Evidence map›Paper›PMID 40055674›Full record

ArticleBMC palliative care2025

Patient-centeredness and determinant factors of palliative care service for adult cancer patients in public hospitals of addis Ababa, Ethiopia, 2024: cross-sectional mixed method study.

Muday Beneberu, Getachew Teshale, Kaleb Assegid Demissie, Endalkachew Dellie, Melak Jejaw, Asmamaw Atnafu

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Muday BeneberuDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Getachew TeshaleDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. getateshale1221@gmail.com.
Kaleb Assegid DemissieDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Endalkachew DellieDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Melak JejawDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Asmamaw AtnafuDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProviding patient centered palliative care is essential to enhance the wellbeing of patients with life-limiting illnesses and their families. As the demand for palliative care services increases and the cancer burden grows in Ethiopia, it is crucial to know how much these services are patient centered and what factors may determine it. Therefore, this study assess the level and determinant factors of patient-centeredness for adult cancer patients' palliative care services in public hospitals found in Addis Ababa. METHOD AND MATERIALS: A cross-sectional mixed method was employed from May 16 to August 19, 2024. A total of 407 adult cancer patients, 7 key informant interviews and five in-depth interviews were included. The quantitative data was collected using Kobo collect tool version 2.023.21 and exported to STATA version 14 for analysis. Binary and multi-variable logistic regression with 95% Confidence Interval (CI) and Adjusted Odds Ratio (AOR) were fitted to identify factors associated with the patient-centeredness of care. Qualitative data was recorded, transcribed and thematically analyzed by using Open Code software version 4.0.1.

resultsPatient-centeredness care for adult cancer patients was 77.9%. age group 30-39 (AOR: 3.52, 95% CI: 1.21, 10.21), being divorced (AOR: 0.14 95%, CI: 0.06, 0.37), monthly income > 12,000 Birr (AOR: 0.36, 95 CI: 0.156, 0.836), health literacy (AOR: 0.08, 95% CI: 0.02, 0.25), intimacy with the provider (AOR: 0.14 95% CI: 0.02, 0.75), service easiness (AOR: 0.34, 95% CI: 0.17, 0.67), and appointment waiting time (AOR: 0.4 95% CI: 0.19, 0.83) were found to be significant factors for patient-centeredness of palliative care service. CONCLUSION AND RECOMMENDATIONS: The magnitude of patient-centered care for adult cancer patients in palliative care was 77.9%. Most patients felt respected and involved in decision-making, and their physical and emotional comfort was maintained. However, only one-third of them reported ease of access to services. Age, marital status, income, participation in decision-making, intimacy with providers, ease of access, and appointment length was the significant factors. Recommendations include improving service coordination, reducing waiting time, fostering emotional connections between patients and providers, and offering tailored support to single or widowed patients to enhance patient-centered care.

Indexed as

NeoplasmsPalliative CarePatient-Centered CareAdultAgedCross-Sectional StudiesEthiopiaFemaleHospitals, PublicHumansMaleMiddle AgedQualitative ResearchAddis AbabaCancerEthiopiaPalliative carePatient-centeredness

Identifiers

PMID40055674
PMCPMC11887271

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.