a School of Psychology and Speech Pathology, Faculty of Health Sciences , Curtin University , Perth , Australia.
Death Stud. 2014 Jan-Jun;38(1-5):54-61. doi: 10.1080/07481187.2012.725451. Epub 2013 Aug 9.
A review of palliative care policies and bereavement support practices in the United States, Canada, United Kingdom, Australia, and Japan demonstrated 4 challenges: questions over providing universal versus targeted support; a lack of clear evidence driving service delivery; informal or no risk assessment; and limited or no evaluation of services. Bridging the gaps between the policy and practice of palliative care bereavement support requires acknowledging the challenges of medical and public health models, improving bereavement need assessment processes, enhancing the role of primary care providers, and extending research to provide an evidence-base for interventions.
对美国、加拿大、英国、澳大利亚和日本的姑息治疗政策和丧亲支持实践进行的回顾表明存在以下 4 个挑战：提供普遍支持还是有针对性支持的问题；缺乏明确证据推动服务提供；没有或没有进行风险评估；以及服务评估有限或没有。弥合姑息治疗丧亲支持政策和实践之间的差距需要承认医疗和公共卫生模式的挑战，改进丧亲需求评估流程，加强初级保健提供者的作用，并扩大研究范围，为干预措施提供证据基础。
