Ipsos, Canada Public Affairs , Calgary, Alberta, Canada .
J Palliat Med. 2018 Jan;21(S1):S9-S14. doi: 10.1089/jpm.2017.0387.
Palliative Care Matters is a national initiative designed to develop consensus on the steps that need to be taken now to ensure Canadians can access high-quality palliative care services as part of Canada's universal healthcare model. Covenant Health and the Canadian Partnership Against Cancer joined with leading national health organizations to lead this initiative, resulting in a Consensus Development Conference in November 2016. Six questions were identified by experts in the field to form the basis of the conference. The questions were first explored with Canadians through focus groups to assess views toward the topics. The qualitative research results were then used to develop an online survey conducted with 1540 Canadians to gauge views on palliative care. The survey results identified what essential elements should be included in a palliative care (and home care) program. Canadians express a desire for palliative healthcare providers to have "specialized certifications" and they have a moderate level of self-confidence in their own palliative caregiving knowledge and abilities. Awareness of palliative care is not widespread in Canada, but support for a modest educational public health campaign is prevalent. Canadians also strongly support national palliative care standards and integration into the Canada Health Act, but simultaneously express financial concerns regarding the associated costs required. The public opinion survey results were used as part of the deliberations at the Consensus Development Conference, culminating in a consensus statement being issued to inform potential policy options and implementation plans for palliative care in Canada.
缓和医疗 Matters 是一项全国性倡议，旨在就当前需要采取的步骤达成共识，以确保加拿大人能够在加拿大全民医疗保健模式下获得高质量的缓和医疗服务。 covenant 健康和加拿大抗癌协会与主要的国家卫生组织一起领导了这项倡议，促成了 2016 年 11 月的共识发展会议。该会议确定了六个问题，这些问题是由该领域的专家确定的，作为会议的基础。这些问题首先通过焦点小组与加拿大人进行了探讨，以评估他们对这些主题的看法。然后，使用定性研究结果开发了一项针对 1540 名加拿大人的在线调查，以衡量他们对缓和医疗的看法。调查结果确定了一个缓和医疗（和家庭护理）方案应包含的基本要素。加拿大人希望缓和医疗服务提供者拥有“专业认证”，并且对自己的缓和医疗知识和能力有一定的自信。加拿大对缓和医疗的认识还不广泛，但对适度的公共卫生教育活动的支持很普遍。加拿大人还强烈支持国家缓和医疗标准，并将其纳入《加拿大卫生法》，但同时对相关费用表示担忧。公众意见调查结果被用于共识发展会议的审议，最终发布了一份共识声明，为加拿大的缓和医疗提供潜在的政策选择和实施计划。
