Year: 2024
Type: article
Study design: Systematic Review
Abstract: Background and Objectives: Palliative care was established and progressed gradually in Thailand for 2 decades. A number of Thai family physicians supervised palliative care in hospital and community. However, there are scant evidences of Thai family physician's contribution for palliative care. We aims to 1) examines evidence of palliative care researches conducted by Thai family physicians, 2) categorize the related researches by public health model for palliative care development, and 3) identify themes of researches. Design: Scoping review Materials and Methods: Potential researches were searched in November 2023 via "Famscholar", an academic database, using palliative care-related search terms. Three researchers independently read abstracts and full articles to extract eligible studies. The recruited studies were categorized into domains. Theme of studies was identified. Results: We collected 454 potential researches. After reading processes, 81 studies were eligible. The number of researches increased gradually, especially, between 2021 and 2023. Majority of recruited studies were categorized into implementation domain (90%) and were institute-based (75.31%). Cross-sectional and cohort study were common. Cancer patients gained most attention (39.51%). Biomedical issue was well studied. Prognostication, service accessibility and symptom management shared 16%, 14%, and 11% of all studies, respectively. There were few studies concerned on spiritual care, bereavement, communication, education, and community participation. Conclusion: Thai family physicians contributed to palliative care development, especially, in implementation and biomedical issue. The Royal College of Family Physicians of Thailand played significant role in Thai palliative care progression. Gap of knowledge included spiritual care, bereavement, communication, education and community palliative care.
Institution: Maesot General Hospital
Language: Thai
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220344644