09/07/2026
Access Gaps: Dementia and the Uneven Path to Palliative Care
Across Canada, people living with dementia and those who help care for them do not access palliative care equally. Geography, culture, and systemic barriers shape who receives timely support and who is left waiting.
In rural and remote communities, limited specialist services mean persons and their families often navigate dementia changes without the guidance and support they need or want. Newcomer communities may face language barriers or unfamiliar care systems that make early palliative support harder to reach. Indigenous communities continue to experience gaps created by colonial structures, lack of culturally safer care, and distance from services.
When dementia affects memory, communication, and decision‑making, these access gaps become even more pronounced. Equity in palliative care begins with recognising where support is missing or limited and ensuring that every person, in every community, can receive care that honours dignity, identity, and connection and care that reflects where, when and by whom they want to be cared for.