International Work Group for Death, Dying and Bereavement (IWG).
Omega (Westport). 2014;69(4):401-20. doi: 10.2190/OM.69.4.d.
The current systems of care for dying persons, the people caring for them, and the bereaved operate in ways that frequently lack sufficient sensitivity to their needs. We describe a new model for dying, death, and loss that adopts a public health approach. Specifically, we describe a deliberative process that resulted in a charter for a public health approach to dying, death, and loss. Modeled after the World Health Organization's 1986 Ottawa Charter, our charter includes a call to action. It has the potential to bring about significant change on local, societal, and global levels as exemplified by four projects from three countries. Public health and end-of-life services and organizations need to form partnerships with the community to develop a public health approach to dying, death, and loss. Learning from each other, they will affirm and enhance community beliefs and practices that make death part of life.
当前临终关怀体系、照护临终者的人和丧亲者的工作方式往往对他们的需求不够敏感。我们描述了一种新的临终、死亡和丧失模式，采用了公共卫生方法。具体来说，我们描述了一个审议过程，该过程产生了一份关于临终、死亡和丧失的公共卫生方法宪章。我们的宪章借鉴了世界卫生组织 1986 年《渥太华宪章》，其中包括一项行动呼吁。它有可能在地方、社会和全球层面带来重大变化，来自三个国家的四个项目就是例证。公共卫生和临终服务及组织需要与社区建立伙伴关系，制定临终、死亡和丧失的公共卫生方法。通过相互学习，他们将肯定和加强使死亡成为生命一部分的社区信仰和实践。
