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Physicians' Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A

Iyad Bou Mehdi¹, Husam Ghusn²

¹Lebanese University, Beirut, Lebanon.

Sage Open Aging

|May 11, 2026

Abstract

Background:

Palliative care aims to optimize the quality of life of critically ill patients.

Objectives:

This study assessed Lebanese physicians' attitudes toward palliative care and their use of NECPAL tool in clinical decision-making.

Methods:

A cross-sectional design was adopted among 259 physicians using a structured questionnaire. Data analysis was conducted using IBM SPSS Statistics software.

Results:

Among 259 physicians, 83.4% used NECPAL tool, with a mean attitude score toward palliative care of 4.37 (SD = 0.39). Higher attitude scores were significantly associated with NECPAL use (p < .001), presence of institutional policies supporting advanced care planning (p = .017). Multivariable regression confirmed NECPAL use, facility policies, and availability of palliative care units as independent predictors of attitudes (p < .05).

Conclusion:

The findings highlight the role of institutional infrastructure and validated assessment tools in shaping physician's perceptions and promoting better integration of palliative care in Lebanon.

Keywords:

Lebanon chronic diseases cross-sectional survey end-of-life care medical education palliative care physicians’ attitudes

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