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

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

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

ISSN: 1472-684X