Palliative Care for Elderly South Asian Immigrants: A Systematic Review

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Background: Palliative care that meets the specific cultural needs of elderly immigrants is apriority, to provide equitable palliative care services to all in society. Aim: The aim was to summarize published research on experiences and perspectives of palliative care among elderly South Asian immigrants, family members, health providers, and society, in relation to culture of the country of origin.

Methods: A systematic review in accordance with PRISMA guidelines was conducted in February 2018, searching PubMed, CINAHL, PsychINFO and EMBASE databases.
Inclusion criteria: Studies describing original research in peer-reviewed journals, providing information on palliative care of south Asian immigrants and published between 2000 and 2018. Thematic synthesis was used to analyse data.

Results: Of the 87 articles meeting the inclusion criteria, 30 articles were included in the review: qualitative (24), quantitative (5), and mixed methods (1). Studies identified that role of family members and communication with health providers was important for patients’ access, use and satisfaction with the existing palliative care services in the country of residence. Studies suggested that culturally appropriate care towards elderly immigrants can improve communication with health providers and thereby facilitate access, use and satisfaction with palliative care services among immigrant families. It points towards the importance of family involvement and culturally appropriate palliative care.

Conclusion: Studies involving palliative care and South Asian immigrants are limited in number and are mainly qualitative. However, considering the multi-ethnic nature of the world today, findings related to the importance of family involvement and culturally appropriate palliative care may be applicable to other immigrant populations beyond South Asia ns immigrants.
Publikationsdato15. maj 2019
StatusUdgivet - 15. maj 2019