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Updated: May 22, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Confronting global inequities in palliative care.
Anna Peeler1, Oladayo Ayobami Afolabi2, Katherine E Sleeman2
1Cicely Saunders Institute of Palliative Care, Policy, and Rehabilitation, King's College London Florence Nightingale Faculty of Nursing Midwifery & Palliative Care, London, UK anna.peeler@kcl.ac.uk.
BMJ Global Health
|May 16, 2025
Summary
Millions face preventable suffering as palliative care needs surge unmet. Urgent, coordinated action is vital to integrate palliative care into health policies and ensure equitable access for all.
Area of Science:
- Global Health
- Palliative Care Research
Background:
- Increasing global mortality from preventable suffering highlights unmet palliative care needs.
- Palliative care is recognized as essential for Universal Health Coverage, yet only 14% of global need is currently met.
- Health systems worldwide are ill-equipped to address the escalating demand for palliative care services.
Purpose of the Study:
- To address the growing gap in palliative care provision and access.
- To advocate for evidence-based recommendations to improve equitable access to high-quality palliative care.
- To highlight the critical need for immediate, coordinated global action.
Main Methods:
- Review of global palliative care needs and service provision.
- Analysis of existing inequities in access and quality of care.
- Formulation of evidence-based recommendations for policy and practice.
Main Results:
- Significant disparities persist in palliative care access and quality, influenced by geographic, social, cultural, and health literacy factors.
- Current health systems are unprepared to meet the rising demand for palliative care.
- A substantial unmet need for palliative care exists globally, leading to preventable suffering.
Conclusions:
- Immediate, coordinated action is imperative to integrate palliative care into national health policies.
- Training non-specialist healthcare workers in basic palliative care is crucial.
- Ensuring availability of essential palliative care medicines and empowering community involvement are key recommendations.
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