title: Evaluating palliative care needs in Middle Eastern countries.
abstract: BACKGROUND
  Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease.
  
  
  OBJECTIVE
  To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities.
  
  
  METHODS
  Descriptive survey.
  
  
  METHODS
  Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings.
  
  
  METHODS
  Palliative care needs assessment.
  
  
  RESULTS
  Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly.
  
  
  CONCLUSIONS
  The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.
authors.affiliation: 1 Middle East Cancer Consortium, Technion-Israel Institute of Technology , Haifa, Israel .
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mesh_terms: D000328:Adult; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D017051:Hospice Care / Q000458:organization & administration*; D006801:Humans; D008877:Middle East; D020380:Needs Assessment; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care / Q000458:organization & administration*