Awareness, attitudes, and beliefs about palliative care: Results from a representative survey of the Italian-speaking Swiss population

PLoS One. 2023 Nov 28;18(11):e0294807. doi: 10.1371/journal.pone.0294807. eCollection 2023.

Abstract

Objective: To understand the knowledge and awareness of palliative care in the Italian-speaking Swiss general population, describing main misconceptions or false beliefs and their relationship with attitudes towards palliative care.

Methods: Cross-sectional representative population survey (N = 313).

Results: We observed a high awareness of «palliative care,» although it is mainly associated with pain management and the very last days of life. While false beliefs are relatively rare, there is low awareness of goals, targets, and services offered by palliative care. Overall the Italian-speaking Swiss population has a good predisposition towards palliative care, but negative attitudes are more common among those who lack knowledge. More than one-third of respondents are interested in receiving more information about palliative care, especially from their healthcare providers or through dedicated information points.

Conclusion and practice implications: Health communication interventions to promote palliative care are needed because there is still significant unclarity about the goals of palliative care, which negatively affects its acceptance. This study instructs on how to intervene specifically in the Italian-speaking part of Switzerland, including what to communicate and how. Further, our findings can inspire similar studies in other Swiss regions or countries that can optimize recognition, knowledge, and understanding and contribute to filling gaps in populations' health service demand and utilization.

MeSH terms

  • Cross-Sectional Studies
  • Health Knowledge, Attitudes, Practice
  • Health Personnel*
  • Humans
  • Palliative Care* / methods
  • Surveys and Questionnaires
  • Switzerland

Grants and funding

Funding for this research was awarded to SR, ND, CG, GS, and PS under a grant, which was financed by Swiss Cancer Research (www.krebsforschung.ch; Grant number KFS-4163-02-2017). In addition, SR, ND, CG, GS, and PS received financial support for the conduction of the survey by Palliative-ti (www.palliative-ti.ch; Grant number N/A). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.