Inequity in Palliative Care for Cancer Patients in Italy
Author Information
Author(s): Monica Beccaro, Massimo Costantini, Domenico Franco Merlo, the ISDOC Study Group
Primary Institution: National Cancer Institute, Genova, Italy
Hypothesis
What factors are associated with the provision and access to palliative care services for cancer patients in Italy?
Conclusion
Palliative care services in Italy are not equally available, and access is strongly linked to socio-demographic characteristics.
Supporting Evidence
- 91% of patients were cared for at home, but only 14% received palliative care support.
- Access to palliative care is linked to caregiver education and patient age.
- Geographic disparities exist in the availability of palliative care services across Italy.
Takeaway
In Italy, many cancer patients don't get the palliative care they need, especially if they are older or have less educated caregivers.
Methodology
A mortality follow-back survey using a 2-stage probability sample of 2,000 cancer deaths, with interviews conducted with caregivers.
Potential Biases
Potential bias due to reliance on non-professional caregivers for data collection.
Limitations
The study relies on caregiver reports, which may not fully capture the patient's experience.
Participant Demographics
Cancer patients in Italy, with a focus on socio-demographic factors like age and caregiver education.
Statistical Information
P-Value
0.01
Confidence Interval
95% CI: 88.0 – 93.0
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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