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Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India

People who belong to ethnic, racial and cultural minorities often have less access to healthcare and have poorer health outcomes when compared to the majority population. In the COVID pandemic, too, health disparities have been observed. Similar disparities have been noted in patients with advanced...

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Detalles Bibliográficos
Autores principales: Kashyap, Komal, Gielen, Joris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699912/
https://www.ncbi.nlm.nih.gov/pubmed/36447498
http://dx.doi.org/10.25259/IJPC_21_21
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author Kashyap, Komal
Gielen, Joris
author_facet Kashyap, Komal
Gielen, Joris
author_sort Kashyap, Komal
collection PubMed
description People who belong to ethnic, racial and cultural minorities often have less access to healthcare and have poorer health outcomes when compared to the majority population. In the COVID pandemic, too, health disparities have been observed. Similar disparities have been noted in patients with advanced disease and suffering from pain, with minority patients having less access to or making less use of palliative care. In the US, a range of solutions has been proposed to address the issue of inequality in access to healthcare, with cultural competence figuring prominently among them. This study explores whether and how cultural competence may be applied to palliative care in India to improve access and health outcomes. In the literature, it is argued that, in diverse societies, cultural competence is an essential part of the solution towards equitable healthcare systems. Solutions to problems of healthcare disparities must go beyond an increase in financial resources as more financial resources will not necessarily make the healthcare system more equitable. A culturally competent system recognises and integrates at all levels the culture as a significant component of care, which is particularly relevant at the end of life. If efficiently implemented, cultural competence will lead to higher patient satisfaction, better follow-up and patient compliance and an improved reputation of palliative care among minorities. This may help to reduce inequalities in access and health outcomes in palliative care.
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spelling pubmed-96999122022-11-28 Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India Kashyap, Komal Gielen, Joris Indian J Palliat Care Review Article People who belong to ethnic, racial and cultural minorities often have less access to healthcare and have poorer health outcomes when compared to the majority population. In the COVID pandemic, too, health disparities have been observed. Similar disparities have been noted in patients with advanced disease and suffering from pain, with minority patients having less access to or making less use of palliative care. In the US, a range of solutions has been proposed to address the issue of inequality in access to healthcare, with cultural competence figuring prominently among them. This study explores whether and how cultural competence may be applied to palliative care in India to improve access and health outcomes. In the literature, it is argued that, in diverse societies, cultural competence is an essential part of the solution towards equitable healthcare systems. Solutions to problems of healthcare disparities must go beyond an increase in financial resources as more financial resources will not necessarily make the healthcare system more equitable. A culturally competent system recognises and integrates at all levels the culture as a significant component of care, which is particularly relevant at the end of life. If efficiently implemented, cultural competence will lead to higher patient satisfaction, better follow-up and patient compliance and an improved reputation of palliative care among minorities. This may help to reduce inequalities in access and health outcomes in palliative care. Scientific Scholar 2022-11-23 2022 /pmc/articles/PMC9699912/ /pubmed/36447498 http://dx.doi.org/10.25259/IJPC_21_21 Text en © 2022 Published by Scientific Scholar on behalf of Indian Journal of Palliative Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Kashyap, Komal
Gielen, Joris
Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title_full Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title_fullStr Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title_full_unstemmed Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title_short Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India
title_sort improving access and health outcomes in palliative care through cultural competence: an exploration of opportunities and challenges in india
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699912/
https://www.ncbi.nlm.nih.gov/pubmed/36447498
http://dx.doi.org/10.25259/IJPC_21_21
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