Abstract：
BACKGROUND: The global need for palliative care (PC) is increasing, especially as the population ages. The diagnosis of a life-threatening illness triggers numerous decisions by healthcare professionals (HCPs). How these professionals understand and deal with PC influences the quantity and quality of care provided to patients. This systematic review aimed to compare perceptions of PC among HCPs around the world.
METHODS: The databases (MEDLINE/PubMed, Embase, LILACS, and EBSCO) were searched systematically. Articles reporting on the perception of HCPs, published between January 2012 and December 2022, were included. Texts that reported the perceptions of family members and patients were excluded to avoid the risk of bias. Those included were organized by country/region and continent for later analysis.
RESULTS: Of the 2,063 articles initially retrieved 32 were included and provided relevant information from four continents (America, Asia, Europe, and Oceania). Most of this was done through interviews and questionnaires. All HCPs consulted in the studies recognized the importance of PC. The perception of these professionals was influenced by cultural factors (such as religion), difficulties perceived in each country/region (such as inadequate knowledge, conceptual confusion, etc.), diseases, and the age range of patients served. The acceptance and preparation of professionals to deal with this topic in their routine also influenced their perceptions of HCPs. The limitation of this research is the lack of eligible studies from Africa and the small number of participants in some studies.
CONCLUSIONS: It can be concluded that HCPs\' perceptions of PC are similar, regardless of their country of origin.
METHODS: The databases (MEDLINE/PubMed, Embase, LILACS, and EBSCO) were searched systematically. Articles reporting on the perception of HCPs, published between January 2012 and December 2022, were included. Texts that reported the perceptions of family members and patients were excluded to avoid the risk of bias. Those included were organized by country/region and continent for later analysis.
RESULTS: Of the 2,063 articles initially retrieved 32 were included and provided relevant information from four continents (America, Asia, Europe, and Oceania). Most of this was done through interviews and questionnaires. All HCPs consulted in the studies recognized the importance of PC. The perception of these professionals was influenced by cultural factors (such as religion), difficulties perceived in each country/region (such as inadequate knowledge, conceptual confusion, etc.), diseases, and the age range of patients served. The acceptance and preparation of professionals to deal with this topic in their routine also influenced their perceptions of HCPs. The limitation of this research is the lack of eligible studies from Africa and the small number of participants in some studies.
CONCLUSIONS: It can be concluded that HCPs\' perceptions of PC are similar, regardless of their country of origin.
摘要：
背景：全球对姑息治疗（PC）的需求正在增加，尤其是随着人口老龄化。威胁生命的疾病的诊断引发了医疗保健专业人员（HCP）的许多决定。这些专业人员如何理解和处理PC会影响向患者提供的护理的数量和质量。本系统综述旨在比较世界各地HCP对PC的看法。
方法：数据库（MEDLINE/PubMed，Embase,LILACS,和EBSCO)进行了系统搜索。报告对HCPs的看法的文章，2012年1月至2022年12月期间发布的，包括在内。报道家庭成员和患者看法的文本被排除在外，以避免偏见的风险。这些报告是按国家/地区和大陆组织的，供以后分析。
结果：在最初检索的2,063篇文章中，有32篇被收录并提供了来自四大洲的相关信息（美国，亚洲,欧洲,和大洋洲）。其中大部分是通过访谈和问卷调查完成的。研究中咨询的所有HCP都认识到PC的重要性。这些专业人士的认知受到文化因素（如宗教）的影响，在每个国家/地区感知到的困难(如知识不足，概念混乱，等。),疾病,和患者的年龄范围。专业人士在日常工作中处理此主题的接受和准备也影响了他们对HCPs的看法。这项研究的局限性在于缺乏来自非洲的合格研究以及一些研究的参与者人数很少。
结论：可以得出结论，HCP对PC的看法相似，不管他们的原籍国。
方法：数据库（MEDLINE/PubMed，Embase,LILACS,和EBSCO)进行了系统搜索。报告对HCPs的看法的文章，2012年1月至2022年12月期间发布的，包括在内。报道家庭成员和患者看法的文本被排除在外，以避免偏见的风险。这些报告是按国家/地区和大陆组织的，供以后分析。
结果：在最初检索的2,063篇文章中，有32篇被收录并提供了来自四大洲的相关信息（美国，亚洲,欧洲,和大洋洲）。其中大部分是通过访谈和问卷调查完成的。研究中咨询的所有HCP都认识到PC的重要性。这些专业人士的认知受到文化因素（如宗教）的影响，在每个国家/地区感知到的困难(如知识不足，概念混乱，等。),疾病,和患者的年龄范围。专业人士在日常工作中处理此主题的接受和准备也影响了他们对HCPs的看法。这项研究的局限性在于缺乏来自非洲的合格研究以及一些研究的参与者人数很少。
结论：可以得出结论，HCP对PC的看法相似，不管他们的原籍国。
