SynthesisFrontiers in public health2026
A systematic review of palliative care knowledge, attitudes, and practices in Saudi Arabia: a global comparative analysis.
Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Palliative care is an important component of enhancing quality of life for patients with life-limiting illness. Despite increasing infrastructure capacity in Saudi Arabia, there is a significant gap in the clinical competence of healthcare professionals in palliative care. This systematic review attempted to assess the Knowledge, Attitudes, and Practices (KAP) of healthcare professionals in Saudi Arabia and compare them to international standards. Methods: A systematic review was conducted according to the guidelines of the PRISMA. Studies published between January 2012 and February 2026 were included, with a focus on the KAP of healthcare professionals regarding palliative care. A complete literature search was performed on the electronic databases (PubMed, Scopus, Web of Science, etc.). The review included cross-sectional and interventional studies of palliative care knowledge, attitudes, practices, and self-efficacy, quantitatively. The data from Saudi Arabia (9 studies) were compared to the international studies (21 studies) from other countries such as China, Taiwan, Ethiopia and Nigeria. Results: The research findings of studies carried out from 2012 to 2026 found low levels of knowledge on palliative care among health practitioners in Saudi Arabia. The problems included a lack of adequate knowledge, inadequate training, wrong beliefs about opioids, and poor end-of-life care plans. Global comparisons showed countries with an integrated and structured educational system, like Taiwan and China, had much higher competency levels; however, regions with Conclusion: The findings suggest that reliance on clinical exposure and
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