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Supportive or palliative? When words influence care more than guidelines.

Wadih Rhondali¹, Fatma Ben Abid², Amine Souadka^2,3

¹Department of Supportive Care, Oncology Clinic 16 Novembre, Rabat, Morocco. wadihrhondali@gmail.com.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer

|March 19, 2026

Summary

Choosing "supportive care" over "palliative care" improves patient referrals and reduces stigma in cancer treatment. This terminology shift is crucial for equitable and timely supportive services in oncology.

Keywords:

Cultural perceptions Morocco Oncology terminology Palliative care Stigma Supportive care Survey

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Area of Science:

Oncology
Health Services Research
Medical Terminology

Background:

Cancer-related supportive service terminology impacts patient and clinician perceptions, access, and acceptance.
Ambiguous terms in French-speaking low- and middle-income countries (LMICs) can increase stigma and delay referrals.

Purpose of the Study:

To assess oncology professionals' preferences for different terms used for supportive care services.
To evaluate the perceived emotional impact and referral likelihood of "supportive care," "support care," and "palliative care" across cancer stages.

Main Methods:

A nationwide cross-sectional survey of 165 oncology professionals in Morocco.
Quantitative analysis (multinomial regression, Wilcoxon tests) and thematic coding of free-text responses.
Assessment of term preferences and referral likelihood across four cancer trajectory stages.

Main Results:

"Supportive care" was preferred by 68% of respondents, compared to 10% for "palliative care."
"Supportive care" was perceived as more hopeful and acceptable, while "palliative care" increased distress.
Terminology significantly influenced referral likelihood, with "supportive care" encouraging earlier referrals.

Conclusions:

Terminology choice has measurable impacts on referral timing, patient engagement, and care perception.
"Supportive care" facilitates earlier integration of services, unlike the stigmatized "palliative care."
Standardizing terminology is essential to reduce inequities in cancer care and improve service access.