Open Society Foundations-Armenia, Yerevan, Armenia.
Open Society Foundations' International Palliative Care Initiative Consultant, Washington DC, USA.
J Pain Symptom Manage. 2018 Feb;55(2S):S19-S24. doi: 10.1016/j.jpainsymman.2017.02.023. Epub 2017 Aug 8.
In the last seven years, considerable progress has been made in palliative care (PC) in Armenia, but many problems remain unresolved. Policies developed include completion of a national needs assessment, a recognized working group on PC formed, national standards approved, a concept paper on PC approved, resolutions on PC as a specialized service approved, PC became a subspecialty in medicine, PC qualifications developed, and a social assistance package approved. In addition, the Government of Armenia lately approved the National Strategy on Palliative Care for Adults and 2017-2019 Action Plan. Oral morphine was added to the list of essential medicines but remains unavailable in Armenia, and many highly restrictive regulations remain in force. Progress in basic training in PC for physicians and nurses has been made, and two nursing schools now require it for all students. A "Pain Control and Palliative Care Association" began in 2003, and for two years, four pilot PC programs successfully operated with Global Fund resources. However, now only one service provider is operating. The public has begun to learn about PC, but funding remains a challenge.
在过去的七年中，亚美尼亚的姑息治疗（PC）取得了相当大的进展，但仍有许多问题尚未解决。制定的政策包括完成国家需求评估、成立公认的 PC 工作组、批准国家标准、批准 PC 概念文件、批准将 PC 作为专门服务的决议、PC 成为医学的一个亚专科、开发 PC 资格认证、并批准了一揽子社会援助计划。此外，亚美尼亚政府最近批准了《成人姑息治疗国家战略》和 2017-2019 年行动计划。口服吗啡已被添加到基本药物清单中，但在亚美尼亚仍无法获得，并且许多高度限制性的规定仍然有效。医生和护士的姑息治疗基础培训取得了进展，现在有两所护理学校要求所有学生都必须参加。“疼痛控制和姑息治疗协会”于 2003 年成立，有两年的时间，四个姑息治疗试点项目成功地利用全球基金的资源运作。然而，现在只有一个服务提供商在运作。公众开始了解姑息治疗，但资金仍然是一个挑战。
