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Knowledge, Attitudes and Expectations of Physicians with Respect to Palliative Care in Ecuador: A Qualitative Study

Author

Listed:
  • Viviana Dávalos-Batallas

    (Department of Health Sciences, Universidad Técnica Particular de Loja (UTPL), Loja 110107, Ecuador)

  • Vinita Mahtani-Chugani

    (Research Unit of the Nuestra Señora de Candelaria University Hospital and Management Office for Primary Care of Tenerife, 38010 Santa Cruz de Tenerife, Spain)

  • Carla López-Núñez

    (Department of Psychology, Universidad Loyola Andalucía, 41012 Seville, Spain)

  • Víctor Duque

    (Úbeda Health Center, Jaén Northeast Health District Andalusian Health Service, 23400 Jaén, Spain)

  • Fatima Leon-Larios

    (Nursing Department. Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41004 Seville, Spain)

  • Maria-de-las-Mercedes Lomas-Campos

    (Nursing Department. Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41004 Seville, Spain)

  • Emilio Sanz

    (Pharmacology and Physical Medicine Department, University of La Laguna, 38200 San Cristóbal de La Laguna, Spain)

Abstract

Background: The worldwide need for palliative care is high, especially in mid- income countries like Ecuador, where the percentage of patients receiving such care is very small due to the scarcity of infrastructure and specialized personnel and to the unequal distribution in the country. The objective of this study is to explore the knowledge, attitudes and expectations related to palliative care of the physicians in Ecuador. Methods: A qualitative study based on 28 semi-structured interviews, from March 2014 to November 2016, with physicians working in four cities in Ecuador recruited through the snowball technique. Thematic analysis was developed supported by the ATLAS.ti software. Results: Five core themes were identified: (1) training, (2) health policy, (3) professionals’ activities, (4) health services and (5) development of palliative care in Ecuador. Conclusions: Strategies are needed which intensify the training of medical professional in palliative care, as well as avail the human resources and materials for providing it.

Suggested Citation

  • Viviana Dávalos-Batallas & Vinita Mahtani-Chugani & Carla López-Núñez & Víctor Duque & Fatima Leon-Larios & Maria-de-las-Mercedes Lomas-Campos & Emilio Sanz, 2020. "Knowledge, Attitudes and Expectations of Physicians with Respect to Palliative Care in Ecuador: A Qualitative Study," IJERPH, MDPI, vol. 17(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3906-:d:365462
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    Citations

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    Cited by:

    1. Patricia Bonilla-Sierra & Ana Magdalena Vargas-Martínez & Fatima Leon-Larios & Joselin Valeria Arciniega Carrión & Tatiana Cecibel Jiménez Alverca & María de las Mercedes Lomas-Campos & José Rafael Go, 2021. "The Suffering of Advanced Chronic Renal Patients and Their Relationship with Symptoms in Loja, Ecuador," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    2. Viviana Davalos-Batallas & Ana-Magdalena Vargas-Martínez & Patricia Bonilla-Sierra & Fatima Leon-Larios & Maria-de-las-Mercedes Lomas-Campos & Silvia-Libertad Vaca-Gallegos & Rocio de Diego-Cordero, 2020. "Compassionate Engagement and Action in the Education for Health Care Professions: A Cross-Sectional Study at an Ecuadorian University," IJERPH, MDPI, vol. 17(15), pages 1-22, July.
    3. Tamara Rodríguez Quintana & Viviana Dávalos-Batallas & Ana-Magdalena Vargas-Martínez & Lucelly López & Patricia Bonilla-Sierra & María-de-las-Mercedes Lomas-Campos & Fatima Leon-Larios, 2021. "Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level," IJERPH, MDPI, vol. 18(21), pages 1-14, November.
    4. Doris Y. P. Leung & Helen Y. L. Chan, 2020. "Palliative and End-of-Life Care: More Work is Required," IJERPH, MDPI, vol. 17(20), pages 1-7, October.
    5. Paula Hidalgo-Andrade & Guido Mascialino & Diego Miño & Matías Mendoza & Anna Belén Marcillo, 2021. "Knowledge of Palliative Care in Ecuador," IJERPH, MDPI, vol. 18(9), pages 1-8, April.

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