title: Knowledge and attitudes toward palliative terminal cancer care among Thai generalists.
abstract: BACKGROUND
  Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting.
  
  
  METHODS
  We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables.
  
  
  RESULTS
  Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042).
  
  
  CONCLUSIONS
  Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.
authors.affiliation: Family Physician, Department of Social Medicine, Khon Kaen Center Hospital, Khon Kaen, Thailand E-mail : bchumworathayi@gmail.com.
authors.forename: Jiratha
authors.initials: J
authors.lastname: Budkaew
authors.forename: Bandit
authors.initials: B
authors.lastname: Chumworathayi
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D058005:General Practitioners / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D010166:Palliative Care / Q000523:psychology*; D011379:Prognosis; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000523:psychology*; D013785:Thailand; D055815:Young Adult