Barriers and drivers of public engagement in palliative care, Scoping review

BMC Palliat Care. 2024 May 7;23(1):117. doi: 10.1186/s12904-024-01424-4.

Abstract

Background: The integral model of Palliative Care recognizes the community as essential element in improving quality of life of patients and families. It is necessary to find a formula that allows the community to have a voice. The aim of this scoping review is to identify barriers and facilitators to engage community in PC.

Methods: Systematic search was conducted in NICE, Cochrane Library, Health Evidence, CINAHL and PubMed database.

Keywords: Palliative care, End of life care, community networks, community engagement, public engagement, community participation, social participation, barriers and facilitators.

Results: Nine hundred seventy-one results were obtained. Search strategy and inclusion criteria yielded 13 studies that were read in detail to identify factors influencing community engagement in palliative care, categorized into: Public health and public engagement; Community attitudes towards palliative care, death and preferences at the end of life; Importance of volunteers in public engagement programs; Compassionate communities.

Conclusion: Societal awareness must be a facilitated process to catalyse public engagement efforts. National policy initiatives and regional system support provide legitimacy and focus is essential for funding. The first step is to get a sense of what is important to society, bearing in mind cultural differences and to channel those aspects through health care professionals; connecting the most assistential part with community resources. The process and long-term results need to be systematically evaluated.

Keywords: Barriers and Facilitators/drivers; Community engagement; Palliative Care; Public engagement.

Publication types

  • Review

MeSH terms

  • Community Participation / methods
  • Community Participation / psychology
  • Humans
  • Palliative Care* / methods
  • Palliative Care* / psychology
  • Palliative Care* / standards