Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.
J Rural Health. 2010 Winter;26(1):78-84. doi: 10.1111/j.1748-0361.2009.00268.x.
Growing concern exists among health professionals over the dilemma of providing necessary health care for Canada's aging population. Hospice palliative services are an essential need in both urban and rural settings. Rural communities, in particular, are vulnerable to receiving inadequate services due to their geographic isolation.
To better understand experiences and issues related to rural palliative care.
Focus groups were held for health professionals, family members and volunteers in 3 rural British Columbia communities. A coding schema was developed and the data were then thematically analyzed using a constant comparison technique.
Three themes in rural palliative care were established: nature of palliative health care services, nature of rural relationships, and competencies required for rural palliative care. Findings indicated that the diversity in rural communities requires tailored approaches to palliative care that consider the geographic, cultural and health aspects of residents in order to optimize care.
Tailored approaches to palliative care developed in conjunction with rural communities are needed in order to optimize care.
医疗专业人员越来越关注为加拿大老龄化人口提供必要医疗保健的困境。临终关怀服务是城市和农村地区的基本需求。由于地理位置偏远，农村社区尤其容易面临服务不足的问题。
更好地了解与农村临终关怀相关的经验和问题。
在不列颠哥伦比亚省的 3 个农村社区中，为卫生专业人员、家庭成员和志愿者举行了焦点小组会议。制定了一个编码方案，然后使用恒定性比较技术对数据进行主题分析。
确定了农村临终关怀的三个主题：临终关怀服务的性质、农村关系的性质以及农村临终关怀所需的能力。研究结果表明，农村社区的多样性需要采取量身定制的临终关怀方法，考虑居民的地理、文化和健康方面，以优化护理。
需要与农村社区共同制定量身定制的临终关怀方法，以优化护理。
