Misconception between palliative care and euthanasia among Thai general practitioners: a cross-sectional study.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X (Electronic) Linking ISSN: 1472684X NLM ISO Abbreviation: BMC Palliat Care Subsets: MEDLINE

Original Publication: London : BioMed Central, [2002-

General Practitioners* ; Euthanasia*; Humans ; Palliative Care ; Cross-Sectional Studies ; Thailand ; Quality of Life ; Surveys and Questionnaires ; Health Knowledge, Attitudes, Practice ; Attitude of Health Personnel

Background: Palliative care lower medical expenses and enhances quality of life, but misconception with euthanasia delays timely care and makes inappropriate patient management.
Objective: To examine the magnitude of misconceptions between palliative care and euthanasia among Thai general practitioners, explore the association with knowledge, attitudes, and practical experience, and assess the association between misconception and confidence in practicing and referring patients to palliative care centers.
Methods: All 144 general practitioners who were going to start residency training at Maharaj Nakorn Chiang Mai Hospital in 2021 participated in this observational cross-sectional study. A chi-square test was utilized to examine the relationship between misconception and knowledge, attitude, practical experience, confidence to practice, and confidence to refer patients. Multivariable logistic regression was carried out while controlling for age, sex, knowledge, attitude, and experience to examine the relationship between misconception and confidence to practice and refer patients for palliative care. Statistical significance was defined at p < 0.05.
Results: About 41% of general physicians had misconceptions regarding palliative care and euthanasia. High knowledge was associated with a lower level of misconception (p = 0.01). The absence of misconceptions was weakly associated with a higher level of confidence in practicing palliative care, with an adjusted odds ratio of 1.51 (95% confidence interval 0.73 to 3.10, p = 0.07).
Conclusion: High misconception rates between palliative care and euthanasia among young Thai physicians might impact their confidence in delivering palliative care. Training initiatives for medical students and practitioners can mitigate misconceptions, fostering better palliative care utilization in Thailand.
(© 2024. The Author(s).)

Palliat Care. 2019 Jan 27;12:1178224218823511. (PMID: 30728718)
BMC Health Serv Res. 2020 Jun 15;20(1):539. (PMID: 32539737)
Palliat Med. 2016 Mar;30(3):224-39. (PMID: 26405109)
Indian J Palliat Care. 2022 Oct-Dec;28(4):391-397. (PMID: 36447502)
BMC Med Educ. 2016 Aug 24;16(1):221. (PMID: 27558400)
Lancet. 2001 Jul 28;358(9278):335-6. (PMID: 11501540)
J Pain Symptom Manage. 2002 Jun;23(6):517-25. (PMID: 12067776)
BMJ. 2019 Feb 26;364:l852. (PMID: 30808682)
Palliat Med. 2003 Mar;17(2):97-101; discussion 102-79. (PMID: 12701848)
Health Aff (Millwood). 2017 Jul 1;36(7):1265-1273. (PMID: 28679814)
Health Soc Care Community. 2022 May;30(3):1143-1153. (PMID: 33991147)
J Palliat Med. 2018 Jan;21(S1):S57-S62. (PMID: 29283871)
J Egypt Public Health Assoc. 1999;74(5-6):627-49. (PMID: 17219866)
Healthcare (Basel). 2023 Feb 13;11(4):. (PMID: 36833084)
J Multidiscip Healthc. 2022 May 10;15:1035-1055. (PMID: 35586079)
JAMA Intern Med. 2018 Jun 1;178(6):820-829. (PMID: 29710177)
Int J Environ Res Public Health. 2020 Jun 27;17(13):. (PMID: 32605086)
Am J Hosp Palliat Care. 2018 Nov;35(11):1409-1416. (PMID: 29871497)
J Family Med Prim Care. 2014 Oct-Dec;3(4):477-8. (PMID: 25657977)
Ther Adv Med Oncol. 2013 Nov;5(6):318-23. (PMID: 24179486)
J Pain Symptom Manage. 2018 Aug;56(2):205-212.e3. (PMID: 29621556)
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241237058. (PMID: 38454621)
J S Afr Vet Assoc. 2020 Jul 29;91(0):e1-e7. (PMID: 32787421)
J Gen Intern Med. 2020 Jul;35(7):2059-2064. (PMID: 32157652)
Public Health Nurs. 2020 Mar;37(2):272-280. (PMID: 31957123)
BMC Prim Care. 2022 Oct 21;23(1):266. (PMID: 36271334)
Asian Pac J Cancer Prev. 2013;14(10):6173-80. (PMID: 24289644)
Palliat Med. 2016 Feb;30(2):104-16. (PMID: 26586603)
J Pain Symptom Manage. 2003 Apr;25(4):357-62. (PMID: 12691687)
Can Oncol Nurs J. 2016 Jul 1;26(3):262-264. (PMID: 31148701)
BMJ Open. 2021 Feb 12;11(2):e041432. (PMID: 33579764)
Palliat Med. 2009 Oct;23(7):581-93. (PMID: 19858355)
SAGE Open Med. 2021 Mar 12;9:20503121211000918. (PMID: 33786182)
BMJ Support Palliat Care. 2019 Jun;9(2):120-129. (PMID: 30274970)
Support Care Cancer. 1995 Jan;3(1):28-36. (PMID: 7535167)
BMC Med Ethics. 2020 May 14;21(1):41. (PMID: 32410605)
Palliat Med. 2001 Sep;15(5):425-31. (PMID: 11591095)
J Law Med. 2018 Oct;26(1):214-245. (PMID: 30302984)
Lancet Glob Health. 2019 Jul;7(7):e883-e892. (PMID: 31129125)
Int J Palliat Nurs. 2004 Dec;10(12):577. (PMID: 15750517)
Eur Arch Paediatr Dent. 2015 Oct;16(5):371-6. (PMID: 25788170)
JAMA. 2016 Jul 5;316(1):79-90. (PMID: 27380345)
Am J Hosp Palliat Care. 2015 Aug;32(5):516-20. (PMID: 24714802)
Mortality (Abingdon). 2019 Feb 4;25(2):138-150. (PMID: 32256200)
Ethiop J Health Sci. 2021 Mar;31(2):393-400. (PMID: 34158791)
Int J Nurs Sci. 2019 Sep 12;6(4):399-405. (PMID: 31728392)
Linacre Q. 2013 May;80(2):99-102. (PMID: 24846597)

Keywords: Attitude; Confidence; Euthanasia; Knowledge; Misconception; Palliative care; Practical experience

Date Created: 20240410 Date Completed: 20240412 Latest Revision: 20240429

20250114

PMC11007896

10.1186/s12904-024-01430-6

38600512