Doctors’ knowledge, attitudes and practices of palliative care in two South African districts

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Doctors’ knowledge, attitudes and practices of palliative care in two South African districts
 
Creator McMillan, Tessa A. Hutton, Lauren Jenkins, Louis
 
Subject Family medicine; palliative care; primary health care palliative care; knowledge; attitudes; practice; public sector doctors
Description Background: In South Africa, most palliative care takes place in health districts as part of home-based care provided by nongovernment organisations (NGOs). The National Policy Framework and Strategy on Palliative Care (NPFSPC) aims to ensure adequate numbers of palliative care trained healthcare workers. Guidelines and tools such as the Supportive and Palliative Care Indicators Tool (SPICT) assist in identifying and caring for patients needing palliative care.Aim: To evaluate the knowledge, attitudes and practices of public sector doctors to provide palliative care in the Garden Route and Central Karoo Districts.Setting: The study was conducted at public sector district-level hospitals.Methods: A descriptive observational cross-sectional survey was conducted. The study population included all public sector district-level doctors. Participation was voluntary, and 73 responses (60%) were obtained. Data were collected with an online questionnaire using the adapted ‘Knowledge Attitudes Practice’ model. Quantitative data were imported into the Statistical Package for Social Sciences for analysis.Results: Participants had poor knowledge, attitudes and practices regarding palliative care. There was a statistically significant difference between the knowledge of junior doctors and senior doctors, with 78% of junior doctors having inadequate palliative care knowledge. Only 25% of respondents had received formal postgraduate palliative care training. Seventy (96%) participants reported that home was the best care setting for terminally ill patients.Conclusion: Doctors in the Garden Route and Central Karoo need further training to meet the NPFSPC standards.Contribution: This study adds to the palliative care field, highlighting the need for ongoing training of doctors. 
 
Publisher AOSIS
 
Contributor
Date 2024-09-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Descriptive observational cross-sectional survey; quantitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v16i1.4503
 
Source African Journal of Primary Health Care & Family Medicine; Vol 16, No 1 (2024); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/4503/7588 https://phcfm.org/index.php/phcfm/article/view/4503/7589 https://phcfm.org/index.php/phcfm/article/view/4503/7590 https://phcfm.org/index.php/phcfm/article/view/4503/7591
 
Coverage Africa; South Africa; Western Cape; Garden Route District; Central Karoo District. January 2023 - May 2023 interns; community service medical officers; sessional medical officers; full time medical officers; registrars; family physicians
Rights Copyright (c) 2024 Tessa A. McMillan, Lauren Hutton, Louis Jenkins https://creativecommons.org/licenses/by/4.0
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