Palliative care-related knowledge and attitudes of PHC providers
and CHWs
Exploration of the knowledge and attitudes of PHC providers and CHWs about providing palliative care
may yield useful information for integrating palliative care integration into PHC (Annexes 6 and 7). For
example, it has been shown that primary care physicians tend not to identify palliative care needs early
in the course of a life-limiting illness. Exploration of the reasons for this phenomenon may be useful
to enhance access to palliative care for those in need
(62,120). In particular, their self-assessment of
competencies in identifying and responding to social, spiritual and legal problems could be explored
(121).
Knowledge and attitudes of primary care providers about advance care planning could yield useful culture-
specific information
(122-125). To develop and refine training for CHWs, and to support them in their work,
their palliative care-related knowledge and attitudes also should be studied
(126).
53
A WHO guide for planners, implementers and managers
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