Knowledge of palliative care among medical interns in Chilean universities: A necessary diagnosis
DOI:
https://doi.org/10.52611/confluencia.2026.1822Keywords:
Integrative Palliative Care, Medical Education, Internship, Residency, ChileAbstract
Introduction: Palliative care is essential in current medical education. Objective: To determine the knowledge of medical interns in Chilean universities regarding palliative care. Methodology: A convergent parallel, descriptive, cross-sectional, and multicenter design was used. A validated questionnaire was administered to assess conceptual, clinical, and legal dimensions. The study was approved by an ethics committee and the participants signed informed consent. Result: Responses from 346 interns were analyzed. Eighty-seven percent consider palliative care to be essential in medical care. There are gaps in specific knowledge: a significant percentage associates palliative care with end-of-life care, or there are doubts regarding the use of morphine and addiction (11%). 93% agree that palliative care should not be delayed. Discussion: Although there is a positive attitude and adequate general conceptual knowledge. There are myths and gaps in technical knowledge that suggest the need to strengthen palliative care competencies. Conclusion: Medical interns in Chile demonstrate a positive attitude and a solid conceptual foundation in palliative care. There is a need to strengthen both curricular and continuing education to ensure timely, comprehensive care that complies with current legislation.
References
1. World Health Organization. Palliative care. Key facts [Internet]. Ginebra: WHO; 2020 [citado el 7 de mayo 2026]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/palliative-care
2. Clark D. Originating a movement: Cicely Saunders and the development of St Christopher’s Hospice, 1957-1967. Mortality [Internet]. 1998 [citado el 7 de mayo 2026];3(1):43-63. Disponible en: https://doi.org/10.1080/713685885
3. Del Río MI, Palma A. Cuidados paliativos: historia y desarrollo. Bol Esc Med UC [Internet]. 2007 [citado el 7 de mayo 2026];32(1):51-6. Disponible en: https://cuidadospaliativos.org/uploads/2013/10/historia%20de%20CP.pdf.
4. Chang J, Qi Z, Jiang S, Li L, Sun Q. The impact of palliative care education and training program on the resident physicians. Ann Palliat Med [Internet]. 2021 [citado el 7 de mayo 2026];10(3):2758-65. Disponible en: https://doi.org/10.21037/apm-20-1625
5. Gryschek G, Cecilio-Fernandes D, Mason S, de Carvalho-Filho MA. Assessing palliative care education in undergraduate medical students: translation and validation of the Self-Efficacy in Palliative Care and Thanatophobia Scales for Brazilian Portuguese. BMJ Open [Internet]. 2020 [citado el 7 de mayo 2026];10(6):e034567. Disponible en: https://doi.org/10.1136/bmjopen-2019-034567
6. Mann M, Cordine R, Byrne A. What competency frameworks are available to promote a consistent education framework for palliative and end of life care workforce in Wales? A Rapid Evidence Map. BMJ Support Palliat Care [Internet]. 2023 [citado el 7 de mayo 2026];13:A11-A12. Disponible en: https://doi.org/10.1136/spcare-2023-MCRC.27
7. Toussaint V, Paal P, Simader R, Elsner F. The state of undergraduate palliative care education at Austrian medical schools – a mixed methods study. BMC Palliat Care [Internet]. 2023 [citado el 7 de mayo 2026];22(1):151 Disponible en: https://doi.org/10.1186/s12904-023-01255-9
8. Younis WY, Hamdan-Mansour AM. Status and predictors of medical students' knowledge and attitude towards palliative care in Jordan: a cross-sectional study. BMC Palliat Care [Internet]. 2024 [citado el 7 de mayo 2026];23(1):9. Disponible en: https://doi.org/10.1186/s12904-023-01338-7
9. Suija K, Mason SR, Elsner F, Paal P. Palliative care training in medical undergraduate education: a survey among the faculty. BMC Palliat Care [Internet]. 2024 [citado el 7 de mayo 2026];23(1):19. Disponible en: https://doi.org/10.1186/s12904-024-01351-4
10. Ministerio de Salud de Chile. Ley N° 21.375: Consagra los cuidados paliativos y los derechos de las personas que padecen enfermedades terminales o graves [Internet]. Santiago: Biblioteca del Congreso Nacional de Chile; 2021 [citado el 7 de mayo 2026]. Disponible en: https://www.bcn.cl/leychile/navegar?idNorma=1166846
11. Ministerio de Salud de Chile. Decreto 41: Reglamento sobre cuidados paliativos y los derechos de las personas que padecen enfermedades terminales o graves [Internet]. Santiago: Biblioteca del Congreso Nacional de Chile; 2023 [citado el 7 de mayo 2026]. Disponible en: https://bcn.cl/3bbdj
12. Ministerio de Salud de Chile. Informe de Vigilancia de Cáncer: Análisis de Mortalidad Prematura y Años de Vida Potencial Perdidos (AVPP) por Cáncer. Década 2009-2018 [Internet]. Chile: Departamento de Epidemiología; 2021 [citado el 7 de mayo 2026]. Disponible en: https://www.minsal.cl/wp-content/uploads/2022/01/Informe-Mortalidad-Prematura-y-AVPP-por-C%C3%A1ncer-2009-2018.pdf
13. Troncoso J, Morales-Meyer T, Villarroel L, Turrillas P, Rodríguez-Núñez A. Adaptación y validación en Chile del instrumento de identificación de pacientes con necesidad de atención paliativa: NECPAL-CCOMS-ICO 3.1©. Aten Primaria [Internet]. 2021 [citado el 7 de mayo 2026];53(4):101994. Disponible en: https://doi.org/10.1016/j.aprim.2021.101994
14. Caraceni A, Hanks G, Kaasa S, Bennett MI, Brunelli C, Cherny N, et al. Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC. Lancet Oncol [Internet]. 2012 [citado el 7 de mayo 2026];13(2):e58–e68. Disponible en: https://doi.org/10.1016/s1470-2045(12)70040-2
15. Gallastegui-Braña A, Parra-Giordano D, Pérez-Cruz P. Estado de formación en cuidados paliativos a nivel del pregrado en las carreras de Medicina y Enfermería de Chile. Rev Med Chil [Internet]. 2022 [citado el 7 de mayo 2026];150(4):541-8 Disponible en: http://dx.doi.org/10.4067/S0034-98872022000400541
16. Rossetti Gallardo J, Sepulchre MC, Alvarado C. La ley de cuidados paliativos universales según el personal de salud: Sus comienzos en Talcahuano (Chile). Rev Chil Aten Prim Salud Fam [Internet]. 2023 [citado el 7 de mayo 2026];2:19. Disponible en: http://dx.doi.org/10.5354/2735-7805.2023.69466
17. Fortín Magaña MA, Portillo Santamaría K, Gómez Casanovas J, López Saca M. Enseñanza de los cuidados paliativos en las escuelas de medicina de El Salvador. Educ Med [Internet]. 2019 [citado el 7 de mayo 2026];20(1):143-7. Disponible en: https://doi.org/10.1016/j.edumed.2017.09.010
18. Canario Cerna JB, Custodio Chafloque SD. Cuidados paliativos en los planes curriculares de las facultades de Medicina Humana de la Macro Región Norte, Perú - año 2022 [Internet]. Perú: Universidad de San Martín de Porres; 2024 [citado el 7 de mayo 2026]. Disponible en: https://repositorioslatinoamericanos.uchile.cl/handle/2250/9256597
19. Creswell JW, Clark VL. Designing and conducting mixed methods research. 3rd ed. Thousand Oaks (CA): SAGE Publications; 2017 [citado el 7 de mayo 2026].
20. Brito LFS, Vitória de Menezes Nunes A, Ferreira Santos Brito L, Meneses Melo MB, da Conceição MV, de Castro Vasconcelos MC, et al. Palliative care in an active teaching methodology. Rev Bioét [Internet]. 2023 [citado el 7 de mayo 2026];31(2). Disponible en: https://doi.org/10.1590/1983-803420232489PT
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Revista Confluencia

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



