End of life care: socio-economic status as a predictor of access to palliative care services by Charlotte Wilson

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1) The document examines how socioeconomic status predicts access to palliative care services. 2) A study analyzed referral data from 2004-2006 to a hospice at home service covering two areas with different socioeconomic profiles. 3) The results showed that wards with higher deprivation and lower socioeconomic status had significantly lower referral rates to the hospice at home service, even when controlling for cancer mortality rates. This suggests socioeconomic inequalities influence access to specialist palliative care.

Education Health & Medicine

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Referrals to Hospice at Home Table 1. Referrals to Hospice at Home; number (rate per 10,000 of LA) 2004 2005 2006 Total Salford Trafford 85 (3.9) 98 (4.6) 106 (4.9) 151 (7.1) 106 (4.9) 151 (7.1) 297 400 Source: St. Ann’s Hospice 2007

Referrals: Part 1 ,[object Object],[object Object],[object Object],[object Object]

Results: Part 2 ,[object Object],[object Object],Indicator Coeff. 95% CI P IMD -0.06 -0.08 to -0.04 <0.001 IDS (Income) -0.08 -0.12 to -0.05 <0.001 Econ. active 0.14 0.07 to 0.20 <0.001 ASG lowest -0.21 -0.31 to -0.11 <0.001 ASG highest 0.08 0.04 to 0.12 <0.001 House: owner 0.06 0.03 to 0.08 <0.001 House: social -0.07 -0.10 to 0.03 <0.001 Education: none -0.12 -0.18 to -0.06 <0.001

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End of life care: socio-economic status as a predictor of access to palliative care services by Charlotte Wilson