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From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care
The purpose of palliative care is to ease the suffering of individuals with a serious and often life-limiting illness throughout the course of their disease by providing holistic care that considers the physical, spiritual, and psychosocial dimensions of health and well-being. Research shows that a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10527891/ https://www.ncbi.nlm.nih.gov/pubmed/37754490 http://dx.doi.org/10.3390/curroncol30090575 |
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author | Bulle, Seana Arya, Amit Dosani, Naheed |
author_facet | Bulle, Seana Arya, Amit Dosani, Naheed |
author_sort | Bulle, Seana |
collection | PubMed |
description | The purpose of palliative care is to ease the suffering of individuals with a serious and often life-limiting illness throughout the course of their disease by providing holistic care that considers the physical, spiritual, and psychosocial dimensions of health and well-being. Research shows that a palliative approach to care is cost-effective for the healthcare system and results in improved quality of life for patients and their loved ones. However, it is well-documented in the literature that structurally vulnerable populations have greater difficulty accessing equitable and culturally safe palliative care. Several domains are identified as contributing factors to the disparities seen in the literature, including systemic racism, cultural differences around death and suffering, and language barriers. Although Canada has had a national palliative care framework since 2018, ongoing issues of access and equity continue to disproportionately impact certain groups, including racially marginalized, immigrant, and low-income communities. In this commentary, successes and ongoing gaps in providing culturally safe and anti-racist palliative care are explored. In these proposed interventions, we advocate for a palliative approach to care that is grounded in equity, justice, and human rights. |
format | Online Article Text |
id | pubmed-10527891 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105278912023-09-28 From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care Bulle, Seana Arya, Amit Dosani, Naheed Curr Oncol Commentary The purpose of palliative care is to ease the suffering of individuals with a serious and often life-limiting illness throughout the course of their disease by providing holistic care that considers the physical, spiritual, and psychosocial dimensions of health and well-being. Research shows that a palliative approach to care is cost-effective for the healthcare system and results in improved quality of life for patients and their loved ones. However, it is well-documented in the literature that structurally vulnerable populations have greater difficulty accessing equitable and culturally safe palliative care. Several domains are identified as contributing factors to the disparities seen in the literature, including systemic racism, cultural differences around death and suffering, and language barriers. Although Canada has had a national palliative care framework since 2018, ongoing issues of access and equity continue to disproportionately impact certain groups, including racially marginalized, immigrant, and low-income communities. In this commentary, successes and ongoing gaps in providing culturally safe and anti-racist palliative care are explored. In these proposed interventions, we advocate for a palliative approach to care that is grounded in equity, justice, and human rights. MDPI 2023-08-28 /pmc/articles/PMC10527891/ /pubmed/37754490 http://dx.doi.org/10.3390/curroncol30090575 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Commentary Bulle, Seana Arya, Amit Dosani, Naheed From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title | From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title_full | From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title_fullStr | From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title_full_unstemmed | From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title_short | From Cultural Safety to Anti-Racism: Reflections on Addressing Inequities in Palliative Care |
title_sort | from cultural safety to anti-racism: reflections on addressing inequities in palliative care |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10527891/ https://www.ncbi.nlm.nih.gov/pubmed/37754490 http://dx.doi.org/10.3390/curroncol30090575 |
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