Date of Award

Spring 5-5-2026

Document Type

Honors Thesis

Department/Major

Biology

First Advisor

Wynette Mockler

Second Advisor

Michele Snyders

Third Advisor

N/A

Keywords

palliative care, rural, South Dakota, systems, policy, healthcare

Subject Categories

Epidemiology | Palliative Care | Rural Health

Abstract

Palliative care improves the quality of life for people living with serious illness. It helps by addressing symptoms, improving communication, and providing mental, physical, and spiritual support. However, in South Dakota access to palliative care is limited in rural areas. These challenges include geographic isolation, workforce shortages, healthcare infrastructure, reimbursement, and misunderstandings about palliative care. This thesis examines the key policy barriers that limit access to palliative care in rural South Dakota. This work involves engaging with South Dakota-specific literature, rural health research, policy sources, community education, telehealth expansion, and policy reform. By focusing on the rural context of South Dakota, this study will demonstrate that access to palliative care is both a healthcare delivery and a health equity issue.

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