Abstract
Background: Palliative care provision in Thailand is at the preliminary stage of integration yet variable care delivered still exists. Further, advance care planning becomes legal in 2007, its influence over care remains indetermined.
Aim: To examine the influence of palliative care delivered and advance care planning on quality of life, care and death.
Design: Scoping review and bibliometric analysis, following a publish protocol.
Sources:
The authors independently screened the articles from four databases, Google Scholar and extracted the data. 44 out of 217 articles were included for the analysis. Findings were narratively synthesised and categorised under Bronfenbrenner’s bioecological model.
Results:
Fifteen articles focused on cancer; only one article addressed dementia care. Eleven articles measured increased quality of life. Seven articles quantified improved quality of care; ten suggested perceived improved quality of care. Two article assessed quality of death; five assumed perceived improved quality of death, all related to the Thai discourses around good death. Advance care planning is perceived to improve quality of life; its influence on quality of care and death is not assessed.
Almost all articles focused on Buddhist patients and families, neglecting the minoritised communities. Three articles partly discussed religion as a part of equality, diversity and inclusivity.
Bibliometric analysis shows five thematic clusters, confirming findings from the initial scoping review.
Conclusion:
The quality of palliative care delivery in Thailand is not fully assessed nor benchmarked. There is a need for more research from non-cancer groups. The lack of diverse patient voice also needs to be addressed.
Aim: To examine the influence of palliative care delivered and advance care planning on quality of life, care and death.
Design: Scoping review and bibliometric analysis, following a publish protocol.
Sources:
The authors independently screened the articles from four databases, Google Scholar and extracted the data. 44 out of 217 articles were included for the analysis. Findings were narratively synthesised and categorised under Bronfenbrenner’s bioecological model.
Results:
Fifteen articles focused on cancer; only one article addressed dementia care. Eleven articles measured increased quality of life. Seven articles quantified improved quality of care; ten suggested perceived improved quality of care. Two article assessed quality of death; five assumed perceived improved quality of death, all related to the Thai discourses around good death. Advance care planning is perceived to improve quality of life; its influence on quality of care and death is not assessed.
Almost all articles focused on Buddhist patients and families, neglecting the minoritised communities. Three articles partly discussed religion as a part of equality, diversity and inclusivity.
Bibliometric analysis shows five thematic clusters, confirming findings from the initial scoping review.
Conclusion:
The quality of palliative care delivery in Thailand is not fully assessed nor benchmarked. There is a need for more research from non-cancer groups. The lack of diverse patient voice also needs to be addressed.
| Original language | English |
|---|---|
| Publisher | Advance |
| Number of pages | 21 |
| DOIs | |
| Publication status | Published - 15 Apr 2025 |
Keywords
- Health Equity
- Palliative Care
- Quality of Life
- Quality of Care
- Quality of Death
- Scoping review
- Bibliometric analysis
- Inequalities in health
