Inequity in palliative care service full utilisation among patients with advanced cancer: a retrospective Cohort study

Acta Oncologica
Daniela D'AngeloMaria Grazia De Marinis

Abstract

Background: Advanced cancer patients often die in hospital after receiving needless, aggressive treatment. Although palliative care improves symptom management, barriers to accessing palliative care services affect its utilisation, and such disparities challenge the equitable provision of palliative care. This study aimed to identify which factors are associated with inequitable palliative care service utilisation among advanced cancer patients by applying the Andersen Behavioural Model of Health Services Use.Material and methods: This was a retrospective cohort study using administrative healthcare data. A total of 13,656 patients residing in the Lazio region of Italy, who died of an advanced cancer-related cause-either in hospital or in a specialised palliative care facility-during the period of 2012-2016 were included in the study. Potential predictors of specialised palliative service utilisation were explored by grouping the following factors: predisposing factors (i.e., individuals' characteristics), enabling factors (i.e., systemic/structural factors) and need factors (i.e., type/severity of illness).Results: The logistic hierarchical regression showed that older patients (odds ratio [OR] = 1.45; <0.0001) of Caucasian et...Continue Reading

References

Jan 1, 1996·Health Care Management Review·M Brown
Feb 13, 2002·Journal of Palliative Medicine·Betsy T FriedmanMatthew Shields
Apr 22, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Marylou Cárdenas-TuranzasGuillermo Tortolero-Luna
Feb 10, 2006·BMJ : British Medical Journal·Barbara Gomes, Irene J Higginson
Mar 15, 2006·Annual Review of Public Health·Paula Braveman
Mar 3, 2007·BMJ : British Medical Journal·Neil C CampbellAnn Louise Kinmonth
Feb 2, 2008·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Sean O'MahonyPeter A Selwyn
Dec 17, 2008·Palliative Medicine·O CorliL Enterri
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Aug 30, 2012·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Sharon W WilliamsChristianna S Williams
Sep 15, 2012·BMC Health Services Research·Charlene Treanor, Michael Donnelly
Mar 8, 2013·The New England Journal of Medicine·Timothy E Quill, Amy P Abernethy
May 10, 2013·PloS One·Yi-Hsuan LinLi-Fang Chou
May 15, 2013·International Journal of Palliative Nursing·Daniela D'AngeloMaria Grazia De Marinis
Dec 25, 2013·European Journal of Public Health·Dirk HouttekierLuc Deliens
Jun 6, 2014·International Journal of Nursing Knowledge·Daniela D'AngeloMaria Grazia De Marinis
Aug 19, 2014·Journal for Specialists in Pediatric Nursing : JSPN·Lisa C Lindley, Shih-Lung Shaw
Jan 23, 2015·Journal of the National Cancer Institute·Raymond W JangShabbir M H Alibhai
Aug 4, 2015·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Michela PireddaMaria Grazia De Marinis
Nov 21, 2015·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Hongmei WangShinobu Watanabe-Galloway
Jan 20, 2016·Journal of Geriatric Oncology·Shi-Yi WangCary P Gross
Jan 24, 2016·The American Journal of the Medical Sciences·Joni Strom WilliamsLeonard E Egede
Mar 17, 2016·Osong Public Health and Research Perspectives·Han-Kyoul Kim, Munjae Lee
Jun 2, 2016·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Lisa C Lindley, Katherine M Newnam
Sep 4, 2016·Journal of the American Geriatrics Society·J Brian CasselDaniel Hoefer
Jan 12, 2017·Journal of Adolescent and Young Adult Oncology·Nothando NgwenyaJeremy Whelan
Oct 17, 2017·Lancet·Felicia Marie KnaulUNKNOWN Lancet Commission on Palliative Care and Pain Relief Study Group
Jan 7, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Talita Caroline de Oliveira ValentinoCarlos Eduardo Paiva
Jan 6, 2019·Healthcare·Gianlorenzo ScaccabarozziMatteo Crippa
May 20, 2019·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Roberto LatinaMaria Sofia Cattaruzza

❮ Previous
Next ❯

Citations

Aug 10, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Gülcan BağçivanFatih Selçukbiricik

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)
S H Ahmedzaiinternational working group convened by the European School of Oncology
© 2021 Meta ULC. All rights reserved