A Scoping Review of Undocumented Immigrants and Palliative Care: Implications for the Canadian Context

Approximately 30–40 million undocumented immigrants worldwide suffer restricted health care. A scoping review was conducted to determine what is known about this population’s palliative end-of-life care experiences. The scoping review followed Arksey and O’Malley’s methodological framework. Database...

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Veröffentlicht in:Journal of immigrant and minority health 2019-12, Vol.21 (6), p.1394-1405
Hauptverfasser: Nielsen, Lisa Seto, Goldstein, Zoë, Leung, Doris, Lee, Charlotte, Buick, Catriona
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container_end_page 1405
container_issue 6
container_start_page 1394
container_title Journal of immigrant and minority health
container_volume 21
creator Nielsen, Lisa Seto
Goldstein, Zoë
Leung, Doris
Lee, Charlotte
Buick, Catriona
description Approximately 30–40 million undocumented immigrants worldwide suffer restricted health care. A scoping review was conducted to determine what is known about this population’s palliative end-of-life care experiences. The scoping review followed Arksey and O’Malley’s methodological framework. Databases searched included CINAHL, Medline, ProQuest, Scopus, and PHRED. Search terms included uninsured care, palliative care, undocumented immigrants, and terminally ill. The search revealed limited peer-reviewed and grey literature on the topic. A total of six articles met inclusion criteria, of which four were case descriptions. Barriers to palliative care included lack of advanced care planning, lack of health insurance, poverty, fear of deportation, and limited English ability. Undocumented immigrants were more likely to have delayed access to and inadequate palliative end-of-life care. If palliative care is a human right, it is imperative that further research be conducted and policies put in place to better serve this vulnerable population at end-of-life.
doi_str_mv 10.1007/s10903-019-00882-w
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subjects Advance directives
Canada
Care plans
Comparative Law
Delayed
Deportation
End of life decisions
Fear & phobias
Health care
Health insurance
Health planning
Health services
Hospice care
Humans
Immigrants
International & Foreign Law
Medicine
Medicine & Public Health
Noncitizens
Palliation
Palliative Care
Poverty
Private International Law
Public Health
REVIEW PAPER
Reviews
Sociology
Systematic review
Terminal Care
Terminal illnesses
Undocumented Immigrants
Uninsured people
title A Scoping Review of Undocumented Immigrants and Palliative Care: Implications for the Canadian Context
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