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Table 3 Barriers of access for Indigenous populations at the end-of-life

From: Key features of palliative care service delivery to Indigenous peoples in Australia, New Zealand, Canada and the United States: a comprehensive review

Issues Australia Canada NZ USA No of articles
Accessibility to services Challenges in Rural and Remote Areas X [14, 28, 31, 40] X [32, 42, 66] X [26, 65] X [2, 23, 25, 29, 39] 14
Affordability X [14] X [66] X [11, 24] X [2, 29, 39] 6
Lack of Awareness and Knowledge X [14, 28] X [66] X [11, 24, 36, 65] X [2, 25, 29, 39] 11
Service Delivery Lack of Funding and Resources None Identified X [22, 32, 42] X [65] X [2, 6, 23, 25, 39] 9
Health Service Provider Perceptions X [28] None Identified X [24] X [43] 3
Policy None Identified None Identified None Identified X [2, 6, 23, 25] 4
Services not Culturally Appropriate X [14, 40] X [32, 35] X [24, 30] X [29] 7
Built Environment X [40] X [35] X [26, 65] None Identified 4
Staffing Issues X [14, 28, 40, 67] X [32, 42, 66] None Identified X [2, 23, 25, 29, 39] 12
Communication X [14, 28, 31, 67] X [35, 42, 66] X [24] X [6, 25] 11
Cultural Influences Indigenous Perceptions of Palliative Care X [14, 40] X [32] X [11, 24, 26, 36, 41] X [25] 10
Family Conflicts X [28] X [32, 33] X [11, 30] None Identified 5
Death Issues X [28] None Identified X [30] X [29, 39] 4
Historical, Cultural and Social Context X [14, 28, 67] X [22, 42] X [24, 26] X [6] 8