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Table 5 Barriers to palliative care

From: Palliative care for patients with heart failure: facilitators and barriers - a cross sectional survey of German health care professionals

Palliative care of patients with chronic heart failure is often hampered because… Agreement
…patients and relatives are not sufficiently informed about the severity and the prognosis of CHF. 142 (81.1 %)
…physicians and nurses have an information deficit about content and possibilities of palliative care. 141 (80.6 %)
…it is easier to continue with an existing therapy than to discuss a change of the therapy’s aim with the patient. 132 (75.4 %)
…patients have a degree of reluctance in accepting that life is limited. 130 (74.3 %)
…in our society dying is a taboo subject. 128 (73.1 %)
…there are different attitudes between the different medical disciplines (cardiology, general medicine, internal medicine, palliative care medicine) regarding therapy of patients with heart failure. 127 (72.6 %)
…relatives want everything possible to be done. 125 (71.4 %)
..the creeping course of the disease does not look threatening. 124 (70.9 %)
…palliative care medicine mainly focuses on oncological patients. 115 (65.7 %)
..there are different attitudes between the different medical professions (nurses, physicians) regarding therapy of patients with heart failure. 112 (64.0 %)
…physicians/nurses do not have a palliative care contact person when needed. 111 (63.4 %)
…patients put palliative care medicine on the same level as euthanasia. 103 (58.9 %)
…patients want everything possible to be done. 101 (57.7 %)
… a lot of physicians perceive palliative care as a defeat. 86 (49.1 %)
…no palliative care approach exist for patients with heart failure. 76 (43.4 %)
…the medical team is not conscious of the severity and progression of CHF. 66 (37.7 %)
…funding for palliative care is not available. 64 (36.6 %)
…palliative care medicine is perceived to be in competition with cardiology/general medicine, internal medicine. 63 (36.0 %)