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Factors Influencing the Willingness of Palliative Care Utilization among the Older Population with Active Cancers: A Case Study in Mandalay, Myanmar

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  • Aye Tinzar Myint

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand)

  • Sariyamon Tiraphat

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand)

  • Isareethika Jayasvasti

    (Institute of Nutrition, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand)

  • Seo Ah Hong

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand)

  • Vijj Kasemsup

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand
    Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

Abstract

Palliative care is an effective, multidisciplinary healthcare service to alleviate severe illness patients from physical, psychological, and spiritual pain. However, global palliative care has been underutilized, especially in developing countries. This cross-sectional survey aimed to examine the factors associated with older cancer patients’ willingness to utilize palliative care services in Myanmar. The final sample was composed of 141 older adults, 50-years of age and above who suffered from cancers at any stage. Simple random sampling was applied to choose the participants by purposively selecting three oncology clinics with daycare chemotherapy centers in Mandalay. We collected data using structured questionnaires composed of five sections. The sections include the participant’s socio-economic information, disease status, knowledge of palliative care, psychosocial and spiritual need, practical need, and willingness to utilize palliative care services. The study found that approximately 85% of older cancer patients are willing to receive palliative care services. The significant predictors of willingness to utilize palliative care services include place of living, better palliative care knowledge, more need for spiritual and psychosocial support, and practical support. This study can guide health policymakers in increasing the rate of palliative care utilization. The suggested policies include developing community-level palliative care services in Myanmar, especially in rural areas, promoting palliative care knowledge, applying appropriate religious and spiritual traditions at palliative treatment, and developing suitable medicines for the critically ill.

Suggested Citation

  • Aye Tinzar Myint & Sariyamon Tiraphat & Isareethika Jayasvasti & Seo Ah Hong & Vijj Kasemsup, 2021. "Factors Influencing the Willingness of Palliative Care Utilization among the Older Population with Active Cancers: A Case Study in Mandalay, Myanmar," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7887-:d:601297
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    References listed on IDEAS

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    1. Erna Rochmawati & Rick Wiechula & Kate Cameron, 2018. "Centrality of spirituality/religion in the culture of palliative care service in Indonesia: An ethnographic study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 231-237, June.
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