US, Russian and Indian physician perspectives regarding end of life care
- Authors: Jackson J.G.1, Raj S.M.2, Matveeva Y.1, Xu Y.1, Jogerst G.J.1
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Affiliations:
- University of Iowa
- Kasturba Medical College
- Issue: Vol 24, No 3 (2020)
- Pages: 11-20
- Section: Original studies
- Submitted: 30.07.2020
- Accepted: 02.10.2020
- Published: 11.12.2020
- URL: https://journals.eco-vector.com/RFD/article/view/41869
- DOI: https://doi.org/10.17816/RFD41869
- ID: 41869
Cite item
Abstract
Aim. To compare US, Russian and Indian primary care physicians’ attitudes, comfort and experiences providing palliative care.
Design. Cross sectional survey.
Settings. Iowa, USA; Leningrad Oblast, Russia; Mangalore, India.
Participants. Primary care physicians.
Methods. Chi-squared testing for dichotomous variables and t-tests for mean scores.
Results. 66 US, 81 Russian and 95 Indian physicians completed the survey. More US physicians preferred end of life care at home (83% v 56% Russian and 29% Indian) p < 0.001 and Indian physicians preferring hospitals (36% v 0% US and 1% Russian) p < 0.001. 94% percent of US physicians preferred patient make their own decisions, 57% of Russian sample preferred physicians as decision makers, and Indian physicians preferred family members to patients themselves (44%) p < 0.001. Patient should be informed (US vs Russia vs India) of terminal illness “Always” (74% vs 31% vs 33%) p < 0.001, “If Asked” (9% vs 64% vs 12%) p < 0.001 or “Physician’s Judgement” (15%, 5%, 54%) p < 0.001. US physicians reported higher comfort rates with managing symptoms at the end of life. In the last 6 months US physicians were more satisfied with provided care “Often or Always” (63% vs 36% Russian v 21% Indian) p < 0.001.
Conclusions. US sample was more concerned with patient autonomy and had more comfort and satisfaction in providing end of life care compared to Russian and Indian samples.
Keywords
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About the authors
James G. Jackson
University of Iowa
Author for correspondence.
Email: jacksonjgil@gmail.com
MD, Global Mental Health Fellow UCSF/HEAL Initiative
United States, Iowa City, IASheetal Moolambally Raj
Kasturba Medical College
Email: sheetal.raj@manipal.edu
Associate Professor, Department of Medicine
India, MangaloreYulia Matveeva
University of Iowa
Email: yulia-matveeva@uiowa.edu
Clinical Assistant Professor, Department of Family Medicine
United States, Iowa City, IAYinghui Xu
University of Iowa
Email: yinghui-xu@uiowa.edu
Biostatistician Manager, Department of Family Medicine
United States, Iowa City, IAGerald J. Jogerst
University of Iowa
Email: gerald-jogerst@uiowa.edu
Professor Emeritus Departments of Family Medicine and Psychiatry
United States, Iowa City, IAReferences
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