Evidence map›Paper›PMID 42174598›Full record

ArticleBMC medicine2026

Addressing the critical palliative care gaps in ethnic minority regions of low- and middle-income countries: a focus group study.

Hongzhi Wang, Xiangjie Lyu, Xiaogang Wang, Yinshan Tang, Luping Dong, Xin Xiang

Abstract read
In one paragraph

Article in BMC medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hongzhi Wang *Center for Health Policy and Hospital Administration Research (Guangxi Academy of Medical Sciences), The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Xiangjie Lyu *The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Xiaogang Wang *Center for Health Policy and Hospital Administration Research (Guangxi Academy of Medical Sciences), The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Yinshan TangHenley Business School, University of Reading, Reading, UK.
Luping DongThe People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China. 176471656@qq.com.
Xin XiangInstitute of Fiscal and Finance, Shandong Academy of Social Sciences, 56 Shungeng Road, Jinan, 250002, Shandong, China. xx_sea571@163.com.

Funding

Guangxi Science and Technology Program 2026GXNSFAA00641259
6 · The paper itself

Abstract

backgroundPalliative care is an important approach to relieving suffering and improving quality of life for people living with serious illness. Yet its development remains challenging in many low- and middle-income countries, particularly among vulnerable populations such as ethnic minorities. In ethnic minority regions of China, the palliative care implementation is shaped by distinctive social-cultural and practical realities. This study aims to systematically develop the major barriers and to generate actionable recommendations to policymakers to facilitate the advancement and implementation of palliative care in these regions.

methodsA qualitative approach was conducted using seven focus group discussions with 56 participants drawn from key stakeholder groups, including healthcare providers, policymakers, patients, and community workers. Data were analysed using reflexive thematic analysis.

resultsSix interrelated themes were developed: palliative care at the margins of local health systems, shortage of trained professionals, policy endorsement without local traction, palliative care as giving up rather than caring differently, linguistic distance and fragile therapeutic communication, and families carrying the burden of system absence. These themes suggested that the limited development of palliative care in ethnic minority regions of China reflected not only resource constraints, but also weak system integration and insufficient alignment with local sociocultural, linguistic, and caregiving realities.

conclusionsAdvancing palliative care in ethnic minority regions requires improvements in essential resources, workforce training, culturally sensitive communication, and social support systems. The findings provide policy relevant insights for China and may also inform palliative care development in other low- and middle-income settings with underserved ethnic minority populations.

trial registrationNot applicable.

Indexed as

Developing CountriesEthnic and Racial MinoritiesMinority GroupsPalliative CareChinaFemaleFocus GroupsHealth PersonnelHumansMaleQualitative ResearchEthnic minority regionsHealth equityHealth system integrationPalliative careSociocultural barriersUnderserved populations

Identifiers

PMID42174598
PMCPMC13374237

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Registered trials

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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.