Defilippi Kathleen M, Cameron Sue
Hospice Palliative Care Association of South Africa, Pinelands, South Africa.
J Pain Symptom Manage. 2007 May;33(5):552-7. doi: 10.1016/j.jpainsymman.2007.02.020.
This article provides a brief outline of the HIV/AIDS situation in South Africa and the development of the Hospice Palliative Care Association (HPCA) as the background to an exploration of the changing face of palliative care in light of the demands of HIV/AIDS. It describes the South African Palliative Care Mentorship Program, including a description of the Integrated Community-Based Home Care (ICHC) model and its promotion of collaboration with the formal health care sector and other networking partners. The role mentorship played in its application to HPCA member hospices in response to the increasing demands of HIV/AIDS is outlined. The article also focuses on the development of provincial and regional mentorship capacity, the establishment of provincial palliative care development teams, the development of comprehensive palliative care standards, and the link between mentorship and accreditation. The key results of the promotion of the ICHC model and the effects of the mentorship program are highlighted, including possibilities for the expansion of the model beyond its original context in South Africa. The difficult issue of sustainability within an African context is also mentioned. In conclusion, there is a challenge to readers to explore the use of mentorship within their own palliative care settings.
本文简要概述了南非的艾滋病毒/艾滋病状况以及临终关怀与姑息治疗协会（HPCA）的发展情况，以此作为根据艾滋病毒/艾滋病的需求来探讨姑息治疗不断变化面貌的背景。文章描述了南非姑息治疗指导计划，包括对基于社区的综合居家护理（ICHC）模式的介绍，以及该模式如何促进与正规医疗保健部门及其他网络合作伙伴的协作。文中概述了指导在将其应用于HPCA成员临终关怀机构以应对艾滋病毒/艾滋病日益增长的需求方面所发挥的作用。本文还着重介绍了省级和地区指导能力的发展、省级姑息治疗发展团队的建立、综合姑息治疗标准的制定，以及指导与认证之间的联系。文中突出了推广ICHC模式的关键成果以及指导计划的效果，包括该模式在南非以外地区扩展的可能性。文中还提到了非洲背景下可持续性这一难题。总之，本文向读者提出挑战，促使他们探索在自身姑息治疗环境中运用指导的方法。
