{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:20:34Z","timestamp":1788970834802,"version":"build-2803163510"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate spatial access to inpatient hospice units across the UK by analysing travel times and population coverage at national and subnational levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A population-based spatial analysis using UK-wide data. Hospice locations were mapped, and motorised travel times to the nearest unit were estimated. Access population coverage was calculated for the following time thresholds: 30, 60, and 120\u2005min. All 199 adult inpatient hospice units operating within the UK were included. High-resolution population data (1\u2005km\n                      <jats:sup>2<\/jats:sup>\n                      ) from the WorldPop dataset and administrative boundaries from the UK Office for National Statistics were used to estimate access for the total population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median travel times varied widely: 16.4\u2005min in England, 25.5 in Wales, 40.3 in Northern Ireland, and 70.4 in Scotland. Within a 30-min threshold, 97.6% of England's population had access compared with 78.5% in Wales, 70.3% in Scotland, and 68.5% in Northern Ireland. Even with a 60-min threshold, 15.4% of Scotland's population and 6.4% of Northern Ireland's remained without access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides the first national spatial analysis of hospice inpatient access in the UK, highlighting persistent regional inequities. Geographic accessibility analysis offers valuable insights to guide equitable service planning and should inform future policy and research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08258597261438857","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T11:07:16Z","timestamp":1775214436000},"page":"359-368","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Inpatient Hospice Access in the United Kingdom: A Spatial Provision Analysis"],"prefix":"10.1177","volume":"41","author":[{"given":"Akshithanand Kuzhikkat","family":"Jayaprakasan","sequence":"first","affiliation":[{"name":"Department of Palliative Care, Association for Socially Applicable Research (ASAR)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristiam","family":"Doughty Herrera-Carrasco","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7438-0072","authenticated-orcid":false,"given":"Nicola","family":"White","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libby","family":"Sallnow","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6692-3994","authenticated-orcid":false,"given":"Sof\u00eda","family":"Pinz\u00f3n-Calder\u00f3n","sequence":"additional","affiliation":[{"name":"Universidad EIA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"V\u00e9lez-Restrepo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cl\u00ednica CES, Medell\u00edn, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Santana","sequence":"additional","affiliation":[{"name":"University College London"},{"name":"Department of Palliative Care, St John's Hospice, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parth","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Association for Socially Applicable Research (ASAR)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7071-0516","authenticated-orcid":false,"given":"Juan Esteban","family":"Correa-Morales","sequence":"additional","affiliation":[{"name":"University College London"},{"name":"Faculty of Medicine and Health Sciences, UIC Barcelona \u2013 Universitat Internacional de Catalunya, Sant Cugat del Vall\u00e8s, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"e_1_3_3_3_2","unstructured":"World Health Organization. 2018. Integrating Palliative Care and Symptom Relief into Primary Health Care: A WHO Guide for Planners Implementers and Managers. Geneva: World Health Organization."},{"key":"e_1_3_3_4_2","unstructured":"World Health Organization. 2021. Assessing the Development of Palliative Care Worldwide: A Set of Actionable Indicators. Geneva: World Health. Organization."},{"key":"e_1_3_3_5_2","unstructured":"World Health Organization. 2024a. Palliative Care: How Can We Respond to 10 Years of Limited Progress? [online] WISH. 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Fit for the future: 10 Year Health Plan for England. London: Department of Health and Social Care; 3\u202fJul\u202f2025 [cited 2025 Jul 9]. Available from: https:\/\/www.gov.uk\/government\/publications\/10-year-health-plan-for-england-fit-for-the-future."},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.07.018"},{"key":"e_1_3_3_15_2","unstructured":"Office for National Statistics. Deaths in the UK. [Internet]. 2025 [Accessed 2025 Jun 24]. 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