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Updated: Jul 25, 2025
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Public Health and Palliative Care
Sarah H Cross1, Dio Kavalieratos1
1Division of Palliative Medicine, Department of Family and Preventive Medicine, Emory University, 1518 Clifton Road Northeast, Atlanta, GA 30322, USA.
Clinics in Geriatric Medicine
|June 29, 2023
Summary
Addressing end-of-life (EOL) care is a public health priority. Current hospice policies create inequities, necessitating new palliative care models for equitable suffering management.
Area of Science:
- Public Health
- Palliative Care
- Health Policy
Background:
- End-of-life (EOL) care is a significant public health (PH) issue.
- A public health approach is underutilized in EOL care delivery.
- Current hospice models, driven by cost containment, exacerbate disparities in access and quality.
Purpose of the Study:
- To highlight the public health implications of current end-of-life care policies.
- To identify populations disadvantaged by existing hospice regulations.
- To advocate for innovative palliative care models that ensure equitable care for serious illnesses.
Main Methods:
- Policy analysis of the US hospice system.
- Examination of EOL care utilization and quality data.
- Review of existing literature on palliative care and health disparities.
Main Results:
- Hospice policies focused on cost containment lead to disparities in EOL care.
- Individuals with non-cancer diagnoses, minority groups, and lower socioeconomic status face disadvantages.
- Patients not yet qualifying for hospice are underserved.
Conclusions:
- Equitable EOL care requires a public health framework.
- Current hospice policies disadvantage vulnerable populations.
- New hospice and non-hospice palliative care models are essential to address suffering equitably.
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