Rajagopal Mr, Joad Anjum Khan, Muckaden Maryann, George Reena, Gupta Harmala, Leng Mhoira Ef, Palat Gayatri, Patel Firuza, Raghavan Biju, Reddy Suresh K, Sunilkumar Mm, Tiruvadanan Mallika, Connor Stephen R
Director, WHO Collaborating Centre for Policy and Training on Access to Pain Relief, Pallium India, Trivandrum, Kerala, India.
Department of Palliative Care Medicine, Bhagwan Mahaveer Cancer Hospital and Research Centre, Jaipur, Rajasthan, India.
Indian J Palliat Care. 2014 Sep;20(3):201-7. doi: 10.4103/0973-1075.138395.
It is important to ensure that minimum standards for palliative care based on available resources are clearly defined and achieved.
(1) Creation of minimum National Standards for Palliative Care for India. (2) Development of a tool for self-evaluation of palliative care organizations. (3) Evaluation of the tool in India. In 2006, Pallium India assembled a working group at the national level to develop minimum standards. The standards were to be evaluated by palliative care services in the country.
The working group prepared a "standards" document, which had two parts - the first composed of eight "essential" components and the second, 22 "desirable" components. The working group sent the document to 86 hospice and palliative care providers nationwide, requesting them to self-evaluate their palliative care services based on the standards document, on a modified Likert scale.
Forty-nine (57%) palliative care organizations responded, and their self-evaluation of services based on the standards tool was analyzed. The majority of the palliative care providers met most of the standards identified as essential by the working group. A variable percentage of organizations had satisfied the desirable components of the standards.
We demonstrated that the "standards tool" could be applied effectively in practice for self-evaluation of quality of palliative care services.
确保根据现有资源明确界定并实现姑息治疗的最低标准非常重要。
（1）制定印度姑息治疗国家最低标准。（2）开发姑息治疗组织自我评估工具。（3）在印度对该工具进行评估。2006年，印度姑息治疗协会在国家层面组建了一个工作组来制定最低标准。这些标准将由该国的姑息治疗服务机构进行评估。
工作组编写了一份“标准”文件，该文件有两个部分——第一部分由八个“基本”组成部分构成，第二部分有22个“理想”组成部分。工作组将该文件发送给全国86家临终关怀和姑息治疗服务机构，要求它们根据该标准文件，采用改良的李克特量表对自己的姑息治疗服务进行自我评估。
49家（57%）姑息治疗组织做出了回应，并对它们基于标准工具的服务自我评估进行了分析。大多数姑息治疗服务机构达到了工作组确定为基本标准的大部分要求。不同比例的组织满足了标准中的理想组成部分。
我们证明了“标准工具”可在实践中有效应用于姑息治疗服务质量的自我评估。
