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Related Experiment Video

Updated: Apr 30, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Intersectionality factors and equitable end-of-life experiences: rapid review.

Briony F Hudson1,2, Fiona Taylor3, Rini Jones2

  • 1Marie Curie Palliative Care Research Department, University College London, London, UK b.hudson@ucl.ac.uk.

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Intersectionality significantly impacts palliative and end-of-life care (PEoLC) experiences, including advance care planning (ACP). More research is needed to understand these complex disparities and inform equitable care strategies.

Keywords:
advance care planningadvance directives

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Gerontology

Background:

  • Inequity in palliative and end-of-life care (PEoLC) is often attributed to single factors.
  • Intersectionality highlights how combined variables can worsen disparities in care.
  • Understanding these intersecting factors is crucial for equitable healthcare delivery.

Purpose of the Study:

  • To review existing literature on the impact of intersectionality on PEoLC experiences.
  • To examine intersectionality's role in advance care planning (ACP) within PEoLC.

Main Methods:

  • A rapid review methodology was employed.
  • Searched six electronic databases for peer-reviewed articles published in the last 10 years.
  • Focused on studies explicitly exploring intersectionality in PEoLC and ACP for individuals with life-limiting illnesses.

Main Results:

  • Only seven of 3738 identified papers were eligible for review.
  • Four studies examined intersectionality's influence on ACP access and attitudes.
  • Two studies addressed access to PEoLC, and one focused on quality of care.

Conclusions:

  • Intersectionality is vital for personalized palliative and end-of-life care.
  • A significant gap exists in research on the complex interplay of factors affecting end-of-life experiences.
  • Further action-oriented research is needed to inform policy and reduce inequities in PEoLC.