在哈萨克斯坦资源有限的环境中发展姑息治疗服务的挑战。

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Islam Salikhanov, Stephen R Connor, Gulnara Kunirova, Fatima Khashagulgova, Gulzhaina Nazarova, Byron Lawrence Crape, Maria C Katapodi
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引用次数: 0

摘要

背景:全世界约有4000万人需要姑息治疗,其中80%生活在低收入和中等收入国家。哈萨克斯坦是一个医疗体系正在改革的中低收入国家,致力于改善其10万名需要姑息治疗的晚期患者的护理质量和可及性。政策选择和建议:为了加入姑息治疗可获得、可获得和可负担的国家行列,哈萨克斯坦必须将姑息治疗服务纳入各级主流卫生保健系统,从初级卫生保健到临终关怀,从主要城市到偏远村庄。根据直接从卫生部全面收集的证据,作者提出了一套关于姑息政策、疼痛缓解、基础设施、劳动力和教育的可行建议,可在哈萨克斯坦以外的中低收入国家实施。结论:本研究分析了哈萨克斯坦姑息治疗的挑战、最新发展和需求,包括资金、政策、劳动力、教育和基础设施,为哈萨克斯坦和其他中低收入国家姑息治疗的未来发展提供了证据基础和建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Challenges for Developing Palliative Care Services in Resource- Limited Settings of Kazakhstan.

Challenges for Developing Palliative Care Services in Resource- Limited Settings of Kazakhstan.

Challenges for Developing Palliative Care Services in Resource- Limited Settings of Kazakhstan.

Background: Approximately 40 million people in need of palliative care worldwide, while 80% of them live in low- and middle-income countries. Kazakhstan, a low-to middle-income country with a reforming healthcare system, is committed to improving quality and accessibility of care for its 100,000 terminal patients in need of palliative care. Policy Options and Recommendations: To join the group of countries where palliative care is available, accessible, and affordable, Kazakhstan must integrate palliative services into the mainstream healthcare system at all levels, from primary healthcare to hospices, and from major cities to remote villages. Based on the evidence thoroughly collected directly from the Ministry of Health, authors propose a feasible set of recommendations regarding palliative policy, pain relief, infrastructure, workforce, and education, which could be implemented in LMICs beyond Kazakhstan. Conclusion: This study presents an analysis of challenges, recent developments, and needs of palliative care in Kazakhstan, including funding, policy, workforce, education, and infrastructure, providing an evidence base and recommendations for future development of palliative care in Kazakhstan and in other LMICs.

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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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