Krakauer Eric L, Cham Nguyen Thi Phuong, Khue Luong Ngoc
Center for Palliative Care and Department of Medicine, Harvard Medical School, and Palliative Care Service, Massachusetts General Hospital, Boston, Massachusetts 02115, USA.
J Pain Symptom Manage. 2010 Jul;40(1):27-30. doi: 10.1016/j.jpainsymman.2010.04.009.
In 2005, Vietnam's Ministry of Health (MoH) launched a palliative care initiative that uses the World Health Organization (WHO) public health strategy for national palliative care program development. With international financial and technical support, the initiative has made significant early progress. A rapid situation analysis in 2005 led to national Guidelines on Palliative Care in 2006, radically improved opioid prescribing regulations in 2008, the training of more than 400 physicians in palliative care by early 2010 using three curricula written especially for Vietnam, and the initiation of palliative care services in some hospitals and in the community. Yet, access to palliative care services remains very limited. Many challenges must be overcome to reach the goal of access for all to essential palliative care services that are integrated into the systems of cancer care, HIV/AIDS care, and primary care. Going forward, crucial aspects of the initiative will be continued commitment to palliative care by the MoH, careful planning and targeted funding that address each part of the WHO public health strategy, ongoing expert technical support, and collaboration among international technical and financial supporters.
2005年，越南卫生部发起了一项姑息治疗倡议，该倡议采用世界卫生组织（WHO）的公共卫生战略来推动国家姑息治疗项目的发展。在国际资金和技术支持下，该倡议在早期取得了重大进展。2005年的快速形势分析促成了2006年的国家姑息治疗指南，2008年从根本上改进了阿片类药物处方规定，到2010年初利用专门为越南编写的三种课程培训了400多名姑息治疗医生，并在一些医院和社区启动了姑息治疗服务。然而，姑息治疗服务的可及性仍然非常有限。要实现让所有人都能获得融入癌症护理、艾滋病毒/艾滋病护理和初级护理体系的基本姑息治疗服务这一目标，必须克服许多挑战。展望未来，该倡议的关键方面将包括越南卫生部对姑息治疗的持续承诺、针对世界卫生组织公共卫生战略各部分的精心规划和定向资金投入、持续的专家技术支持以及国际技术和资金支持者之间的合作。
