Patterns in Place of Cancer Death in the State of Qatar: A Population-Based Study

Mohsen, Hassan; Haddad, Pascale; Allam, Ayman; Hassan, Azza

doi:10.1371/journal.pone.0109615

Cited by 14 publications

(15 citation statements)

References 41 publications

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“…The decline of aggressive end of life care is attributed to the PC unit opening at Al Amal hospital, the introduction of the DNAR order in 2011 and the addition of a modified National Comprehensive Cancer Network Screening hospitalized patients. The screening tool has led to earlier diagnoses and referral from 2012 [18].…”

Section: Aggressiveness Of Treatmentmentioning

confidence: 99%

“…For instance, this policy carries a universal stigma for having to hasten a loved one's death. According to a retrospective, population-based study that looked into registered cancer deaths in Qatar between 2006 and 2012, Qatari families tend to refuse DNAR orders due to the family's demand that every medical intervention -no matter how aggressive -that could prolong the patient's life be done by the healthcare team [18]. It is notable that the family's core values supersede religious beliefs, which support DNR status in terminally ill patients [22].…”

Section: Evolution Of Dnar Policy In Qatarmentioning

confidence: 99%

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Palliative Care in Qatar, 2008-2016

Bharani¹,

Y²,

Helmy³

et al. 2018

J Palliat Care Med

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With the increase of geriatric population, there is rise in demand for services aimed at improving end-of-life care. Palliative care, through its five-component approach, focuses on improving the quality of life and provide relief from complications of serious illnesses. Although a widely accepted concept in other parts of the world, palliative care is a relatively new concept in the Middle East, having been initiated in Qatar only in 2008. The paper discusses the development of palliative care program in Qatar from its initiation in 2008 to its development until 2016, and aims to delineate a stepwise approach for establishment of a successful palliative care program elsewhere, especially in the Middle East, through the model used in Qatar. Primary research data was obtained through analysis of patient demographics and interviews, and secondary data was attained through literature review using PubMed, CINAHL and Google Scholar respectively. Through its multi-faceted approach, aligning with the national health strategy, meeting the rising demands of Qatar's population, involving a multi-disciplinary team, focusing on education and research, palliative care in Qatar has established a successful model. It is the first one in the region to get Joint Commission International accreditation, thus aligning in par with the international standards and is striving to meet the emerging needs of Qatar's population and uphold its title as a successful model.

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Section: Aggressiveness Of Treatmentmentioning

confidence: 99%

Section: Evolution Of Dnar Policy In Qatarmentioning

confidence: 99%

Palliative Care in Qatar, 2008-2016

Bharani¹,

Y²,

Helmy³

et al. 2018

J Palliat Care Med

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show abstract

“…In Asia particularly in Japan (Hayashi et al, 2011), health-care providers' opinion and decision strongly influence the place of death. In the Middle East, death in Qatar hospitals persisted even if the patients indicated previously their preference to die at home (Mohsen, Haddad, Allam, & Hassan, 2014). Moreover, ethnic minorities whose end-of-life (EOL) preferences in United Kingdom were documented to include hospital as a place of death (Koffman, Ho, Davies, Gao, & Higginson, 2014), while the Institute of Medicine's (IOM) paper in 2014 entitled "Dying in America," African Americans are less likely to receive palliative care instead more likely to get aggressive treatments at the EOL.…”

Section: Our Understanding and Use Of Ethnographymentioning

confidence: 99%

Certainty in Uncertainty

Butcon

Chan

2017

International Journal of Qualitative Methods

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This article discursively discusses our position on culture adopting a translational paradigm and on focused ethnography (FE) that helps us construct our evolving understanding of the older people, their illness experience, and dying and death. This work reveals our struggle to understand our position (philosophy) and our use of a methodology to inquire about a phenomenon that is plagued by ageism and the "one-size-fits-all" mentality in health care. We assert that these problems of ageism and standardization together ignore the contextual and cultural realities of older people's experience in health and in dying situations. In our attempt to find the best fit between what we ask (research question) and how we answer (methodology) the question, we discovered with certainty that our own understanding of what counts as "cultural" and how FE will help us define such a culture is uncertain until we clarify our own ideological stance regarding the phenomenon in question. Keywords culture, ethnography, older people What Is Already Known?This paper discursively discusses our position on culture adopting a translational paradigm and on focused ethnography that help us construct our evolving understanding of the older people, their illness experience and dying and death. This work reveals our struggle to understand our position (philosophy) and our use of a methodology to inquire about a phenomenon that is wrapped with debacles of ageism and the 'one-size-fitsall' mentality in health care.

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“…The World Health Organization (WHO) statistically assessed that cancer related deaths will increase globally and will approach up to 13 million by 2030. [1] Brown et al [2] estimate that by the year 2030, developing countries will face 70% load of global cancer. The developing countries in the Middle East will have the majority of newly acquired cancer cases by 2020.…”

Section: Introductionmentioning

confidence: 99%

“…People are the most valuable asset that contributes to the country's development. [1] Because they are a valuable asset to the country, the government has a responsibility to take care of people's health. The Qatar National Health strategy recommends expansion and advancement in health care systems and education which will help in human development.…”

Section: Introductionmentioning

confidence: 99%

Exploring various models of hospice care worldwide that can be used and adapted to the context of Qatar: A review of the literature

Khan

Johnson

Bulushi

2020

IJH

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Background: Hospice care is an alternative for those patients who wish to die at home. Most clients who have a terminal illness would rather choose the services provided by healthcare workers who deliver hospice care in the client’s home. For some, it is important to have the ability to spend time with friends, family and to die with dignity and respect at their preferable place of death. Qatar has established end of life care services for patients with advanced stages of cancer, however these services are delivered on palliative care units housed within the National Center for Cancer Care and Research (NCCCR). Having the ability to provide at home hospice care is a necessity in order to carry out the wish of clients who wish to die at home, fulfil the gap in these facilities, and achieve the goal of Qatar’s national health strategy, which is to improve cancer services.Aim: To explore the literature for different models of at-home hospice care worldwide then find a model that can be adapted to the context of Qatar.Methods: A literature review approach was used. Nine scholarly articles were found that focused on and evaluated different at-home hospice models of care worldwide published between 2007 and 2018. Articles were critically appraised using the Mixed Method Appraisal Tool. The data were analysed by categorizing the included articles in a spreadsheet based on study design.Results: The most significant components of at-home models of hospice care were multidimensional care, staff competent in delivering end of life care services, and the ability to provide twenty-four-hour care in the home. These components had a positive impact on providing safe effective end of life care services at home.Conclusions: Taken together, all the necessary components identified in this literature review will go a long way in the successful development of hospice care in Qatar.

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Patterns in Place of Cancer Death in the State of Qatar: A Population-Based Study

Cited by 14 publications

References 41 publications

Palliative Care in Qatar, 2008-2016

Palliative Care in Qatar, 2008-2016

Certainty in Uncertainty

Exploring various models of hospice care worldwide that can be used and adapted to the context of Qatar: A review of the literature

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