INQUIRY: The Journal of Health Care Organization, Provision, and Financing | |
Branding Palliative Care Units by Avoiding the Terms âPalliativeâ and âHospiceâ: A Nationwide Study in Taiwan | |
Ying-Xiu Dai1  | |
关键词: palliative care; hospice; stigma; names; Taiwan; | |
DOI : 10.1177/0046958016686449 | |
学科分类:医学(综合) | |
来源: Sage Journals | |
【 摘 要 】
The term âpalliative careâ has a negative connotation and may act as a barrier to early patient referrals. Rebranding has thus been proposed as a strategy to reduce the negative perceptions associated with palliative care. For example, using the term âsupportive careâ instead of âpalliative careâ in naming palliative care units has been proposed in several studies. In Taiwan, terms other than âpalliativeâ and âhospiceâ are already widely used in the names of palliative care units. With this in mind, this study investigated the characteristics of palliative care unit names in order to better understand the role of naming in palliative care. Relevant data were collected from the Taiwan Academy of Hospice Palliative Medicine, the National Health Insurance Administration of the Ministry of Health and Welfare, and the open database maintained by the government of Taiwan. We found a clear phenomenon of avoiding use of the terms âpalliativeâ and âhospiceâ in the naming of palliative care units, a phenomenon that reflects the stigma attached to the terms âpalliativeâ and âhospiceâ in Taiwan. At the time of the study (September, 2016), there were 55 palliative care units in Taiwan. Only 20.0% (n = 11) of the palliative care unit names included the term âpalliative,â while 25.2% (n = 14) included the term âhospice.â Religiously affiliated hospitals were less likely to use the terms âpalliativeâ and âhospiceâ (Ï2 = 11.461, P = .001). There was also a lower prevalence of use of the terms âpalliativeâ and âhospiceâ for naming palliative care units in private hospitals than in public hospitals (Ï2 = 4.61, P = .032). This finding highlights the strong stigma attached to the terms âpalliativeâ and âhospiceâ in Taiwan. It is hypothesized that sociocultural and religious factors may partially account for this phenomenon.
【 授权许可】
CC BY-NC
【 预 览 】
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