Barriers to Effective Palliative Care for Low-Income Patients in Late Stages of Cancer: Report of a Study and Strategies for Defining and Conquering the Barriers

Laurie J. Lyckholm, Patrick J. Coyne, Kathleen O. Kreutzer, Viswanathan Ramakrishnan, Thomas J. Smith

Research output: Contribution to journalReview article

Abstract

The discipline of palliative care is growing rapidly in the United States but, as in many other areas of medical care, multiple barriers exist to providing such care to low-income patients with end-stage cancer and other diseases. Reports vary with regard to definition and scope of these and other barriers. This article briefly reports a pilot study of perceived barriers to palliative care and related issues in an urban cancer clinic, reviews the current literature, and suggest ways to identify and overcome such barriers in low-income patients with cancer.

Original languageEnglish (US)
Pages (from-to)399-409
Number of pages11
JournalNursing Clinics of North America
Volume45
Issue number3
DOIs
StatePublished - Sep 1 2010
Externally publishedYes

Keywords

  • Barriers
  • Disparity
  • Minority
  • Palliative
  • Poverty

ASJC Scopus subject areas

  • Nursing(all)

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