Pampallona Sandro, Bollini Paola
forMed, Statistics for Medicine, Evolène, Switzerland.
J Pain Palliat Care Pharmacother. 2003;17(3-4):171-82; discussion 183-4.
Contemporary medical knowledge is sufficient to control the suffering of most of the millions of terminally patients in the world if applied appropriately. However, palliative care is still unavailable to most patients in developing countries. Effective models of palliative care delivery that have been tested in developed countries seldom apply to the developing world where poverty, extended families, and insufficient health infrastructure require the adaptation of such care to local cultures and circumstances. Research from developing countries is therefore needed to develop, implement, and monitor the delivery of palliative care in ways that are feasible in resource-poor settings and acceptable to local populations. Palliative care research shares most of the obstacles common to health research in the developing world. Additional obstacles include a lack of consideration of palliative care as part of cancer control strategies and the low political acceptability of such care because it involves the use of opioid analgesics. Coordinated research efforts through active networking and common protocols would increase the visibility of the discipline, provide answers relevant to the local contexts, and assist in expanding palliative care services across the developing world.
如果运用得当，当代医学知识足以控制世界上数百万绝症患者中的大多数人的痛苦。然而，发展中国家的大多数患者仍然无法获得姑息治疗。在发达国家经过测试的有效的姑息治疗提供模式很少适用于发展中世界，因为那里贫困、家庭庞大且卫生基础设施不足，需要使这种治疗适应当地文化和情况。因此，需要开展来自发展中国家的研究，以便以在资源匮乏环境中可行且为当地民众所接受的方式来开发、实施和监测姑息治疗的提供。姑息治疗研究面临着发展中世界卫生研究常见的大多数障碍。其他障碍包括缺乏将姑息治疗视为癌症控制战略一部分的考虑，以及由于涉及使用阿片类镇痛药而导致这种治疗在政治上的可接受性较低。通过积极的网络联系和通用方案进行协调的研究工作将提高该学科的知名度，提供与当地情况相关的答案，并有助于在整个发展中世界扩大姑息治疗服务。
