Department of Mental Health, Social Work and Inter-Professional Learning, School of Health and Education, Middlesex University, The Burroughs, London NW4 4BT, UK.
QJM. 2013 Dec;106(12):1071-5. doi: 10.1093/qjmed/hct200. Epub 2013 Sep 30.
In early 2013, an online survey of over 200 UK palliative care services published in the British Medical Journal found that most of these services were prioritizing 'community engagement' initiatives, most commonly adopting a 'compassionate community' model. Later this same year, a report released by the National Council for Palliative Care and the charity Murray Hall Community Trust, described the increasing uptake of compassionate communities by palliative care services in England. This review examines this new policy and practice development in British end-of-life care explaining its conceptual origins and describing its policy importance to current practice. Why services are increasingly turning to community partnerships and the reasons they believe that this approach might enhance the effectiveness and reach of their clinical work are described.
2013 年初,《英国医学杂志》(British Medical Journal)发表了一项针对 200 多家英国姑息治疗服务机构的在线调查,结果发现这些服务机构大多优先开展“社区参与”活动,最常见的是采用“富有同情心的社区”模式。同年晚些时候,国家姑息治疗委员会(National Council for Palliative Care)和慈善机构默里厅社区信托基金会(Murray Hall Community Trust)发布的一份报告描述了姑息治疗服务机构在英格兰越来越多地采用富有同情心的社区模式。这篇综述考察了英国临终关怀服务中的这一新政策和实践发展,解释了其概念起源,并描述了其对当前实践的政策重要性。文中还介绍了服务机构为何越来越倾向于建立社区伙伴关系,以及他们认为这种方法可能增强其临床工作的效果和覆盖面的原因。