Kelley Mary Lou
School of Social Work, Centre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada.
J Palliat Care. 2007 Autumn;23(3):143-53.
The population in Canada and other developing countries is aging, increasing the need for palliative care services. In rural communities, care of dying people is normally provided by health care professionals as part of a generalist practice, not by palliative care specialists. Despite a lack of specialists and resources, some rural communities have developed local palliative care programs. The goal of this research was to conceptualize rural communities' process of developing palliative care programs using a theoretical perspective of community capacity development. Data were from nine focus groups of interdisciplinary rural health care providers who provided palliative care in seven provinces/territories of Canada. The outcome is a theoretical model that conceptualizes the process of developing palliative care programs in four sequential phases: antecedent community conditions, a catalyst, creating the team, and growing the program. The activities of each phase are outlined. This research offers practical and theoretical knowledge to guide practitioners and planners seeking to develop palliative care programs in other rural communities.
加拿大和其他发展中国家的人口正在老龄化，这增加了对姑息治疗服务的需求。在农村社区，临终关怀通常由医疗保健专业人员作为全科医疗的一部分提供，而不是由姑息治疗专家提供。尽管缺乏专家和资源，但一些农村社区已经制定了当地的姑息治疗计划。本研究的目的是从社区能力发展的理论视角，对农村社区制定姑息治疗计划的过程进行概念化。数据来自九个跨学科农村医疗保健提供者焦点小组，他们在加拿大七个省/地区提供姑息治疗。研究结果是一个理论模型，该模型将制定姑息治疗计划的过程概念化为四个连续阶段：前期社区条件、催化剂、组建团队和发展项目。每个阶段的活动都有概述。本研究为寻求在其他农村社区制定姑息治疗计划的从业者和规划者提供了实践和理论知识。
