Barriers to Palliative Care.

BACKGROUND: Palliative care is received by a small number of patients with terminal illness, most of them with cancer. METHODS: Data are reviewed and evaluated that relate to the barriers and problems that limit access of patients to appropriate palliative and/or hospice care. RESULTS: Palliative care generally is not well integrated into the health care system. Access is limited, and many health care professionals and laypeople are unaware of its possible benefits. Cultural and religious barriers often apply, and problems exist in obtaining narcotics. Palliative care for patients other than those with cancer may be especially difficult to achieve. CONCLUSIONS: Recognizing and overcoming the barriers to the provision of palliative care can bring about changes in education, health care practices, and administration to achieve the desired goals.