A Systematic Review on Barriers to Palliative Care in Oncology

<jats:p> The number of people with cancer and the need for palliative care among this population is increasing in the United States. Despite this growing need, several barriers exist to the utilization of palliative care in oncology. The purpose of this study was to synthesize the evidence on the barriers to palliative care utilization in an oncology population. A systematic review of literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, and Psych Info databases were used for the literature search. Articles were included if they: 1) focused on cancer, (2) examined and discussed barriers to palliative care, and c) were peer reviewed, published in English, and had an accessible full text. A total of 29 studies (8 quantitative, 18 qualitative, and 3 mixed-methods) were identified and synthesized for this review. The sample size of the included studies ranged from 10 participants to 313 participants. The barriers to palliative care were categorized into barriers related to the patient and family, b) barriers related to providers, and c) barriers related to the healthcare system or policy. The factors identified in this review provide guidance for intervention development to mitigate the existing barriers and facilitate the use palliative care in individuals with cancer. /jats:p

Parajuli, A Systematic Review on Barriers to Palliative Care in Oncology, 'American Journal of Hospice and Palliative Medicine®' (, ) pp. 104990912098328. Copyright © 2021. DOI: 10.1177/1049909120983283. Users who receive access to an article through a repository are reminded that the article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. For permission to reuse an article, please follow our Process for Requesting Permission.


  • AJHPM-2.docx

    size: 117 KB | mime_type: application/vnd.openxmlformats-officedocument.wordprocessingml.document | date: 2021-09-09


Work Title A Systematic Review on Barriers to Palliative Care in Oncology
Open Access
  1. Jyotsana Parajuli
  2. Judith E. Hupcey
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
  1. SAGE Publications
Publication Date January 8, 2021
Publisher Identifier (DOI)
  1. 10.1177/1049909120983283
  1. American Journal of Hospice and Palliative Medicine®
Deposited September 09, 2021




This resource is currently not in any collection.

Work History

Version 1

  • Created
  • Added AJHPM-2.docx
  • Added Creator Jyotsana Parajuli
  • Added Creator Judith E. Hupcey
  • Published
  • Updated
  • Updated