Palliative Care in Turkey: Insights from experts through key informant interviews

Area of Science:

• Oncology
• Palliative Care
• Healthcare Policy

Background:

• Growing demand for palliative care (PC) in Turkey due to cancer.
• National PC policy established in 2010, but PC integration remains limited.
• Healthcare system prioritizes curative care, facing administrative and educational barriers to PC.

Purpose of the Study:

• Explore perspectives of PC professionals and policymakers in Turkey.
• Provide insights for national PC policy and program development.
• Address the gap in palliative care services for cancer patients.

Main Methods:

• Qualitative exploratory study.
• Key informant interviews using semi-structured questionnaires.
• Thematic content analysis of interview data.

Main Results:

• Eight key themes emerged: Integrated Care, Social Care Needs, PC Education, Legalizing Do-Not-Resuscitate Orders, Empowering Communities, Decision-Making, Cultural Considerations, and Ongoing Challenges.
• Findings emphasize cohesive collaboration, psychosocial support, comprehensive training, end-of-life decision discussions, community engagement, informed decision-making, cultural sensitivity, and addressing provider attitudes/administrative hurdles.
• Twenty-one participants (nurses, specialists, oncologists) provided insights.

Conclusions:

• Essential factors identified for establishing an integrated PC program for cancer patients in Turkey.
• Opportunities exist within the current healthcare system for advanced PC.
• Strategic actions are crucial for successful PC program implementation and transformation.