The Current Communication Gaps and Needs Among Different Age Groups: Insights from a Cross-Sectional Study

Background: Communication is a cornerstone of quality healthcare, particularly in palliative care, where emotional, cultural, and informational needs differ across age groups. Despite its importance, systematic assessment of communication needs in different age groups remains underexplored in India. Objective: To identify communication gaps and needs among different age groups in palliative care settings and to suggest strategies for age-specific communication improvement. Methods: A descriptive cross-sectional study was conducted among 450 participants spanning adolescents, adults, and older adults in Chennai. Data were collected using structured questionnaires covering preferred communication channels, perceived barriers, and satisfaction with healthcare provider communication. Statistical analysis included chi-square tests and logistic regression. Results: Younger participants (15–24 years) preferred digital communication platforms, while older adults (≥60 years) valued face-to-face communication. Communication barriers included lack of empathy (42%), use of medical jargon (37%), and insufficient information (29%). Logistic regression showed older adults were significantly more likely to report unmet communication needs (OR=2.14, 95% CI 1.25–3.67, p<0.01). Conclusion: Communication preferences and barriers differ significantly by age. Tailored strategies such as digital integration for youth and personalised counselling for older adults may improve patient satisfaction and outcomes in palliative care.