ArticleCureus2026
Integrating Home-Based Palliative Care Into Primary Healthcare in Jodhpur, Rajasthan: Stakeholder-Perceived Barriers, Facilitators, and System Needs.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and objective Home-based palliative care (HBPC) can reduce suffering and improve the quality of life for patients with serious chronic illnesses. However, its integration into routine government primary healthcare remains limited. Understanding health system readiness and provider perspectives is essential for its feasible integration. This study aimed to explore the barriers, facilitators, and stakeholder recommendations for integrating HBPC into urban Primary Healthcare Centers (PHCs) in Jodhpur, Rajasthan. Methods A qualitative study was conducted using purposive sampling. Data were collected through Key Informant Interviews (KIIs) with district health administrators and a palliative care physician, In-Depth Interviews (IDIs) with Medical Officers, and Focus Group Discussions (FGDs) with frontline workers, including Accredited Social Health Activists (ASHAs) and Auxiliary Nurse Midwives (ANMs). A total of 30 participants were included. Data were analyzed using thematic analysis. Results Barriers were identified at two levels. Knowledge and behavioral barriers included limited awareness and confidence among providers, low community awareness, sociocultural hesitation, and follow-up challenges. Structural barriers included a lack of formal PHC-level programs, weak referral pathways, limited availability of essential medicines such as morphine, high workload among frontline workers, and logistical constraints. Facilitators included community trust in ASHAs and ANMs, availability of basic medicines, referral linkages with tertiary care centers, and willingness for training and integration. Conclusion Integration is limited by gaps in provider capacity, medicine access, and service structure. Existing community trust and referral linkages provide a foundation for integration. Strengthening structured pathways, workforce capacity, and access to essential medicines is required for effective integration.
Indexed as
Identifiers
What OpenQuestion holds
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.