Equity-Focused Palliative and End-of-Life Care in a System Not Designed for it
Qualitative Insights from Service Providers and Recipients
Bibliographic Data
| ID | 15736820 |
|---|---|
| Authors | Courtney R Petruik (0000-0002-8666-6385, University of Calgary, corresponding author), Lauren Wan-Sai-Cheong (0009-0001-3141-560X, University of Calgary), Hadagay Hagos (University of Calgary), Helen Hagos (University of Calgary, AB, Canada), Katrina Milaney (0000-0003-4761-589X, University of Calgary) |
| Year | 2025 |
| Volume | 12 |
| Pages | 23333936251350107-23333936251350107 |
| Publication date | 2025-06-17 |
| Peer Reviewed | Yes |
| 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 | 10.1177/23333936251350107 |
| PMID | 40535777 |
| OpenAlex | W4411376357 |
| Language | EN |
| Citations received | 1 |
| References cited | 19 |
Equity-focused care' has gained attention in recent years. With widespread use, concepts take on different meanings creating confusion for service providers. This study examines what people experiencing homelessness with life-limiting illnesses value in equity-focused care, and how service providers-who identify their work as equity-focused-describe their roles within a care system that relies on, yet often undervalues, this kind of work. We conducted 11 interviews with service providers and seven with people experiencing homelessness with a life-limiting illness and who received care from a community-based palliative care team in Western Canada. Interviews were transcribed and analyzed via thematic analysis. We constructed three themes: Adapting to Individual Needs; Service Provider Orientation to Practice ; and Being Present with People . Themes aligned with two spheres of influence from the Education Training Research's Health Equity Framework: Relationships and Networks and Systems of Power . Findings highlighted that service providers deliver equity-focused care by developing strong relational care networks challenging existing power structures -making this model incongruent with existing individually-focused biomedical care models. Findings transform the theoretical concept, 'equity-focused care', into tangible knowledge that highlights areas for policy change to support equity-focused care
Business · Economic growth · End-of-life care · Equity (law · Health care · Palliative care · Political science · Public relations · Qualitative research · Service (business · Service provider · Sociology · Thematic analysis · Food Security and Health in Diverse Populations · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Nursing · Psychology · Marketing
Social Constructionism
Enhancing health care equity with Indigenous populations
Social Determinants of Health
Thematic Analysis
Structural Competency Meets Structural Racism
Experience of healthcare among the homeless and vulnerably housed a qualitative study
The equity turn in palliative and end of life care research
The social construction of reality
Why behavioural health promotion endures despite its failure to reduce health inequities
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |