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Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende?
Background According to current research data, individuals with migration background rarely utilize palliative care services. The potential reasons remain largely unclear, with cultural differences being suggested most frequently. A study focusing on the needs of cancer patients with migration back...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886499/ https://www.ncbi.nlm.nih.gov/pubmed/33202430 http://dx.doi.org/10.1055/a-1263-3437 |
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author | Banse, Christian Owusu-Boakye, Sonja Schade, Franziska Jansky, Maximiliane Marx, Gabriella Nauck, Friedemann |
author_facet | Banse, Christian Owusu-Boakye, Sonja Schade, Franziska Jansky, Maximiliane Marx, Gabriella Nauck, Friedemann |
author_sort | Banse, Christian |
collection | PubMed |
description | Background According to current research data, individuals with migration background rarely utilize palliative care services. The potential reasons remain largely unclear, with cultural differences being suggested most frequently. A study focusing on the needs of cancer patients with migration background in Germany provides an overview of the care problems encountered. Method The qualitative study design focuses on biographic narratives by patients, their relatives and medical care providers (n = 57). Data were analyzed with “grounded theory” which disclosed various categories and coping strategies in dealing with both the disease and the care provided. Result Arriving in palliative care, severely ill patients with migration background experience social exclusion. These migration-specific effects have a negative impact on coping with the disease and on palliative treatment and end-of-life care. Relatives and medical care providers face a challenge when they fail to meet the patients’ expectations. Many problems are attributed to cultural differences although patients nearing the end of their lifes tend to articulate rather generic needs. Conclusion Individuals with migration background frequently receive palliative care without their care givers having any specific knowledge of their migration biography. In order to do justice to societal effects, the support given must go beyond the mere medical expertise. |
format | Online Article Text |
id | pubmed-7886499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-78864992021-02-17 Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? Banse, Christian Owusu-Boakye, Sonja Schade, Franziska Jansky, Maximiliane Marx, Gabriella Nauck, Friedemann Dtsch Med Wochenschr Background According to current research data, individuals with migration background rarely utilize palliative care services. The potential reasons remain largely unclear, with cultural differences being suggested most frequently. A study focusing on the needs of cancer patients with migration background in Germany provides an overview of the care problems encountered. Method The qualitative study design focuses on biographic narratives by patients, their relatives and medical care providers (n = 57). Data were analyzed with “grounded theory” which disclosed various categories and coping strategies in dealing with both the disease and the care provided. Result Arriving in palliative care, severely ill patients with migration background experience social exclusion. These migration-specific effects have a negative impact on coping with the disease and on palliative treatment and end-of-life care. Relatives and medical care providers face a challenge when they fail to meet the patients’ expectations. Many problems are attributed to cultural differences although patients nearing the end of their lifes tend to articulate rather generic needs. Conclusion Individuals with migration background frequently receive palliative care without their care givers having any specific knowledge of their migration biography. In order to do justice to societal effects, the support given must go beyond the mere medical expertise. Georg Thieme Verlag KG 2021-02 2020-11-17 /pmc/articles/PMC7886499/ /pubmed/33202430 http://dx.doi.org/10.1055/a-1263-3437 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Banse, Christian Owusu-Boakye, Sonja Schade, Franziska Jansky, Maximiliane Marx, Gabriella Nauck, Friedemann Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title | Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title_full | Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title_fullStr | Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title_full_unstemmed | Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title_short | Der Migrationshintergrund als Grenze der Palliativversorgung am Lebensende? |
title_sort | der migrationshintergrund als grenze der palliativversorgung am lebensende? |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886499/ https://www.ncbi.nlm.nih.gov/pubmed/33202430 http://dx.doi.org/10.1055/a-1263-3437 |
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