{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:49:57Z","timestamp":1777945797603,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":["Sage Open Aging"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Palliative care aims to optimize the quality of life of critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study assessed Lebanese physicians\u2019 attitudes toward palliative care and their use of NECPAL tool in clinical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional design was adopted among 259 physicians using a structured questionnaire. Data analysis was conducted using IBM SPSS Statistics software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 259 physicians, 83.4% used NECPAL tool, with a mean attitude score toward palliative care of 4.37 (\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009=\u20090.39). Higher attitude scores were significantly associated with NECPAL use (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001), presence of institutional policies supporting advanced care planning (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.017). Multivariable regression confirmed NECPAL use, facility policies, and availability of palliative care units as independent predictors of attitudes (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings highlight the role of institutional infrastructure and validated assessment tools in shaping physician\u2019s perceptions and promoting better integration of palliative care in Lebanon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/30495334261446720","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:01:37Z","timestamp":1777550497000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Physicians\u2019 Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A Cross-Sectional Study"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3761-1215","authenticated-orcid":false,"given":"Iyad","family":"Bou Mehdi","sequence":"first","affiliation":[{"name":"Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Husam","family":"Ghusn","sequence":"additional","affiliation":[{"name":"Ain Wazein Medical Village, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Altarawneh W. 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