Palliative care in Mozambique: Physicians' knowledge, attitudes and practices

Autor: Jahit Sacarlal, Ferraz Gonçalves, Luísa Castro, Emilia Pinto, Gustavo Marcos, Guilhermina Rego, Camila B Walters
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Health Knowledge
Attitudes
Practice
Palliative care
Cross-sectional study
Health Care Providers
Cancer Treatment
Psychological intervention
Social Sciences
Paternalism
Geographical Locations
End of Life Care
0302 clinical medicine
Psychological Attitudes
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Medical Personnel
030212 general & internal medicine
Mozambique
Multidisciplinary
Palliative Care
Middle Aged
Professions
Oncology
030220 oncology & carcinogenesis
Medicine
Female
Research Article
Adult
medicine.medical_specialty
Attitude of Health Personnel
Science
MEDLINE
Specialty
03 medical and health sciences
Quality of life (healthcare)
Diagnostic Medicine
Physicians
Cancer Detection and Diagnosis
medicine
Humans
Aged
Euthanasia
business.industry
Biology and Life Sciences
Health Care
Cross-Sectional Studies
Family medicine
People and Places
Africa
Population Groupings
Observational study
business
Zdroj: PLoS ONE, Vol 15, Iss 8, p e0238023 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundPalliative care is an essential part of medical practice but it remains limited, inaccessible, or even absent in low and middle income countries.ObjectivesTo evaluate the general knowledge, attitudes, and practices of Mozambican physicians on palliative care.MethodsA cross-sectional observational study was conducted between August 2018 and January 2019 in the 3 main hospitals of Mozambique, in addition to the only hospital with a standalone palliative care service. Data was collected from a self-administered survey directed to physicians in services with oncology patients.ResultsTwo hundred and seven out of 306 physicians surveyed answered the questionnaire. The median physician age was 38 years. Fifty-five percent were males, and 49.8% residents. The most common medical specialty was surgery with 26.1%. Eighty percent of physicians answered that palliative care should be provided to patients when no curative treatments are available; 87% believed that early integration of palliative care can improve patients' quality of life; 73% regularly inform patients of a cancer diagnosis; 60% prefer to inform the diagnosis and prognosis to the family/caregivers. Fifty percent knew what a "do-not-resuscitate" order is, and 51% knew what palliative sedation is. Only 25% of the participants answered correctly all questions on palliative care general knowledge, and only 24% of the participants knew all answers about euthanasia.ConclusionsMozambican physicians in the main hospitals of Mozambique have cursory knowledge about palliative care. Paternalism and the family-centered model are the most prevalent. More interventions and training of professionals are needed to improve palliative care knowledge and practice in the country.
Databáze: OpenAIRE
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