4.1 Article

Recommendations to Improve Palliative Care Provision for Marginalized Populations: Summary of a Roundtable Discussion

Journal

JOURNAL OF PALLIATIVE MEDICINE
Volume 24, Issue 8, Pages 1132-1138

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/jpm.2020.0548

Keywords

disparities; health equity; marginalization; palliative care; stigma; underserved populations

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This article summarizes a roundtable discussion organized by the Lebanese Medical Association for Sexual Health in collaboration with the Lebanese Center for Palliative Care-Balsam, focusing on improving palliative care provision for marginalized populations including prisoners, LGBTQ+ individuals, refugees, migrant domestic workers, and people with substance use disorder. The article offers recommendations based on key themes identified from the discussion, aiming to guide the development of guidelines and policy to advance equity in palliative care provision for marginalized populations.
Palliative care is increasingly recognized as fundamental to health and human dignity. However, a growing body of evidence highlights the variations in access to palliative care based on personal characteristics, belonging to a certain group, and socioeconomic background. Discriminatory attitudes and behaviors and lack of legal reform protecting the rights of marginalized populations are still common, particularly across Lebanon and the Middle East and North Africa region. This article presents a summary of a roundtable discussion organized by the Lebanese Medical Association for Sexual Health in collaboration with the Lebanese Center for Palliative Care-Balsam, focusing on improving palliative care provision for the following populations: prisoners; lesbian, gay, bisexual, and transgender people; refugees; migrant domestic workers; and people with substance use disorder. It also offers recommendations based on the key themes identified from the discussion, in the hope that they will guide the development of guidelines and policy to advance equity in palliative care provision for marginalized populations.

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