Evaluating Palliative Care Needs in Middle Eastern Countries

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dc.contributor.author Doumit, Myrna
dc.contributor.author Silbermann, Michael
dc.contributor.author Fink, Regina M.
dc.contributor.author Mancuso, Mary P.
dc.contributor.author Brant, Jeannine
dc.contributor.author Hajjar, Ramzi
dc.contributor.author Al-Alfi, Nesreen
dc.contributor.author Baider, Lea
dc.date.accessioned 2016-11-10T08:07:20Z
dc.date.available 2016-11-10T08:07:20Z
dc.date.copyright 2015 en_US
dc.date.issued 2016-11-10
dc.identifier.issn 1096-6218 en_US
dc.identifier.uri http://hdl.handle.net/10725/4766
dc.description.abstract Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. Objective: To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Design: Descriptive survey. Setting/Subjects: Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Measurements: Palliative care needs assessment. Results: Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. Conclusions: The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained. en_US
dc.language.iso en en_US
dc.title Evaluating Palliative Care Needs in Middle Eastern Countries en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SON en_US
dc.author.idnumber 201005174 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Palliative Medicine en_US
dc.journal.volume 18 en_US
dc.journal.issue 1 en_US
dc.article.pages 18-25 en_US
dc.identifier.doi http://dx.doi.org/10.1089/jpm.2014.0194. en_US
dc.identifier.ctation Silbermann, M., Fink, R. M., Min, S. J., Mancuso, M. P., Brant, J., Hajjar, R., ... & Ghrayeb, I. (2015). Evaluating palliative care needs in Middle Eastern countries. Journal of palliative medicine, 18(1), 18-25. en_US
dc.author.email myrna.doumit@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://online.liebertpub.com/doi/abs/10.1089/jpm.2014.0194 en_US
dc.author.affiliation Lebanese American University en_US

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