Truth-telling by doctors to patients is a basic moral rule in
developed healthcare systems. Not to tell the truth #jeopardizes
staff-patient trust, undermines the patient’s capacity for autonomy, and
deprives the terminally-ill of a ‘good death’. Yet non-truth-telling is
still common. This study explores and measures the extent of
non-truth-telling to cancer patients in Israel’s modern health care
system, why it
happens and what #consequences it leads to.This Mixed Methods study of
doctors working regularly in the field of #palliative care, in both
hospital,
community and home care settings centred on two main tools, the first a
qualitative structured in-depth interview of 15 doctors (from oncology,
hospice home care and family medicine); the second a much longer
quantitative self-administered questionnaire for 90 practitioners (30
hospital #oncologists, 30 home care specialists, and 30 family medicine
specialists). The sample was made fully representative of the research
population. The sampling method combined cluster, directed and
convenience sampling. Data were analysed by content analysis and
descriptive
statistics (chiefly means and correlations).
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