Journal of Immigrant and Minority Health
Volume 21, Issue 6, 2019, Pages 1394-1405

A Scoping Review of Undocumented Immigrants and Palliative Care: Implications for the Canadian Context (Review)

Seto Nielsen L.* , Goldstein Z. , Leung D. , Lee C. , Buick C.
  • a School of Nursing, Faculty of Health, York University, Toronto, Canada
  • b School of Nursing, Faculty of Health, York University, Toronto, Canada
  • c School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong
  • d Daphne Cockwell School of Nursing, Ryerson University, Toronto, Canada
  • e Sunnybrook Hospital, Toronto, Canada

Abstract

Approximately 30–40 million undocumented immigrants worldwide suffer restricted health care. A scoping review was conducted to determine what is known about this population’s palliative end-of-life care experiences. The scoping review followed Arksey and O’Malley’s methodological framework. Databases searched included CINAHL, Medline, ProQuest, Scopus, and PHRED. Search terms included uninsured care, palliative care, undocumented immigrants, and terminally ill. The search revealed limited peer-reviewed and grey literature on the topic. A total of six articles met inclusion criteria, of which four were case descriptions. Barriers to palliative care included lack of advanced care planning, lack of health insurance, poverty, fear of deportation, and limited English ability. Undocumented immigrants were more likely to have delayed access to and inadequate palliative end-of-life care. If palliative care is a human right, it is imperative that further research be conducted and policies put in place to better serve this vulnerable population at end-of-life. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Scoping review Palliative care End-of-life Undocumented immigrants Access to care

Index Keywords

terminally ill patient vulnerable population grey literature Terminal Care Scopus Review medically uninsured Medline systematic review Fear poverty Cinahl palliative therapy health insurance human undocumented immigrant

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064508316&doi=10.1007%2fs10903-019-00882-w&partnerID=40&md5=9466a5d0e037d94735a7282ba75350c5

DOI: 10.1007/s10903-019-00882-w
ISSN: 15571912
Original Language: English