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Diversity and Access to Palliative Care and Medical Assistance in Dying in an Urban Setting.

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Title: Diversity and Access to Palliative Care and Medical Assistance in Dying in an Urban Setting.
Authors: Fortin, Sylvie1 (AUTHOR) sylvie.fortin@umontreal.ca, Lessard, Sabrina1,2 (AUTHOR), Samson, Marie-Ève1 (AUTHOR)
Source: Omega: Journal of Death & Dying. May2026, Vol. 93 Issue 1, p297-316. 20p.
Subject Terms: *Health services accessibility, *Immigrants, *Qualitative research, *Research methodology, *Cultural pluralism, Psychology of the terminally ill, Assisted suicide, Medical quality control, Palliative treatment, Research funding, Death, Interviewing, Thematic analysis, Minorities, Patients' attitudes
Geographic Terms: Canada
Abstract: This article focuses on the end-of-life experiences of migrants and non-migrants from young to old, who died in a Canadian cosmopolitan city in the years preceding the COVID-19 pandemic. Based on interviews with over one hundred relatives of as many deceased, the authors discuss end of life issues, namely access to palliative care and medical assistance in dying. The data indicate unequal access to care at the intersection of several factors, including type of disease, patient's age, uncertainty of their prognosis, and migrant/non-migrant status. While being young and having cancer were undeniably associated with the provision of care (curative and palliative), those who did not benefit from palliative care tended to be social minorities in the local society and suffered from diseases with ambiguous prognosis. The right to "Die with dignity" is fundamental, with or without palliative care and regardless of where the end of life takes place. [ABSTRACT FROM AUTHOR]
Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Diversity and Access to Palliative Care and Medical Assistance in Dying in an Urban Setting.
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  Data: <searchLink fieldCode="AR" term="%22Fortin%2C+Sylvie%22">Fortin, Sylvie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> sylvie.fortin@umontreal.ca</i><br /><searchLink fieldCode="AR" term="%22Lessard%2C+Sabrina%22">Lessard, Sabrina</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Samson%2C+Marie-Ève%22">Samson, Marie-Ève</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Omega%3A+Journal+of+Death+%26+Dying%22">Omega: Journal of Death & Dying</searchLink>. May2026, Vol. 93 Issue 1, p297-316. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: This article focuses on the end-of-life experiences of migrants and non-migrants from young to old, who died in a Canadian cosmopolitan city in the years preceding the COVID-19 pandemic. Based on interviews with over one hundred relatives of as many deceased, the authors discuss end of life issues, namely access to palliative care and medical assistance in dying. The data indicate unequal access to care at the intersection of several factors, including type of disease, patient's age, uncertainty of their prognosis, and migrant/non-migrant status. While being young and having cancer were undeniably associated with the provision of care (curative and palliative), those who did not benefit from palliative care tended to be social minorities in the local society and suffered from diseases with ambiguous prognosis. The right to "Die with dignity" is fundamental, with or without palliative care and regardless of where the end of life takes place. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=192433871
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        Value: 10.1177/00302228241237834
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 20
        StartPage: 297
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Cultural pluralism
        Type: general
      – SubjectFull: Psychology of the terminally ill
        Type: general
      – SubjectFull: Assisted suicide
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Palliative treatment
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Death
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Minorities
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Canada
        Type: general
    Titles:
      – TitleFull: Diversity and Access to Palliative Care and Medical Assistance in Dying in an Urban Setting.
        Type: main
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          Name:
            NameFull: Fortin, Sylvie
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            NameFull: Lessard, Sabrina
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            NameFull: Samson, Marie-Ève
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 00302228
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            – Type: volume
              Value: 93
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Omega: Journal of Death & Dying
              Type: main
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