SynthesisBMC palliative care2025
Factors influencing accessibility of palliative care: a systematic review and meta-analysis.
Synthesis in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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
8 citing papers in PubMed.
- Article
- Defining and measuring unmet palliative care needs among people with life-limiting illness: A scoping review of international evidence.Palliative medicine · 2026Article
- Experience and satisfaction towards palliative care in an Ethiopian tertiary care setting: A mixed methods study of patients with cancer and caregivers.PLOS global public health · 2026Article
- "Supportive relationships over support services"-A qualitative study of patient and caregiver perspectives on the implementation of community-based palliative care for people living with advanced noncommunicable diseases.Palliative care and social practice · 2026Article
- Evaluating quality of care for dying patients from the perspective of bereaved relatives: validation of the Chinese version of the international care of the dying evaluation.Health and quality of life outcomes · 2025Article
- A modified world café approach to identify the core components of palliative care models for underserved populations.BMC health services research · 2025Article
- Early Detection of Palliative Care Needs in Critically Ill Patients Using the NECPAL Tool.Journal of clinical medicine · 2025Article
- Timing Matters: A Systematic Review of Early Versus Delayed Palliative Care in Advanced Cancer.Cancers · 2025Review
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundPalliative care is essential for enhancing quality of life in patients with life-threatening illnesses. However, its accessibility remains inconsistent across populations and regions. This review systematically examines and quantifies factors influencing accessibility of palliative care.
methodsWe conducted a comprehensive literature search in PubMed, Web of Science, CINAHL, Embase, the Cochrane Library, CNKI, Wanfang, and VIP databases, covering the period from January 2014 to July 2024. The search aimed to identify observational studies on factors influencing accessibility of palliative care. Keywords related to accessibility were derived from the five dimensions defined by Penchansky and Thomas: availability, accessibility, accommodation, affordability, and acceptability. Study quality was assessed using the Joanna Briggs Institute (JBI) tools, and a meta-analysis was conducted using Review Manager 5.3.
resultsA total of 20 studies were included in the analysis, with 15 using a retrospective design with secondary data analysis, two employing a cross-sectional design, and three using a cohort design. There were no studies on availability, one study on accessibility, two studies on affordability, one study on accommodation, and sixteen studies on acceptability. The influencing factor for accessibility is geographic location. The influencing factors for affordability and accommodation are mainly demographic characteristics, including race, religion, and employment status. The most influential factors for acceptability are categorized as sociodemographic, healthcare service, disease-related factors. Meta-analysis results indicated that female gender (OR = 1.18, 95% CI: 1.14-1.23), higher income level (OR = 1.11, 95% CI: 1.08-1.14), and larger hospital bed capacity (OR = 1.22, 95% CI: 1.14-1.32) facilitated accessibility to palliative care (P < 0.05). Conversely, residing in rural areas (OR = 0.80, 95% CI: 0.67-0.95) and being of African descent (OR = 0.78, 95% CI: 0.68-0.90) were barriers to accessibility (P < 0.05).
conclusionsThis review highlights a relationship between key sociodemographic characteristics, healthcare service, disease-related factors and the accessibility of palliative care. However, the limited number of studies focusing on specific dimensions, such as availability, affordability, accessibility, and accommodation, creates gaps in understanding. Further research is needed to clarify the underlying mechanisms and potential causality of these associations. Recognizing the significant implications of limited accessibility of palliative care can help identify underserved populations and develop targeted interventions to improve the access to the service for these groups.
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