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Main themes, barriers, and solutions to palliative and end-of-life care in the English-speaking Caribbean : a scoping review

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Abstract
Objectives. To identify common themes documented in the literature on palliative and end-of-life care in English-speaking Caribbean small island developing states (SIDS), and to describe barriers, improvement strategies, and suggested ways forward. Methods. In 2015, we conducted a systematic scoping review of relevant literature identified through the MEDLINE and Web of Science databases. We supplemented that with searches of other electronic and hard-copy sources to map key concepts and summarize themes. Results. Primary data and other literature from and about English-speaking Caribbean nations are relatively scarce. The available literature offers an overview of the existing situation in the region and explores why palliative and end-of-life care is limited there. This review identified barriers in five main areas recurring across this literature: i) culture and attitudes of health care providers, patients, and those close to them towards terminal illness and death; ii) opioid availability and use; iii) limited development of palliative care services; iv) unmet palliative care needs; and v) limited research on palliative or end-of-life care. Conclusions. Our analysis helps to document the need for palliative and end-of-life care in Caribbean SIDS and highlights suggestions for moving forward with related practice, policy, and research.
Keywords
Palliative care, terminal care, West Indies, Caribbean Region, INTENSIVE-CARE, LATIN-AMERICA, ISSUES, MONGOLIA, HOSPICE, PROGRAM

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Chicago
Jennings, Nicholas Paul, Kenneth Chambaere, Cheryl Macpherson, Luc Deliens, and Joachim Cohen. 2018. “Main Themes, Barriers, and Solutions to Palliative and End-of-life Care in the English-speaking Caribbean : a Scoping Review.” Revista Panamericana De Salud Publica-pan American Journal of Public Health 42.
APA
Jennings, N. P., Chambaere, K., Macpherson, C., Deliens, L., & Cohen, J. (2018). Main themes, barriers, and solutions to palliative and end-of-life care in the English-speaking Caribbean : a scoping review. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, 42.
Vancouver
1.
Jennings NP, Chambaere K, Macpherson C, Deliens L, Cohen J. Main themes, barriers, and solutions to palliative and end-of-life care in the English-speaking Caribbean : a scoping review. REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH. 2018;42.
MLA
Jennings, Nicholas Paul, Kenneth Chambaere, Cheryl Macpherson, et al. “Main Themes, Barriers, and Solutions to Palliative and End-of-life Care in the English-speaking Caribbean : a Scoping Review.” REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH 42 (2018): n. pag. Print.
@article{8553002,
  abstract     = {Objectives. To identify common themes documented in the literature on palliative and end-of-life care in English-speaking Caribbean small island developing states (SIDS), and to describe barriers, improvement strategies, and suggested ways forward. 
Methods. In 2015, we conducted a systematic scoping review of relevant literature identified through the MEDLINE and Web of Science databases. We supplemented that with searches of other electronic and hard-copy sources to map key concepts and summarize themes. 
Results. Primary data and other literature from and about English-speaking Caribbean nations are relatively scarce. The available literature offers an overview of the existing situation in the region and explores why palliative and end-of-life care is limited there. This review identified barriers in five main areas recurring across this literature: i) culture and attitudes of health care providers, patients, and those close to them towards terminal illness and death; ii) opioid availability and use; iii) limited development of palliative care services; iv) unmet palliative care needs; and v) limited research on palliative or end-of-life care. 
Conclusions. Our analysis helps to document the need for palliative and end-of-life care in Caribbean SIDS and highlights suggestions for moving forward with related practice, policy, and research.},
  articleno    = {e15},
  author       = {Jennings, Nicholas Paul and Chambaere, Kenneth and Macpherson, Cheryl and Deliens, Luc and Cohen, Joachim},
  issn         = {1020-4989},
  journal      = {REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH},
  keywords     = {Palliative care,terminal care,West Indies,Caribbean Region,INTENSIVE-CARE,LATIN-AMERICA,ISSUES,MONGOLIA,HOSPICE,PROGRAM},
  language     = {eng},
  pages        = {9},
  title        = {Main themes, barriers, and solutions to palliative and end-of-life care in the English-speaking Caribbean : a scoping review},
  url          = {http://dx.doi.org/10.26633/rpsp.2018.15},
  volume       = {42},
  year         = {2018},
}

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