Expert Perspectives on Integrating Palliative Care into Primary Health Care: A Qualitative Analysis of a Modified Delphi Study.
Background: Integrating palliative care (PC) into primary health care (PHC) is essential for achieving Universal Health Coverage and reducing avoidable suffering. Despite global progress in PC development, the extent to which PC is effectively embedded within PHC systems remains unclear, particularl...
| Publicado en: | Nursing Reports Vol. 16; no. 1; pp. 20 - 36 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191217484&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191217484 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jan2026 vid: 16 iid: 1 pid: 97109 pub: MDPI artinfo: ui: 191217484 191217484 191217484 10.3390/nursrep16010020 191217484 ppf: 20 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Expert Perspectives on Integrating Palliative Care into Primary Health Care: A Qualitative Analysis of a Modified Delphi Study. aug: au: Muñoz Olivar, Carolina Marquez-Doren, Francisca Gómez Quintero, Juan Sebastián Toro, Carla Taramasco Avendaño-Vásquez, Carlos Javier affil: Health Sciences, Faculty of Medicine, Antonio Nariño University, Bogotá 111321, Colombia sug: subj: Palliative Care Colombia Primary Health Care Colombia Health Care Delivery, Integrated Expert Clinicians Psychosocial Factors Attitude of Health Personnel Human Funding Source Colombia Female Male Adult Middle Age Qualitative Studies Delphi Technique Thematic Analysis Conceptual Framework Data Analysis Software Public Health Health Services Accessibility Health Policy Rural Areas Workforce Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Integrating palliative care (PC) into primary health care (PHC) is essential for achieving Universal Health Coverage and reducing avoidable suffering. Despite global progress in PC development, the extent to which PC is effectively embedded within PHC systems remains unclear, particularly in low- and middle-income countries. Colombia illustrates this gap, with an advanced legal framework but persistent territorial inequities. This study explored how national experts conceptualize PC integration into PHC to inform the development of context-sensitive indicators. Methods: A directed thematic analysis was conducted using qualitative comments from a modified Delphi process (pre-Delphi, Round 1, Round 2). Coding was guided by the WHO model for PC development and the WHO–UNICEF Operational Framework for PHC, combining deductive and inductive approaches to identify recurrent themes. Results: A total of 230 qualitative comments from experts in PC, PHC, and public health were analyzed. Experts described integration as the alignment of policy, education, service delivery, and community participation within PHC structures. They emphasized that laws and training programs alone are insufficient; integration depends on implementation capacity, equitable access, and locally responsive systems. Rural areas were identified as facing the greatest barriers, including limited trained staff, restricted medicine availability, and weak referral pathways. Conclusions: Experts understood PC integration into PHC as a dynamic and ethical process linking system design with human experience. Strengthening equity, workforce preparation, and community engagement is essential to translate policy into practice and to develop meaningful indicators for health system improvement. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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