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A call for equity-informed pediatric palliative care in Canada
Liana Bailey1,2,3, Kira Goodman2,3
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Paediatrics & Child Health
|June 11, 2026
Summary
Serious illness in children requires equitable access to pediatric palliative care across Canada. This paper emphasizes an equity-informed approach to create more inclusive and just care systems for all children and families.
Area of Science:
- Pediatric Palliative Care
- Health Equity
- Child Health Services
Background:
- Significant inequities persist in accessing pediatric palliative care for seriously ill children and their families in Canada.
- Existing care systems may not adequately address the diverse needs of all populations.
Purpose of the Study:
- To explore the meaning and necessity of an equity-informed approach in pediatric palliative care.
- To identify key considerations for integrating equity principles into practice and policy.
Main Methods:
- Literature review of current research on health equity and pediatric palliative care.
- Analysis of emerging insights from clinical practice and policy development.
- Synthesis of principles for embedding equity into care systems.
Main Results:
- An equity-informed approach is crucial for addressing disparities in pediatric palliative care access.
- Key considerations include cultural humility, community engagement, and policy reform.
- Collaboration is essential for developing responsive and just care models.
Conclusions:
- A paradigm shift toward equity is urgently needed in Canadian pediatric palliative care.
- Implementing equity principles requires ongoing commitment and interdisciplinary collaboration.
- The goal is to achieve more inclusive, responsive, and just care systems for children with serious illnesses and their families.
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