title: Dying in the margins: understanding palliative care and socioeconomic deprivation in the developed world.
abstract: BACKGROUND
  Individuals from low socioeconomic (SE) groups have less resources and poorer health outcomes. Understanding the nature of access to appropriate end-of-life care services for this group is important.
  
  
  OBJECTIVE
  To evaluate the literature in the developed world for barriers to access for low SE groups.
  
  
  METHODS
  Electronic databases searched in the review included MEDLINE (1996-2010), CINAHL (1996-2010), PsychINFO (2000-2010), Cochrane Library (2010), and EMBASE (1996-2010). Publications were searched for key terms "socioeconomic disadvantage," "socioeconomic," "poverty," "poor" paired with "end-of-life care," "palliative care," "dying," and "terminal Illness." Articles were analyzed using existing descriptions for dimensions of access to health services, which include availability, affordability, acceptability, and geographical access.
  
  
  RESULTS
  A total of 67 articles were identified for the literature review. Literature describing end-of-life care and low SE status was limited. Findings from the review were summarized under the headings for dimensions of access.
  
  
  CONCLUSIONS
  Low SE groups experience barriers to access in palliative care services. Identification and evaluation of interventions aimed at reducing this disparity is required.
authors.affiliation: School of Nursing and Midwifery and Centre for Cardiovascular and Chronic Care, Curtin University, Sydney, Australia. Joanne.Lewis@postgrad.curtin.edu.au
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Lewis
authors.forename: Michelle
authors.initials: M
authors.lastname: DiGiacomo
authors.forename: David C
authors.initials: DC
authors.lastname: Currow
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
mesh_terms: D006297:Health Services Accessibility; D006801:Humans; D010166:Palliative Care; D011203:Poverty; D012923:Social Class; D012959:Socioeconomic Factors; D013727:Terminal Care; D014481:United States