ArticleBMC medical ethics2022
Chinese physicians' perceptions of palliative care integration for advanced cancer patients: a qualitative analysis at a tertiary hospital in Changsha, China.
Article in BMC medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Ethical considerations of AI integration in palliative care: a qualitative study.BMC palliative care · 2026Article
- Factors Impacting the Telephone Follow-Up Response Rate in Patients With Migraine Without Aura: A Cross-Sectional Study of 1299 Females.Pain research & management · 2026Article
- Development and psychometric evaluation of the cancer bio-psycho-social-spiritual comprehensive assessment scale.BMC psychology · 2025Article
- Current status of knowledge, attitudes, and practices among ICU physicians and nurses regarding palliative care in China.Scientific reports · 2025Article
- Ethical Dilemmas Among Oncology Nurses in China: Cross-Sectional Study.Asian/Pacific Island nursing journal · 2024Article
- Article
- Self-Assessed Educational Needs of Chinese Pediatric Clinicians Regarding Pediatric Palliative Care: A Cross-Sectional Investigation.Children (Basel, Switzerland) · 2024Article
- Informed consent in cancer clinical drug trials in China: a narrative literature review of the past 20 years.Trials · 2023Review
- Ethical dilemmas and legal ambiguity in China: a chain mediation model linking suicide rumination, legitimization, and acceptance among acutely-ill adults.Frontiers in psychology · 2023Article
- Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care.International journal of environmental research and public health · 2022Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle previous research has been conducted outside of major cities in China to examine how physicians currently perceive palliative care, and to identify specific goals for training as palliative care access expands. This study explored physicians' perceptions of palliative care integration for advanced cancer patients in Changsha, China.
methodsWe conducted semi-structured qualitative interviews with physicians (n = 24) specializing in hematology or oncology at a tertiary hospital.
resultsMost physicians viewed palliative care as equivalent to end-of-life care, while a minority considered it possible to integrate palliative care with active treatment. Almost all physicians maintained separate conversations about palliative care with family members and patients, communicating more directly with family members than with patients about prognosis and goals of care. Physicians described experiencing ethical tension between the desire of family members to protect the patient from knowing they have advanced cancer, and the patient's "right to decide" about palliative treatment. Physicians varied overall regarding perceptions of the role they should have in discussions about goals of care.
conclusionsAs palliative care access expands in China, medical training should encourage earlier integration of palliative care for advanced cancer, address ethical issues faced by physicians communicating about palliative care, and establish guidance on the role of the physician in discussions about goals of care.
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