Journal of pain and symptom management
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J Pain Symptom Manage · Oct 2023
ReviewThe Experience of Black Patients with Serious Illness in the United States: A Scoping Review.
Black patients experience health disparities in access and quality of care. ⋯ More articles focused on establishing evidence of disparities between Black and White patients than on understanding their root causes. Further investigation is warranted to understand how factors at the patient, provider, health system, and society levels interact to remediate disparities.
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J Pain Symptom Manage · Oct 2023
ReviewThe Experience of Black Patients with Serious Illness in the United States: A Scoping Review.
Black patients experience health disparities in access and quality of care. ⋯ More articles focused on establishing evidence of disparities between Black and White patients than on understanding their root causes. Further investigation is warranted to understand how factors at the patient, provider, health system, and society levels interact to remediate disparities.
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J Pain Symptom Manage · Oct 2023
Pediatric Palliative Care Program Implementation in LMICs: A Systematic Review using SWOT Analysis.
Of the estimated 21 million children world-wide who need access to pediatric palliative care (PPC), about 97% currently reside in low-and middle-income countries (LMIC). Access to PPC programs in LMIC are limited, and successful strategies and barriers to program implementation remain understudied. ⋯ PPC programs are being successfully implemented in resource limited settings. Hospice and palliative medicine organizations should sponsor PPC clinicians to describe and disseminate more detailed descriptions of successes and challenges with program implementation to help build and grow further PPC initiatives in LMICs.
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J Pain Symptom Manage · Oct 2023
Development of a guide to multidimensional needs assessment in the palliative care initial encounter (MAP).
Ensuring patient-centered palliative care requires a comprehensive assessment of needs beginning in the initial encounter. However, there is no generally accepted guide for carrying out this multidimensional needs assessment as a first step in palliative intervention. ⋯ MAP is an expert panel-endorsed semi-structured clinical interview guide for the comprehensive, systematic, and proactive initial assessment to efficiently assess multiple domains while adjusting to the needs of each patient. A future study will assess the feasibility of using the MAP guide within the timeframe of the palliative care initial encounter.
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J Pain Symptom Manage · Sep 2023
Review Meta AnalysisInterventions to promote end-of-life conversations: A systematic review and meta-analysis.
Although several interventions aimed to promote end-of-life conversations are available, it is unclear whether and how these affect delivery of end-of-life conversations. Measuring the processes associated with high-quality end-of-life care may trigger improvement. ⋯ Heterogeneity was considerable, but findings suggest no significant effect of interventions on occurrence, patient-reported quality and duration of end-of-life conversations. Nevertheless, we found indications for interventions targeting multiple stakeholders to promote earlier and more comprehensive conversations.