Mitchell Geoffrey Keith
The University of Queensland School of Medicine, Ipswich, Australia.
Ochsner J. 2011 Winter;11(4):334-7.
Australia is a very large country with a relatively small, diverse population. Palliative care is delivered by a range of professionals, from general (family) practitioners and community care nurses to large tertiary referral palliative care services. A national strategy provides a service development framework that informs the provision of these services. The National Palliative Care Program has provided extensive service improvement in the past decade. Challenges to improving the delivery of palliative care center around meeting the requirements of people with nonmalignant life-limiting illnesses; growing the specialist workforce; maintaining the skills of the primary care workforce; and providing palliative care to special populations such as the aged, indigenous Australians, non-English-speaking Australians, and children.
澳大利亚是一个幅员辽阔但人口相对较少且多样化的国家。姑息治疗由一系列专业人员提供，从普通（家庭）医生和社区护理护士到大型三级转诊姑息治疗服务机构。一项国家战略提供了一个服务发展框架，为这些服务的提供提供指导。在过去十年中，国家姑息治疗计划带来了广泛的服务改善。改善姑息治疗服务面临的挑战主要围绕满足患有非恶性临终疾病患者的需求；增加专科医护人员数量；维持基层医疗医护人员的技能水平；以及为老年人、澳大利亚原住民、非英语背景的澳大利亚人和儿童等特殊人群提供姑息治疗。
