Batiste Xavier Gómez, Paz Silvia
Teaching Department, Institut Català d'Oncologia, Spain.
Curr Opin Support Palliat Care. 2007 Oct;1(3):213-7. doi: 10.1097/SPC.0b013e3282f19f9b.
This review identifies and briefly describes palliative care programmes that are integrated into the national or regional health care plans of various countries.
The uneven development of palliative care in clear favour of developed countries, together with the menace that the growing epidemics of cancer and HIV/AIDS represent to the developing world, have heightened interest in promoting integration of palliative care into public health care strategies. Several successful examples exist in Asia, Africa, Europe, Australia and North America, which may serve as sources of expertise for new initiatives.
Success in making palliative care a public discipline that is fully integrated into a country's health care system requires considerable effort in terms of advocacy and lobbying. International support from and networking with experienced individuals who are involved in more mature programmes is crucial to changing attitudes and transforming ideas into action, and strategic and sustainable plans.
本综述旨在识别并简要描述已纳入各国国家或地区医疗保健计划的姑息治疗项目。
姑息治疗发展不均衡，明显有利于发达国家，同时癌症和艾滋病毒/艾滋病不断蔓延对发展中世界构成威胁，这使得人们对将姑息治疗纳入公共卫生保健战略的兴趣日益浓厚。亚洲、非洲、欧洲、澳大利亚和北美有几个成功案例，可为新举措提供专业知识来源。
要使姑息治疗成为一门完全融入国家医疗保健系统的公共学科，就需要在宣传和游说方面付出巨大努力。来自参与更成熟项目的经验丰富人士的国际支持以及与之建立网络，对于改变态度、将想法转化为行动以及制定战略和可持续计划至关重要。
