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Palliative and Supportive Care in the Philippines: Systems, Barriers, and Steps Forward
Frances Dominique V Ho1, Deogracias V De Luna2, Deanna Lis Pauline F Cubarrubias1
1College of Medicine, University of the Philippines, Manila, Philippines.
Journal of Palliative Care
|February 6, 2023
Summary
Palliative care is inaccessible to many in the Philippines due to workforce shortages, high costs, and cultural factors. Addressing these barriers is crucial for improving end-of-life care for cancer patients.
Area of Science:
- Global Health
- Oncology
- Palliative Care
Background:
- Palliative care is essential for managing suffering but remains inaccessible in many low- and middle-income countries.
- In the Philippines, up to 75% of cancer patients experience inadequate pain relief, highlighting a critical gap in end-of-life care.
Approach:
- A comprehensive literature review was conducted using PubMed and Google Scholar.
- Search terms included "palliative care," "supportive care," "end-of-life care," and "Philippines" to identify relevant factors.
Key Points:
- Limited palliative care workforce and high out-of-pocket healthcare expenses restrict access.
- Low availability of opioids and sociocultural factors like religious fatalism and family-centric values pose challenges.
- Physician reluctance to refer patients to palliative care further hinders service accessibility.
Conclusions:
- Improving palliative care in the Philippines requires addressing systemic health system barriers.
- Cultural factors and physician attitudes towards end-of-life discussions need careful consideration.
- Further research is necessary to understand Filipino perspectives on end-of-life care for personalized strategies.
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