equitable access is essential in ensuring that patient-centred, quality palliative care is available to all.

Indexed as

access to carehealth insurancepalliative carerefugees

Identifiers

PMID39926420
PMCPMC11803610

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.