Literature DB >> 30055467

Hospitals, clinics, and palliative care units: Place-based experiences of formal healthcare settings by people experiencing structural vulnerability at the end-of-life.

Melissa Giesbrecht1, Kelli I Stajduhar2, Ashley Mollison3, Bernie Pauly4, Sheryl Reimer-Kirkham5, Ryan McNeil6, Bruce Wallace7, Naheed Dosani8, Caelin Rose9.   

Abstract

The process of dying pronounces inequities, particularly for structurally vulnerable populations. Extending recent health geography research, we critically explore how the 'places' of formal healthcare settings shape experiences of, and access to, palliative care for the structurally vulnerable (e.g., homeless, substance users). Drawing on 30 months of ethnographic data, thematic findings reveal how symbolic, aesthetic, and physical elements of formal healthcare 'places' intersect with social relations of power to produce, reinforce, and amplify structural vulnerability and thus, inequities in access to care. Such knowledge may inform decision-makers on ways to enhance equitable access to palliative care for some of societies' most vulnerable population groups.
Copyright © 2018 Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Access to care; Canada; Intersectionality; Palliative care; Structural vulnerability; Therapeutic landscapes

Mesh:

Year:  2018        PMID: 30055467     DOI: 10.1016/j.healthplace.2018.06.005

Source DB:  PubMed          Journal:  Health Place        ISSN: 1353-8292            Impact factor:   4.078


  7 in total

1.  What Do Adults With HIV Want? End-of-Life Care Goals, Values and Beliefs by Gender, Race, Sexual Orientation.

Authors:  Katherine B Grill; Jichuan Wang; Rachel K Scott; Debra Benator; Lawrence J D'Angelo; Maureen E Lyon
Journal:  Am J Hosp Palliat Care       Date:  2021-01-19       Impact factor: 2.090

2.  Perspectives of structurally marginalised patients attending contextually tailored and integrated care practices in Canada: a focused ethnography study.

Authors:  Christine Loignon; Sophie Dupéré; Lynda Benhadj; Diane Carru; Simone Dahrouge
Journal:  BMJ Open       Date:  2022-05-11       Impact factor: 3.006

3.  End-of-life care for homeless people in shelter-based nursing care settings: A retrospective record study.

Authors:  Sophie I van Dongen; Hanna T Klop; Bregje D Onwuteaka-Philipsen; Anke Je de Veer; Marcel T Slockers; Igor R van Laere; Agnes van der Heide; Judith Ac Rietjens
Journal:  Palliat Med       Date:  2020-07-30       Impact factor: 4.762

4.  Caregiving at the margins: An ethnographic exploration of family caregivers experiences providing care for structurally vulnerable populations at the end-of-life.

Authors:  Kelli I Stajduhar; Melissa Giesbrecht; Ashley Mollison; Naheed Dosani; Ryan McNeil
Journal:  Palliat Med       Date:  2020-04-27       Impact factor: 4.762

5.  The Good Wishes Project: An End-of-Life Intervention for Individuals Experiencing Homelessness.

Authors:  Alissa Tedesco; Leslie Shanks; Naheed Dosani
Journal:  Palliat Med Rep       Date:  2020-11-18

6.  Equity-Oriented Healthcare: What It Is and Why We Need It in Oncology.

Authors:  Tara C Horrill; Annette J Browne; Kelli I Stajduhar
Journal:  Curr Oncol       Date:  2022-01-04       Impact factor: 3.677

7.  Spatial barriers as moral failings: What rural distance can teach us about women's health and medical mistrust author names and affiliations.

Authors:  Michele Statz; Kaylie Evers
Journal:  Health Place       Date:  2020-07-30       Impact factor: 4.931

  7 in total

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