Department of Medicine, School of Medicine, Makerere University, Kampala, Uganda.
Curr Opin Support Palliat Care. 2012 Sep;6(3):391-7. doi: 10.1097/SPC.0b013e328356ab1f.
This review explores global developments in palliative care provision in rural settings, since 2010. It highlights models of rural palliative care provision including challenges faced in establishing services and draws upon examples from around the world.
Recent literature reports developments in palliative care provision in rural and remote areas, with emerging and innovative models of care. However, many challenges remain and practitioners need to continue to 'think outside the box' in terms of palliative care provision. Models for rural palliative care provision are evolving, particularly in sub-Saharan Africa, which embrace the 'culture' of rural communities, demonstrating that palliative care can be effectively provided in rural and remote areas. Challenges to palliative care provision in rural settings continue to be identified, with the overarching challenges being mirrored in different settings and countries.
Although culture and geography will change, challenges to providing palliative care in rural settings appear to be almost universal. Lessons learnt from developing palliative care in rural communities can be shared and applied in different areas. Caution is raised in transplanting urban models to rural settings, thus emphasizing learning from other rural settings to provide accessible and appropriate palliative care.
本综述探讨了 2010 年以来农村地区姑息治疗提供方面的全球发展情况。它突出了农村姑息治疗提供的模式，包括在建立服务方面面临的挑战，并借鉴了世界各地的例子。
最近的文献报告了农村和偏远地区姑息治疗提供方面的发展，出现了新的创新护理模式。然而，许多挑战仍然存在，从业者需要继续在姑息治疗提供方面“跳出框框思考”。农村姑息治疗提供模式正在发展，特别是在撒哈拉以南非洲地区，这些模式采用了农村社区的“文化”，表明姑息治疗可以在农村和偏远地区有效提供。农村地区姑息治疗提供方面的挑战仍在被识别，不同的环境和国家都存在着同样的挑战。
尽管文化和地理环境会发生变化，但在农村地区提供姑息治疗的挑战似乎是普遍存在的。从农村社区发展姑息治疗中吸取的经验教训可以在不同地区分享和应用。在将城市模式移植到农村地区时需要谨慎，因此强调要从其他农村地区学习，以提供可及和适当的姑息治疗。
