the terminal cancer patients are increasing. Palliative
care is going to be a major role, especially advance
care plan. The family medicine resident is an
important part of the members in the palliative care
team. The aims of this study were to explore the
knowledge, experiences and barriers in advance care
plan for terminal cancer patients of family medicine
residents.
Methods: This was a mixed method study. Using the
questionnaire was conducted among the doctors who
were in residency training in family medicine in the
year 2019 and this data were analyzed by statistical
method. Semi-structured interview with purposive
sampling was conducted and the data were analyzed
using content analysis.
Results: 78 respondents answered the questionnaire.
The 94.87 percentage of these were in a good level
of the knowledge and the 83.3 percentage of these
had the barrier among this process. The most barrier
was the imprecise prognosis of the disease, the
patient’s family and the primary doctors,
respectively. A sample of 7 family medicine residents
complying with the inclusion criteria were recruited
and interviewed. They were more acknowledged about
advance care plan in the terminal care patients and
learnt about obstacles within themselves Conclusion: There was a good level of knowledge in
advance care plan for terminal cancer patients of
family medicine residents. Each of them was the
different experience, both enhancers and barriers, in
advance care plan for terminal cancer patients. A
new model of advance care planning in the terminal
cancer patients by health care providers is established
from this research.
Keywords
advance care plan; terminal cancer patients; knowledge; barriers; family medicine residents