Kitzes Judith A, Domer Timothy
University of New Mexico Health Sciences Center, Department of Internal Medicine, Division of Geriatrics, Albuquerque, NM, USA.
J Pain Palliat Care Pharmacother. 2003;17(3-4):201-10.
Over 4 million American Indians and Alaskan Natives live in communities that receive health care primarily from the federal Indian Health Service or tribal health programs. Palliative care has only recently been formally addressed for these communities. An Indian Health Service program introduced the topic and several programs are ongoing. Needs for and barriers to palliative care in native peoples' communities are discussed and several successful programs at various stages of development and implementation are described.
超过400万美国印第安人和阿拉斯加原住民生活在主要从联邦印第安人健康服务局或部落健康项目获得医疗保健的社区。姑息治疗直到最近才在这些社区得到正式关注。一个印第安人健康服务项目引入了这个话题，并且有几个项目正在进行中。文中讨论了原住民社区对姑息治疗的需求和障碍，并描述了处于不同发展和实施阶段的几个成功项目。
