Hospice care access inequalities

While hospices have traditionally mainly cared for white, middle-class clients with cancer, efforts have been made to be more inclusive of those with non-cancer diagnoses and other underserved groups. Tobin and colleagues (2022) conducted a literature review to better understand the demographic characteristics of those who access hospice care. The literature review included papers from UK, Australia, New Zealand and Canada, describing clients receiving inpatient, day, outpatient and community hospice care. The review confirmed that inequalities in access to hospice persist, with patients without cancer, the oldest old, ethnic minorities and those living in rural or deprived areas under-represented in hospice populations. Further, Indigenous populations are less likely to receive hospice care while no papers were identified concerning LGBTQ+ populations, transgender patients or sexuality of couples. Read more…