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Beginning with the modern hospice movement over a half century ago, palliative care has provided patient-centered, evidence-informed care that reduces symptom burden, limits unnecessary hospitalizations, and increases well-being for individuals and families living with serious illness. Despite well-documented advances in specialist palliative care and the proliferation of programs around the nation (Dumanovsky et al., 2016), significant gaps in access and utilization persist (Goldsmith, Dietrich, Du, & Morrison, 2008; Smith & Brawley, 2014). Reflecting systemic inequities in health and health care, disparities in palliative and end-of-life care are experienced by communities of color; people who are economically disadvantaged; lesbian, gay, bisexual, and transgender individuals; and members of other marginalized groups. African 809083F ISXXX10.

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