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Death, Dying, and Social Differences$
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David Oliviere, Barbara Monroe, and Sheila Payne

Print publication date: 2011

Print ISBN-13: 9780199599295

Published to Oxford Scholarship Online: January 2012

DOI: 10.1093/acprof:oso/9780199599295.001.0001

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Poverty and finance

Poverty and finance

Chapter:
(p.57) Chapter 6 Poverty and finance
Source:
Death, Dying, and Social Differences
Author(s):

Malcolm Payne

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199599295.003.0023

This chapter argues that understanding and tackling poverty is an important aspect of end of life care, because it reduces social exclusion and forgone care. The importance of poverty as a source of the inequality and social difference that underlies the social determinants of health inequalities suggests that health care services and policy need a stronger focus on understanding and responding to poverty. Because poverty is multi-dimensional, aligned with other forms of deprivation and inequality, it contributes to the social exclusion of particular groups from participation in society. This arises because people are unable to accumulate social and cultural as well as economic capital in their lives, within families and communities. As a result, interventions on health inequalities must tackle wide aspects of social exclusion, rather than focusing solely on health care services. The chapter also examines the consequences of this analysis of social exclusion for end of life and palliative care. It reviews opportunities for interventions that can contribute to achieving international and national policies on poverty, social difference, and social exclusion, and ensuring that services for dying and bereaved people are not forgone.

Keywords:   poverty, end of life care, social exclusion, health inequality, health care services, palliative care, health policy

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