Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Bulle, Seana, Arya, Amit, Dosani, Naheed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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
_version_ 1785111204425891840
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
work_keys_str_mv AT bulleseana fromculturalsafetytoantiracismreflectionsonaddressinginequitiesinpalliativecare
AT aryaamit fromculturalsafetytoantiracismreflectionsonaddressinginequitiesinpalliativecare
AT dosaninaheed fromculturalsafetytoantiracismreflectionsonaddressinginequitiesinpalliativecare