Palliative Care Survey: Awareness, Knowledge and Views of the Styrian Population in Austria

Author:

Spary-Kainz Ulrike1,Posch Nicole1ORCID,Paier-Abuzahra Muna1,Lieb Melanie1,Avian Alexander2ORCID,Zelko Erika3ORCID,Siebenhofer Andrea14

Affiliation:

1. Institute of General Practice and Evidence-Based Health Services Research, Medical University of Graz, Neue Stiftingtalstraße 6, 8010 Graz, Austria

2. Institute of Medical Informatics, Statistics and Documentation, Medical University of Graz, Auenbruggerplatz 2, 8036 Graz, Austria

3. Institute of General Practice, Johannes Kepler University Linz, The Life Science Park, 4040 Linz, Austria

4. Institute for General Practice, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany

Abstract

Background: No population-based data on awareness and knowledge of palliative care currently exist in Austria. We therefore conducted a survey to determine the general awareness and knowledge of palliative care in Styria, a federal state in Austria. We also asked participants to imagine what services they would need as a patient or family member, where they themselves would like to receive such services, and what fears they imagined patients with a terminal illness would have. Methods: A descriptive cross-sectional survey consisting of 18 questions that address several aspects of palliative care was carried out in the adult population of Styria, Austria, from October 2019 to March 2020. Results: A total of 419 questionnaires were analyzed, whereby 70.3% of respondents had at least heard of palliative care. Of these, significantly more were female, had a university degree and were aged 50 to 64. The main goal of palliative care was chosen correctly by 67.1% of participants, with the proportion of correct answers increasing in line with education and reaching 82.0% among university graduates. Overall, 73.2% believed that the greatest need of terminally ill persons was a reduction in physical suffering, whereas the greatest perceived need of relatives was the availability of specialist care around the clock. About one-third believed that the greatest fear of palliative patients was that of death, which was chosen significantly more often by men than women. If terminally ill, some 39% of respondents would wish to be looked after at home by professional carers, and women and people that had completed high school chose this answer significantly more often. The most desired service that should be provided to patients and relatives was home pain management at 69.9%, followed by time off for family caregivers at 58.0%. This item was chosen significantly more often by women. Conclusions: To facilitate the care of severely ill patients at home, it would make sense to develop targeted information campaigns. These should also attempt to deliver targeted information to less informed groups of people, such as young, poorly educated men, in order to raise their awareness of the difficulties and challenges of providing care to terminally ill patients and thus increase the acceptance of support options.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference24 articles.

1. World Health Organization (WHO) (2023, June 14). Palliative Care. Available online: https://www.who.int/news-room/fact-sheets/detail/palliative-care.

2. The effectiveness and cost-effectiveness of hospital-based specialist palliative care for adults with advanced illness and their caregivers;Bajwah;Cochrane Database Syst. Rev.,2020

3. Improving patient and caregiver outcomes in oncology: Team-based, timely, and targeted palliative care;Hui;CA Cancer J. Clin.,2018

4. Prospective cohort study of hospital palliative care teams for inpatients with advanced cancer: Earlier consultation is associated with larger cost-saving effect;May;J. Clin. Oncol.,2015

5. McIlfatrick, S., Hasson, F., McLaughlin, D., Johnston, G., Roulston, A., Rutherford, L., Noble, H., Kelly, S., Craig, A., and Kernohan, W.G. (2013). Public awareness and attitudes toward palliative care in Northern Ireland. BMC Palliat. Care, 12.

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