Journal
JOURNAL OF PALLIATIVE CARE
Volume 28, Issue 2, Pages 90-96Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/082585971202800205
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Funding
- Canadian Institutes of Health Research
- Cancer Care Nova Scotia
- Nova Scotia Department of Health and Wellness
- Capital District Health Authority
- Dalhousie University Faculty of Medicine
- Dalhousie Medical Research Foundation
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Access to high-quality end-of-life (EOL) care is critical for all those with incurable cancer. The objective of this study was to examine inequalities in access to, and quality of, EOL care by assessing registration in a palliative care program, emergency room visits in the last 30 days of life, and location of death among individuals who died of colorectal cancer in Nova Scotia, Canada, between 2001 and 2008. We used population-based linked administrative data and performed multivariate logistic regression models to assess the association between socio-economic, geographic, and demographic factors and outcomes related to access to, and quality of, EOL care (n=1,201). This study demonstrates that although access to, and quality of, EOL care appears to have improved, there remain significant inequalities throughout the population. Of primary concern is the variation in access to, and quality of, EOL care based on geographic location of residence and patient age.
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