哈尔科夫国立医科大学缓和医学中心:现代挑战和发展战略

V. Kapustnyk, V. Myasoedov, O. Riga, N. Orlova
{"title":"哈尔科夫国立医科大学缓和医学中心:现代挑战和发展战略","authors":"V. Kapustnyk, V. Myasoedov, O. Riga, N. Orlova","doi":"10.35339/ic.8.4.196-200","DOIUrl":null,"url":null,"abstract":"In most countries of the world, palliative care is an integral part of quality medical care, which includes comprehensive medical, social, psychological, and spiritual support for critically ill patients and their relatives. According to the WHO, every year about 20 million people worldwide need palliative care at the end of their lives. There are many more who need palliative care until the last year of their lives. Thus, the total number of people who need palliative care annually is about 40 million. It is estimated that of the 20 million people in need of end-of-life palliative care, 78% live in low- and middle-income countries; about 67% are elderly and about 6% are children. However, only 14% of people who need end-of-life palliative care receive it. Palliative care considers the principle of respect for patients' decisions and aims to provide practical support to their family members during illness and in the event of a patient's death to overcome grief over the loss of a loved one. The WHO's global strategy for health care, based on human approach and integration, is to strengthen palliative care programs for patients with various diseases. Despite the fact that some steps have already been taken in Ukraine towards the development of palliative care, there are still some problems: lack of qualified medical staff; lack of relationships between primary and secondary, tertiary care and coordination; imperfect system of informing medical workers about ensuring the right to anesthesia for seriously ill patients; lack of a sufficient number of pharmacies licensed to operate controlled medicines; lack of interagency programs in the field of palliative care.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"17 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"CENTER OF PALLIATIVE MEDICINE AT KHARKIV NATIONAL MEDICAL UNIVERSITY: MODERN CHALLENGES AND DEVELOPMENT STRATEGIES\",\"authors\":\"V. Kapustnyk, V. Myasoedov, O. Riga, N. Orlova\",\"doi\":\"10.35339/ic.8.4.196-200\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In most countries of the world, palliative care is an integral part of quality medical care, which includes comprehensive medical, social, psychological, and spiritual support for critically ill patients and their relatives. According to the WHO, every year about 20 million people worldwide need palliative care at the end of their lives. There are many more who need palliative care until the last year of their lives. Thus, the total number of people who need palliative care annually is about 40 million. It is estimated that of the 20 million people in need of end-of-life palliative care, 78% live in low- and middle-income countries; about 67% are elderly and about 6% are children. However, only 14% of people who need end-of-life palliative care receive it. Palliative care considers the principle of respect for patients' decisions and aims to provide practical support to their family members during illness and in the event of a patient's death to overcome grief over the loss of a loved one. The WHO's global strategy for health care, based on human approach and integration, is to strengthen palliative care programs for patients with various diseases. Despite the fact that some steps have already been taken in Ukraine towards the development of palliative care, there are still some problems: lack of qualified medical staff; lack of relationships between primary and secondary, tertiary care and coordination; imperfect system of informing medical workers about ensuring the right to anesthesia for seriously ill patients; lack of a sufficient number of pharmacies licensed to operate controlled medicines; lack of interagency programs in the field of palliative care.\",\"PeriodicalId\":194632,\"journal\":{\"name\":\"Inter Collegas\",\"volume\":\"17 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-05-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Inter Collegas\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.35339/ic.8.4.196-200\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Inter Collegas","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35339/ic.8.4.196-200","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

在世界上大多数国家,姑息治疗是优质医疗服务的一个组成部分,包括对危重病人及其亲属的全面医疗、社会、心理和精神支持。根据世界卫生组织的数据,全世界每年约有2000万人在生命的最后阶段需要姑息治疗。还有更多的人在生命的最后一年需要姑息治疗。因此,每年需要姑息治疗的总人数约为4000万。据估计,在需要临终临终姑息治疗的2000万人中,78%生活在低收入和中等收入国家;其中67%是老人,6%是儿童。然而,只有14%需要临终缓和治疗的人得到了治疗。姑息治疗考虑到尊重病人决定的原则,目的是在病人生病期间和在病人死亡的情况下向其家庭成员提供实际支持,以克服失去亲人的悲痛。世卫组织的全球卫生保健战略基于以人为本和一体化,旨在加强对各种疾病患者的姑息治疗方案。尽管乌克兰在发展缓和医疗方面已经采取了一些步骤,但仍然存在一些问题:缺乏合格的医务人员;初级和二级、三级保健和协调之间缺乏关系;医务人员对保障危重病人麻醉权的告知制度不完善;缺乏足够数量的持牌经营受管制药物的药房;缓和医疗领域缺乏跨部门项目。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CENTER OF PALLIATIVE MEDICINE AT KHARKIV NATIONAL MEDICAL UNIVERSITY: MODERN CHALLENGES AND DEVELOPMENT STRATEGIES
In most countries of the world, palliative care is an integral part of quality medical care, which includes comprehensive medical, social, psychological, and spiritual support for critically ill patients and their relatives. According to the WHO, every year about 20 million people worldwide need palliative care at the end of their lives. There are many more who need palliative care until the last year of their lives. Thus, the total number of people who need palliative care annually is about 40 million. It is estimated that of the 20 million people in need of end-of-life palliative care, 78% live in low- and middle-income countries; about 67% are elderly and about 6% are children. However, only 14% of people who need end-of-life palliative care receive it. Palliative care considers the principle of respect for patients' decisions and aims to provide practical support to their family members during illness and in the event of a patient's death to overcome grief over the loss of a loved one. The WHO's global strategy for health care, based on human approach and integration, is to strengthen palliative care programs for patients with various diseases. Despite the fact that some steps have already been taken in Ukraine towards the development of palliative care, there are still some problems: lack of qualified medical staff; lack of relationships between primary and secondary, tertiary care and coordination; imperfect system of informing medical workers about ensuring the right to anesthesia for seriously ill patients; lack of a sufficient number of pharmacies licensed to operate controlled medicines; lack of interagency programs in the field of palliative care.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信