2021
DOI: 10.1177/1049909120983283
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A Systematic Review on Barriers to Palliative Care in Oncology

Abstract: The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, C… Show more

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Cited by 26 publications
(30 citation statements)
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“…Barriers for this may include patient-related barriers, barriers related to the referring physician, and/or SPC team resources. A recent systematic review found that the most common patient-related barriers included stereotyping of palliative care, denial of the terminal nature of the disease, and logistical barriers (e.g., transportation problems, waiting time, and lack of palliative care providers in the community) [ 28 ]. Barriers relating to the referring physicians may include a lack of awareness of the possibilities for referral to SPC teams or that clinicians generally overestimate their patients’ survival time.…”
Section: Discussionmentioning
confidence: 99%
“…Barriers for this may include patient-related barriers, barriers related to the referring physician, and/or SPC team resources. A recent systematic review found that the most common patient-related barriers included stereotyping of palliative care, denial of the terminal nature of the disease, and logistical barriers (e.g., transportation problems, waiting time, and lack of palliative care providers in the community) [ 28 ]. Barriers relating to the referring physicians may include a lack of awareness of the possibilities for referral to SPC teams or that clinicians generally overestimate their patients’ survival time.…”
Section: Discussionmentioning
confidence: 99%
“…Although PC programs in the US continue to increase, Hispanic Americans, Black Americans, and Asian Americans have reported lower rates of utilization compared with non-Hispanic White Americans 19. Providers often report that patients' and families' cultural beliefs about death, dying, and life-sustaining treatments are reasons they don't implement PC 20. For example, in a study specifically focusing on Asian Americans' perspectives on PC, Asian Americans were reluctant to report pain and therefore reluctant to receive treatment for their pain because of cultural values 21.…”
Section: Barriers To Pcmentioning
confidence: 99%
“…Furthermore, depending on the geographic location of patients, they may not have heard about PC as an option in their disease process. Social, geographic, racial, and cultural aspects are all reasons as to why people of various cultures haven't experienced or considered PC as an option 20. Because PC is a relatively new field of medicine, more research is needed regarding its impact and intercultural considerations.…”
Section: Barriers To Pcmentioning
confidence: 99%
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