Facilitators and barriers primary care physicians face in providing palliative care in low- and middle-income countries: a mixed methods systematic review
GVC Fernando, L Athauda, TK Perdamaian, JS Kondasinghe, S Prathapan · 2025
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Description
Fernando and co-authors reviewed what helps and what hinders family doctors giving end-of-life care in poorer countries, in a paper published in 2025. In such countries, specialists in comfort care are scarce, so primary care doctors carry much of that work. The review gathered studies that asked those doctors about their experience. It followed a standard method for systematic reviews and searched seven databases. Both number-based and story-based studies were included and merged.
The synthesis sorts the findings into supports and barriers. Supports include training, teamwork, and community trust. Barriers run from drug access and time pressure to unclear rules and emotional strain. Knowing the pattern lets health systems fix the worst blocks first. The authors aim their summary at planners who must build palliative care on a thin specialist base.
Catalog record
| CREATOR | GVC Fernando, L Athauda, TK Perdamaian, JS Kondasinghe, S Prathapan |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 90 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |