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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Light in the darkness – accessibility to palliative care for cancer patients of Chinese background and their families

Chi Eung Danforn Lim https://orcid.org/0000-0002-4448-8154 1 2 * , Carmen Sanchez 3 , Hui Chen 1
+ Author Affiliations
- Author Affiliations

1 School of Life Sciences, Faculty of Science, University of Technology Sydney, Sydney, NSW, Australia.

2 NICM Health Research Institute, Western Sydney University, Westmead, NSW, Australia.

3 Calvary Healthcare Kogarah, NSW, Australia.

* Correspondence to: ChiEungDanforn.Lim@uts.edu.au

Handling Editor: Felicity Goodyear-Smith

Journal of Primary Health Care https://doi.org/10.1071/HC24112
Submitted: 6 August 2024  Accepted: 25 September 2024  Published: 18 October 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Introduction

Palliative care addresses the comprehensive needs of advanced-stage cancer patients, enhancing their quality of life. However, due to cultural and linguistic differences, Chinese Australians encounter substantial barriers to accessing these services.

Aim

This study aimed to investigate the barriers preventing Chinese Australians from accessing palliative care services.

Methods

Surveys and interviews were conducted with Chinese Australian cancer patients and their caregivers to assess their awareness, understanding, and challenges related to palliative care.

Results

Among 136 surveyed and eight interviewed participants, a significant lack of awareness and numerous misconceptions about palliative care were evident, with language as the primary barrier despite strong interest in such services.

Discussion

The results indicate a need to improve the awareness and accessibility of palliative care for the Chinese Australian community. Local health authorities and medical associations should collaborate in developing and disseminating culturally and linguistically appropriate information to increase service uptake among ethnic groups in Australia.

Keywords: advance care planning, CALD, Chinese ethnicity, community engagement, cultural barriers, culturally appropriate care, culture-sensitive, end-of-life care, ethnic diversity in healthcare, intercultural understanding, palliative care.

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