{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T21:53:57Z","timestamp":1783288437195,"version":"3.54.6"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":["Global Qualitative Nursing Research"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>\n                    \u2018Equity-focused care\u2019 has gained attention in recent years. With widespread use, concepts take on different meanings creating confusion for service providers. This study examines what people experiencing homelessness with life-limiting illnesses value in equity-focused care, and how service providers\u2014who identify their work as equity-focused\u2014describe their roles within a care system that relies on, yet often undervalues, this kind of work. We conducted 11 interviews with service providers and seven with people experiencing homelessness with a life-limiting illness and who received care from a community-based palliative care team in Western Canada. Interviews were transcribed and analyzed via thematic analysis. We constructed three themes:\n                    <jats:italic toggle=\"yes\">Adapting to Individual Needs; Service Provider Orientation to Practice<\/jats:italic>\n                    ; and\n                    <jats:italic toggle=\"yes\">Being Present with People<\/jats:italic>\n                    . Themes aligned with two spheres of influence from the Education Training Research\u2019s Health Equity Framework:\n                    <jats:italic toggle=\"yes\">Relationships and Networks<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">Systems of Power<\/jats:italic>\n                    . Findings highlighted that service providers deliver equity-focused care by developing strong relational care networks challenging existing power structures \u2013making this model incongruent with existing individually-focused biomedical care models. Findings transform the theoretical concept, \u2018equity-focused care\u2019, into tangible knowledge that highlights areas for policy change to support equity-focused care.\n                  <\/jats:p>","DOI":"10.1177\/23333936251350107","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T08:03:51Z","timestamp":1750147431000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Equity-Focused Palliative and End-of-Life Care in a System Not Designed for it: Qualitative Insights from Service Providers and Recipients"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8666-6385","authenticated-orcid":false,"given":"Courtney R.","family":"Petruik","sequence":"first","affiliation":[{"name":"University of Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3141-560X","authenticated-orcid":false,"given":"Lauren","family":"Wan-Sai-Cheong","sequence":"additional","affiliation":[{"name":"University of Calgary, AB, Canada"},{"name":"University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Hagos","sequence":"additional","affiliation":[{"name":"University of Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Milaney","sequence":"additional","affiliation":[{"name":"University of Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"crossref","unstructured":"Baum F. Fisher M. (2014). Why behavioural health promotion endures despite its failure to reduce health inequities. Sociology of Health & Illness 36(2) 213\u2013225. https:\/\/doi.org\/10.1111\/1467-9566.12112","DOI":"10.1111\/1467-9566.12112"},{"key":"e_1_3_5_3_1","volume-title":"The social construction of reality: A treatise in the sociology of knowledge","author":"Berger P. L.","year":"1966","unstructured":"Berger P. L., Luckmann T. (1966). The social construction of reality: A treatise in the sociology of knowledge. Anchor Books."},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_3_5_5_1","doi-asserted-by":"crossref","unstructured":"Browne A. J. Varcoe C. Lavoie J. Smye V. Wong S. T. Krause M. Tu D. Godwin O. Khan K. Fridkin A. (2016). Enhancing health care equity with Indigenous populations: Evidence-based strategies from an ethnographic study. 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T. de Veer A. J. E. van Dongen S. I. Francke A. L. Rietjens J. A. C. Onwuteaka-Philipsen B. D. (2018). Palliative care for homeless people: A systematic review of the concerns care needs and preferences and the barriers and facilitators for providing palliative care. BMC Palliative Care 17(1) 67. https:\/\/doi.org\/10.1186\/s12904-018-0320-6","DOI":"10.1186\/s12904-018-0320-6"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/virtualmentor.2014.16.9.spec1-1409"},{"key":"e_1_3_5_11_1","volume-title":"Care in practice: On tinkering in clinics, homes, and farms","author":"Mol A.","year":"2015","unstructured":"Mol A., Moser I., Pols J. (2015). Care in practice: On tinkering in clinics, homes, and farms. Transcript Verlag."},{"key":"e_1_3_5_12_1","doi-asserted-by":"crossref","unstructured":"Peterson A. Charles V. Yeung D. Coyle K. (2021). The health equity framework: A science- and Justice-based model for public health researchers and Practitioners. 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