Associations Between the Intention to Use Early Palliative Care, Sources of Information, and Attitudes Toward a Good Death in Korean Adults

• Published in: Journal of pain and symptom management Vol. 60; no. 3; pp. 503 - 511
• Main Authors: Kye, Su Yeon, Han, Kyu-Tae, Choi, Jinyoung, Jho, Hyun Jung, Park, So Jung, Song, In Gyu, Nam, Eun Jung, Chang, Yoon Jung
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2020; Elsevier Limited
• Subjects: Death & dying; Early palliative care; good death; Health care; hospice care; Information seeking behavior; information source; Information sources; intention; Life threatening sickness; Medical personnel; Palliative care; Perceptions; Quality of life; Radio; Television; South Korea; hospice care; information source; Early palliative care; good death; intention
• ISSN: 0885-3924; 1873-6513
• DOI: 10.1016/j.jpainsymman.2020.04.016

Providing hospice and palliative care (HPC) early in the course of care for patients with life-threatening illness is important for improving patient quality of life. However, little literature exists for factors affecting to the intention to use early palliative care (EPC) of general population. This study aimed to identify the sources of information about HPC, investigate whether they affect intention to use HPC and EPC, and examine the relationship between the components of a good death and the intention to use HPC and EPC. A stratified nationwide cross-sectional survey including 1500 participants, 20–74 years old, was conducted to investigate their intentions to use HPC and EPC, available information sources, and perceived components of a good death. The main sources of information about HPC were television and radio. Information acquired from health professionals was positively associated with the intention to use EPC. Although regarding a good relationship with family as a component of a good death was related to low intention to use EPC, being able to trust medical staff, being involved in decisions about care, and being respected as an individual were associated with high intention to use EPC. Information from health care providers and public awareness through education and publicity efforts are necessary to inform the public about the benefits of EPC. Furthermore, it is essential that medical staff cultivate the skills necessary to secure public trust and provide care that respects patients until the end of their lives.