SynthesisBMC primary care2025
Facilitators and barriers primary care physicians face in providing palliative care in low- and middle-income countries: a mixed methods systematic review.
Synthesis in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Perceived Barriers to Palliative Care Delivery Among Nurses in Palestinian Hospitals: Organizational, Family, and Professional Challenges.Health science reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care physicians play a crucial role in delivering palliative care, particularly in low-and middle-income countries, where access to specialist services is often limited. However, various facilitators and barriers influence their ability to provide effective palliative care.
objectiveThis systematic review aimed to identify and synthesise the facilitators and barriers experienced by primary care physicians in low- and middle-income countries when providing palliative care.
methodsA convergent integrated mixed-methods review adhered to PRISMA guidelines. Seven databases (MEDLINE, CINAHL, PsycINFO, Scopus, Google Scholar, Policy Commons, and ProQuest) were searched. Data were synthesised using reflexive thematic analysis and narrative synthesis, and quantitative findings were summarised descriptively.
resultsTwelve studies met the inclusion criteria. Five overarching themes were identified: (1) health system organisation, (2) coordinating and sharing care responsibilities, (3) primary care physicians' disposition, (4) effects on physicians and their regulation, and (5) interacting with patients and families. Key barriers included poor infrastructure, shortages in staff, medicines and funding, lack of clear referral systems, insufficient training, emotional burden, legal uncertainties and cultural or religious resistance to palliative care. Facilitators included supportive health reforms, interdisciplinary teamwork, integration with specialist services, home-based care models, motivated clinicians and opportunities for practical, ongoing education.
conclusionThe findings highlight the urgent need for targeted interventions, including enhanced training, policy reforms, and improved resource allocation, to strengthen the role of primary care physicians in palliative care in low- and middle-income countries. Future research should focus on context-specific solutions to address these barriers and improve palliative care accessibility in resource-limited settings.
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Registered trials
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.