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. Author manuscript; available in PMC: 2021 Nov 1.
Published in final edited form as: Am J Hosp Palliat Care. 2021 Jan 11;38(11):1378–1390. doi: 10.1177/1049909120985419

Table 3.

Five Dimensions of Access and Associated Barriers to Hospice and Palliative Care.

Approachability • Messaging and outreach35
• Health literacy considerations34-35,37
Acceptability • Social/cultural values and norms21-25,30-35,37
• Political perspectives23
Availability • Geographic location, accomodations20-21,24-25,29,32,34
• Provider level of familiarity with resources23,28,30,36
Affordability • Household income8,19,21,25,29,37
• Health care insurance benefits20,22,27,31-32,34
Appropriateness • Coordination of care19,30,33,35
• Quality of care8,19-22,24,26,28,31-32