{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:05:21Z","timestamp":1784264721153,"version":"3.55.0"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Palliative care is recognized as a human right within health care; however, access remains limited, especially in low- and middle-income countries. Ethiopia\u2019s health care system faces numerous challenges, including a lack of trained professionals, inadequate policies, and restricted access to essential medications such as morphine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>This exploratory study aimed to examine the cultural, sociological, and psychological barriers to implementing palliative care at Gambo Rural Hospital in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Methods:<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>A qualitative exploratory design was used. Through interviews, perspectives, beliefs, and behaviors related to palliative care were explored, including cultural misconceptions present not only among the general population but also among physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The findings revealed important cultural, sociological, and psychological barriers to the implementation of palliative care. Misconceptions and limited understanding of palliative care were identified at both community and professional levels, hindering its acceptance and integration into routine practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>This study underscores the urgent need to integrate palliative care into the training of health care professionals, address cultural and religious factors, and develop community-based palliative care models adapted to local contexts. To improve care, targeted educational initiatives and the incorporation of palliative care into national health strategies are essential to ensure that no patient, particularly those in underserved rural populations such as Gambo, is left to suffer unnecessarily.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26892820261462737","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T04:39:11Z","timestamp":1784090351000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Palliative Care in Gambo, Ethiopia Understanding Stakeholders\u2019 Perspectives and Barriers"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1087-9300","authenticated-orcid":false,"given":"Luc\u00eda","family":"Platero","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Hospital Universitario La Paz, Madrid, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Muela","sequence":"additional","affiliation":[{"name":"Universitat Rovira i Virgili, Tarragona, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Supporting patients who opt not to have dialysis or stop dialysis: Guidelines for Nurses","author":"Burn K","year":"2021","unstructured":"1.Burn K. Overview of palliative care. Chapter I. In: Supporting patients who opt not to have dialysis or stop dialysis: Guidelines for Nurses. (Kelly M., eds), European Dialysis and Transplant Nurses Association\/European Renal Care Association (EDTNA\/ERCA): Hergiswil, CH; 2021. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK599374\/"},{"key":"e_1_3_2_3_1","unstructured":"2.World Health Organization. Palliative care. WHO: Geneva; 2024. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care [Last accessed: Aug31 2024]."},{"key":"e_1_3_2_4_1","volume-title":"Assessing national capacity for the prevention and control of noncommunicable diseases: Report of the 2019 global survey","author":"World Health Organization","year":"2020","unstructured":"3.World Health Organization. Assessing national capacity for the prevention and control of noncommunicable diseases: Report of the 2019 global survey. WHO: Geneva; 2020. Licence: CC BY-NC-SA 3.0 IGO."},{"key":"e_1_3_2_5_1","unstructured":"4.International Narcotics Control Board. The report of the International Narcotics Control Board for 2019 (E\/INCB\/2019\/1). INCB: Vienna; 2019. Available from: https:\/\/www.incb.org\/documents\/Narcotic-Drugs\/Technical-Publications\/2019\/Narcotic_Drugs_Technical_Publication_2019_web.pdf"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(17)30420-5"},{"key":"e_1_3_2_7_1","first-page":"1","article-title":"Palliative care development in Africa: Lessons from Uganda and Kenya","volume":"4","author":"Fraser BA","year":"2018","unstructured":"6.Fraser BA, , Powell RA, , Mwangi-Powell FN, et al. Palliative care development in Africa: Lessons from Uganda and Kenya. J Glob Oncol 2018;4:1\u201310. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6180772\/","journal-title":"J Glob Oncol"},{"key":"e_1_3_2_8_1","unstructured":"7.World Population Review. Ethiopia population 2024 (live). World Population Review; 2024. Available from: https:\/\/worldpopulationreview.com\/countries\/ethiopia [Last accessed: Aug31 2024]."},{"key":"e_1_3_2_9_1","unstructured":"8.World Health Organization. Ethiopia. WHO. Available from: https:\/\/www.afro.who.int\/countries\/ethiopia [Last accessed: Sep9 2024]."},{"issue":"4","key":"e_1_3_2_10_1","article-title":"Oromo Indigenous Religion: Waaqeffannaa","volume":"3","author":"Gebissa AB","year":"2016","unstructured":"9.Gebissa AB. Oromo Indigenous Religion: Waaqeffannaa. Int. J. Res. Sci. Innov 2016;3(4) Available from: https:\/\/www.waaqeffannaa.com\/wp-content\/uploads\/2017\/02\/Oromo-Indigenous-Religion-Waaqeffannaa.pdf","journal-title":"Int. J. Res. Sci. 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