The study results show that there are differences in end-of-life (EOL) outcomes among advanced cancer patients who receive care at one of 91´«Ă˝â€™s largest public hospitals by their SES, education, ethnicity, age, gender, and marital status. Notably, low SES patients reported worse physical, emotional, spiritual, and social EOL outcomes compared with those from high SES patients. To reduce inequalities in patient outcomes at EOL within public hospitals in 91´«Ă˝, there is a need to enable access to appropriate palliative care and EOL care services, and medications to all advanced cancer patients. Future studies should develop interventions supporting vulnerable patient groups to ensure equal access to EOL services. The study was supported by the Lien Centre for Palliative Care.

“Our results showed that patients with more years of education perceived their quality of nursing care to be worse. It is possible that even when the quality of care provided to all patients is the same, those with higher levels of education perceive their quality of care to be worse due to greater expectations regarding care (). Future research should examine and correct for such systematic variation in reporting behavior in order to get a better estimate of differences in quality of care among patients with different levels of education.” said

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