Access and Early Integration of Palliative Care in the Non-Hospital Setting for Individuals Living with Cancer in the United States
A Mixed Methods Systematic Review
Bibliographic Data
| ID | 15736639 |
|---|---|
| Authors | Kim Slusser (0000-0002-1945-2598, University of Colorado Anschutz Medical Campus, corresponding author), Mary Beth Flynn Makic (0000-0003-2169-6476, University of Colorado Anschutz Medical Campus), Figaro Loresto (0000-0001-5967-7372, University of Colorado Anschutz Medical Campus), Ashley Leak Bryant (0000-0003-1178-1781, University of North Carolina at Chapel Hill), Heather Coats (0000-0003-0741-5631, University of Colorado Anschutz Medical Campus), Health Coats (University of Colorado Anschutz Medical Campus, Aurora, USA) |
| Year | 2025 |
| Volume | 12 |
| Pages | 23333936251375184-23333936251375184 |
| Publication date | 2025-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Qualitative Nursing Research (JOURNAL) |
| Journal identifiers | ISSN: 2333-3936 • E-ISSN: 2333-3936 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/23333936251375184 |
| PMID | 41024861 |
| OpenAlex | W4414570960 |
| Language | EN |
| References cited | 78 |
The early integration of palliative care (PC) alongside standard cancer care is associated with decreased symptom burden, better adherence to cancer treatment, and enhanced quality of life for individuals living with cancer. The purpose of this mixed methods systematic review was to answer the following research questions (1) What are the characteristics of PC access in non-hospital settings in the US for individuals living with cancer?, and (2) What factors facilitate or deter whether PC is integrated early alongside standard cancer care? The study followed the Joanna Briggs Institute methodology for mixed methods systematic review and a convergent integrated data analysis design. The Conceptual Framework of Access to Healthcare and its five dimensions of access (approachability, acceptability, availability, affordability, appropriateness) guided the categorization and organization of the review's findings. Fifty-one studies were included and findings illuminated facilitators and challenges of PC access and early integration. While findings supported the use of traditional PC approaches for early integration, embedded PC clinics, lay navigation, and telehealth were found to be promising alternatives, especially for historically minoritized and rural populations. The results of this review led to the development of the Conceptual Framework for Early PC Access and Integration for Individuals Living with Cancer
Cancer · Categorization · Conceptual framework · MEDLINE · Palliative care · Quality of life (healthcare · Systematic review · Telehealth · Childhood Cancer Survivors' Quality of Life · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy
JBI Manual for Evidence Synthesis
Convergent and sequential synthesis designs
The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials
Methodological guidance for the conduct of mixed methods systematic reviews
The PRISMA 2020 statement
Patient-centred access to health care
A practical guide to reflexivity in qualitative research
| Highly cited | No |
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