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Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review

Palliative care (PC) has continued to be less available, underutilized, and unintegrated in many of the healthcare systems, especially in Africa. This scoping review synthesized existing published papers on adult PC in Africa, to report the barriers to PC and to assess the methodologies used in thes...

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Autores principales: Agom, David A, Onyeka, Tonia C, Iheanacho, Peace N, Ominyi, Jude
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121217/
https://www.ncbi.nlm.nih.gov/pubmed/34035611
http://dx.doi.org/10.4103/IJPC.IJPC_355_20
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author Agom, David A
Onyeka, Tonia C
Iheanacho, Peace N
Ominyi, Jude
author_facet Agom, David A
Onyeka, Tonia C
Iheanacho, Peace N
Ominyi, Jude
author_sort Agom, David A
collection PubMed
description Palliative care (PC) has continued to be less available, underutilized, and unintegrated in many of the healthcare systems, especially in Africa. This scoping review synthesized existing published papers on adult PC in Africa, to report the barriers to PC and to assess the methodologies used in these studies. Eight electronic databases and Google Scholar were searched to identify relevant studies published between 2005 and 2018. Overall, 42 publications (34 empirical studies and 9 reviews) that reported issues related to barriers to adult PC were selected. Three themes identified were individual-level, system-level, and relational barriers. The studies reviewed predominantly utilized cross-sectional and retrospective study design, underscoring the need for more studies employing qualitative design. Findings highlight the need for health education, training opportunities, more funding, communication, and timely referral. Future works could focus on underlying factors to these barriers and ethno-religious perspectives to PC in Africa.
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spelling pubmed-81212172021-05-24 Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review Agom, David A Onyeka, Tonia C Iheanacho, Peace N Ominyi, Jude Indian J Palliat Care Review Article Palliative care (PC) has continued to be less available, underutilized, and unintegrated in many of the healthcare systems, especially in Africa. This scoping review synthesized existing published papers on adult PC in Africa, to report the barriers to PC and to assess the methodologies used in these studies. Eight electronic databases and Google Scholar were searched to identify relevant studies published between 2005 and 2018. Overall, 42 publications (34 empirical studies and 9 reviews) that reported issues related to barriers to adult PC were selected. Three themes identified were individual-level, system-level, and relational barriers. The studies reviewed predominantly utilized cross-sectional and retrospective study design, underscoring the need for more studies employing qualitative design. Findings highlight the need for health education, training opportunities, more funding, communication, and timely referral. Future works could focus on underlying factors to these barriers and ethno-religious perspectives to PC in Africa. Wolters Kluwer - Medknow 2021 2021-02-17 /pmc/articles/PMC8121217/ /pubmed/34035611 http://dx.doi.org/10.4103/IJPC.IJPC_355_20 Text en Copyright: © 2021 Indian Journal of Palliative Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Agom, David A
Onyeka, Tonia C
Iheanacho, Peace N
Ominyi, Jude
Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title_full Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title_fullStr Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title_full_unstemmed Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title_short Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review
title_sort barriers to the provision and utilization of palliative care in africa: a rapid scoping review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121217/
https://www.ncbi.nlm.nih.gov/pubmed/34035611
http://dx.doi.org/10.4103/IJPC.IJPC_355_20
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