巴西的姑息治疗和公共政策:概念和历史方面

Maria Cristina Hoffmann, Janaína Vidotti, Julia Oliveira, Larissa Polejack
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引用次数: 0

摘要

姑息治疗旨在提高危及生命的疾病患者的生活质量,寻求减轻和预防身体、社会、心理和精神上的痛苦。本研究是对文献的叙述性回顾,旨在介绍姑息治疗的概念和历史概述,重点关注巴西的现实情况和现有公共政策的情况。结果表明,尽管这是一项重要的卫生实践,人们对这一主题的兴趣也越来越大,但直到2018年,三方机构间委员会才发布了一项决议,规定单一卫生系统提供的服务作为综合持续护理的一部分。然而,充分实施该计划的法律基础仍然缺乏,一些挑战仍然存在,例如该国某些地区的服务集中,难以获得阿片类药物,缺乏专业团队,需求与专业培训之间存在距离,以及在不同级别的护理方面面临多样化的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CUIDADOS PALIATIVOS E POLÍTICAS PÚBLICAS NO BRASIL: aspectos conceituais e históricos
Palliative Care aims to promote quality of life for patients with life-threatening diseases, seeking relief and prevention of physical, social, psychological and spiritual suffering. This study is a narrative review of the literature, which aims to present a conceptual and historical overview of Palliative Care, focusing on the Brazilian reality and the scenario regarding existing public policies. The results indicate that, despite an important health practice and the growing interest in the subject, it was only in 2018 that the Tripartite Inter-Agency Commission published a resolution that regulates its offer by the SUS as part of integrated continuing care. However, legal bases for its full implementation are still lacking and some challenges persist, such as the concentration of services in some regions of the country, difficulty in accessing opioids, lack of specialized teams, distance between demand and professional training, and the challenge of diversification at different levels of care.
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