Choice depends on options: A public health framework incorporating the social determinants of dying to create options at end of life

Grindrod, Andrea

doi:10.1080/09699260.2019.1705539

Cited by 34 publications

(68 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As Grindrod recognises, ‘Inherent in a public health perspective is the recognition that individuals are not solely responsible for the status of their health’. 121 However, to date, there has been little gendered analyses of concepts such as ‘compassionate communities’ and attention will need to be paid to ensuring ‘community’ does not equal ‘women’s work’.…”

Section: Recommendations For Practice and Policymentioning

confidence: 99%

Gender and palliative care: a call to arms

2020

View full text Add to dashboard Cite

There has been a systematic and largely unconscious neglect of gender in palliative care research, practice and policy. This is despite significant, although previously uncollated, evidence that gender influences almost all aspects of end-of-life preferences, experiences and care. The social situations of women, transgender people and men often differ from one another while also intersecting in complex ways with sex differences rooted in biology. If palliative care is to meet its aspiration of providing universal benefit, it urgently needs to address a range of gender inequalities currently (re)produced at the level of the laboratory all the way through to government departments. In this call to arms, we spotlight specific instances where gender inequalities have been documented, for example, regarding end-of-life caregiving, end-of-life intervention and palliative care access and benefit. We highlight how gender inequalities intersect with other social determinants of health including ethnicity and economic status to exacerbate situations of marginality. We conclude by offering some practical steps that can be taken to support the discipline to adopt a more critical gender lens to support more equitable research, policy and practice.

show abstract

Section: Recommendations For Practice and Policymentioning

confidence: 99%

Gender and palliative care: a call to arms

2020

View full text Add to dashboard Cite

show abstract

“…The lack of focus on the in uence of structural factors on equitable access is a further limitation of the model, and one already noted in other research (23). Future uses of candidacy within palliative care may bene t from incorporating concepts from other theories or models, including those that explicitly address the social determinants of dying (17,75).…”

Section: Discussionmentioning

confidence: 99%

“…Most ndings in this review relating to how services are organised focused on geographical accessibility of services. However, equitable access to palliative and end-of-life care is likely to require changes to traditional models of care, how services are delivered, and to inter-professional working relationships (17,73). Future studies would bene t from expanding on geographical accessibility to consider how these other aspects to service organisation may result in different patterns of access for socioeconomic groups in UK settings.…”

Section: Discussionmentioning

confidence: 99%

“…Future studies would bene t from expanding on geographical accessibility to consider how these other aspects to service organisation may result in different patterns of access for socioeconomic groups in UK settings. Population health approaches to palliative care could be used to identify population need and facilitate equitable responses, taking into account the local population and organisation context (17,74,75).…”

Section: Discussionmentioning

confidence: 99%

“…The review also highlighted issues around mistrust, lower levels of health literacy and communication di culties between healthcare providers and those experiencing socioeconomic disadvantage, drawing largely on evidence from the United States, and to a lesser extent the UK (11). Services, and the people providing them, may also stigmatise some patients experiencing social disadvantage, or not facilitate choices that are desirable or realistic given the circumstances of people's lives (17,18).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring Socioeconomic Inequities in Access to Palliative and End-of-life Care in the Uk: A Mixed Methods Narrative Synthesis

French¹,

Keegan²,

Anestis³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Efforts to understand and tackle socioeconomic inequities in access to palliative and end-of-life care require comprehensive understanding about the extent of and reasons for inequities. Most research on this topic examines differences in receipt of care. There is a need for theoretically driven research that considers both receipt of care and the wider factors influencing the relationship between socioeconomic position and access to palliative and end-of-life care. Methods: A mixed-methods narrative synthesis on socioeconomic position and access to palliative and end-of-life care in the UK. Study searches were conducted in databases AMED, Medline, Embase, CINAHL, SocIndex, and Academic Literature Search along with grey literature sources in July 2020. The candidacy model of access, which describes access as a seven-stage negotiation between patients and providers, guided study searches and provided a theoretical lens through which data were synthesised.Results: Searches retrieved 5303 studies (after de-duplication), 29 of which were included. The synthesis generated four overarching themes, within which concepts of candidacy were evident: identifying needs; taking action; local conditions; and receiving care.Conclusion: Socioeconomic position does not have a consistent association with receipt of palliative and end-of-life care in the UK. The use of the candidacy model of access helped to identify key gaps in the UK evidence, including those concerning the relationship between socioeconomic position, organisational context, and assessing need for palliative care.

show abstract

Public Health Approaches at the End of Life

Rumbold

2025

International Encyclopedia of Public Health

View full text Add to dashboard Cite

Choice depends on options: A public health framework incorporating the social determinants of dying to create options at end of life

Cited by 34 publications

References 25 publications

Gender and palliative care: a call to arms

Gender and palliative care: a call to arms

Exploring Socioeconomic Inequities in Access to Palliative and End-of-life Care in the Uk: A Mixed Methods Narrative Synthesis

Public Health Approaches at the End of Life

Contact Info

Product

Resources

About