Factors that influence physicians in providing palliative care in rural communities in Taiwan

Abstract

Effective training courses that emphasize the practical knowledge of palliative care for community physicians, incorporating palliative care into medical education particularly in terms of communication skills and ethical roles, and active health policy administration including insurance payments, are important for the enhancement of community palliative care in Taiwan.

Prevailing Ethical Dilemmas in Terminal Care for Patients With Cancer in Taiwan

“…In the study by Hu et al, 8 factors such as "unable to manage patient's emotional reactions," "truth-telling of terminal cancer means medical failures," and "patients will be sad and commit suicide" influence the decision of truth-telling. [19][20][21] With respect to ethical dilemmas related to issues of clinical care, artificial nutrition and hydration has the highest influence. This nondisclosure results in much psychological stress owing to the conflict involving the principle of autonomy and shared decision making.…”

What Factors Are Important in Increasing Junior Doctors' Willingness To Provide Palliative Care in Taiwan? An Educational Intervention Study

“…Knowledge of palliative care: This 30-item measure was designed with careful scrutiny of related literature and the main reference included the PCQN originally developed by Ross et al, 15 and modified in previous studies. 16,17 All items were grounded in the investigators' clinical experiences. The scoring system was ''true'' (1) and ''false/unknown'' (0).…”

Radiation Therapy Students′ Knowledge, Attitudes, and Beliefs about Palliative and End-of-Life Care for Cancer Patients

“…To be eligible to participate in this study, participants were also required to have computer and Internet access, the ability to understand and read instructions given in English, provide written responses in English, and provide informed consent. Based on similar examinations of this subject, the response rate in the study was expected to be approximately 50% [13,15,16,23,24]. One hundred percent of the eligible cohort was the study sample.…”

“…The study questionnaire was developed by incorporating several validated tools from similar studies in other health care fields (ie, physiotherapy, medicine, and nursing) [13,15,16]. Permission was obtained from these authors to use questions from those questionnaires, but modified to be applicable to the field of radiation therapy.…”

“…This lack of understanding can contribute to dismissive or avoidant behaviours that may have a negative impact on the quality of patient care provided [11,12]. In addition, attitudinal barriers can influence HCPs' willingness to engage in PEOLC [13]; hindering the provision of quality care [14][15][16]. Yet, individuals are not born with specific attitudes toward PEOLC.…”