Considerations for Fostering Palliative Care Awareness in Developing Contexts: Strategies From Locally Initiated Projects in India
- Author(s)
- Singh, N; Giannitrapani, KF; Satija, A; Ganesh, A; Gamboa, R; Fereydooni, S; Hennings, T; Chandrashekaran, S; Spruijt, O; Bhatnagar, S; Lorenz, KA;
- Details
- Publication Year 2022-10,Volume 64,Issue #4,Page 370-376
- Journal Title
- Journal of Pain and Symptom Management
- Publication Type
- Research article
- Abstract
- CONTEXT: Lack of palliative care (PC) awareness is a barrier to its utilization in developing contexts. OBJECTIVES: To identify and understand strategies that changed awareness of the concepts and value of palliative care in a multi-site quality improvement project in India. METHODS: The Palliative Care - Promoting Assessment and Improvement of the Cancer Experience (PC-PAICE) evaluation team conducted 44 semi-structured interviews with clinician and organization stakeholders at seven geographically dispersed sites. We used inductive and deductive approaches in this secondary analysis to identify emerging themes. RESULTS: We identified the following strategies to improve awareness of concepts and value of palliative care. Strategy 1: Educate medical trainees, staff, and the community about palliative care and its concepts. Sub-strategies: Participate in community events. Integrate PC concepts into early medical education. Standardize training for practitioners. Strategy 2: Design and disseminate India-specific research to reinforce awareness of the value of palliative care. Sub-strategies: Publish and use India-specific palliative care research. Strategy 3: Facilitate communication between providers and departments to improve awareness of palliative care services and its concepts. Sub-strategies: Create referral frameworks and network with providers referring to palliative care to change awareness of available services and palliative care concepts. CONCLUSION: To increase palliative care utilization, program development can include community and provider-focused efforts on awareness of the concepts and value of palliative care. These three strategies held salience across sites representing diverse Indian geographic and cultural settings; as such, they may be applicable to other contexts.
- Publisher
- Elsevier
- Keywords
- *Hospice and Palliative Care Nursing; Humans; India; *Neoplasms; Palliative Care; Quality Improvement; awareness; research; value
- Department(s)
- Palliative Care
- PubMed ID
- 35764200
- Publisher's Version
- https://doi.org/10.1016/j.jpainsymman.2022.06.011
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2025-04-04 05:25:04
Last Modified: 2025-04-04 05:39:07