Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK
Summary. Rural patients in England live farther from hospices and palliative care facilities than urban patients, and this distance significantly affects where they die. Patients more than 10 minutes' drive from inpatient palliative care were substantially less likely to die in hospices or hospitals and more likely to die at home. The geographic barrier was stronger in rural areas than urban areas, indicating that distance to facilities shapes end-of-life outcomes and that policy must address rural-urban disparities in care access.
Cite this article
Chukwusa, E., Verne, J., Polato, G., Taylor, R., Higginson, I. J., & Gao, W.. (2019). Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK. International Journal of Health Geographics. https://doi.org/10.1186/s12942-019-0172-1
Chukwusa, Emeka, et al. “Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK.” International Journal of Health Geographics, 2019. https://doi.org/10.1186/s12942-019-0172-1.
Chukwusa, Emeka, Julia Verne, Giovanna Polato, Ros Taylor, Irene J Higginson, and Wei Gao. 2019. “Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK.” International Journal of Health Geographics. https://doi.org/10.1186/s12942-019-0172-1.
@article{chukwusa-2019-urban-rural-differences-geographical-accessibility,
title = {Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK},
author = {Emeka Chukwusa and Julia Verne and Giovanna Polato and Ros Taylor and Irene J Higginson and Wei Gao},
journal = {International Journal of Health Geographics},
year = {2019},
doi = {10.1186/s12942-019-0172-1},
url = {https://doi.org/10.1186/s12942-019-0172-1}
}
TY - JOUR TI - Urban and rural differences in geographical accessibility to inpatient palliative and end-of-life (PEoLC) facilities and place of death: a national population-based study in England, UK AU - Emeka Chukwusa AU - Julia Verne AU - Giovanna Polato AU - Ros Taylor AU - Irene J Higginson AU - Wei Gao JO - International Journal of Health Geographics PY - 2019 DO - 10.1186/s12942-019-0172-1 UR - https://doi.org/10.1186/s12942-019-0172-1 ER -
Details
- DOI
- 10.1186/s12942-019-0172-1
- Countries
- United Kingdom
- Regions
- Europe
- Categories
- rural-healthcare, policy
- Added
- 2026-04-28