Gwyther L, Krause R, Cupido C, Stanford J, Grey H, Credé T, De Vos A, Arendse J, Raubenheimer P
Palliative Medicine, Division of Family Medicine, Faculty of Health Sciences, University of Cape Town, and Hospice Palliative Care Association of South Africa, Cape Town, South Africa.
S Afr Med J. 2018 Feb 1;108(2):86-89. doi: 10.7196/SAMJ.2017.v108i2.12524.
With the recent approval of a South African (SA) National Policy Framework and Strategy for Palliative Care by the National Health Council, it is pertinent to reflect on initiatives to develop palliative care services in public hospitals. This article reviews the development of hospital-based palliative care services in the Western Cape, SA. Palliative care services in SA started in the non-governmental sector in the 1980s. The first SA hospital-based palliative care team was established in Charlotte Maxeke Johannesburg Academic Hospital in 2001. The awareness of the benefit of palliative care in the hospital setting led to the development of isolated pockets of excellence providing palliative care in the public health sector in SA. This article describes models for palliative care at tertiary, provincial and district hospital level, which could inform development of hospital-based palliative care as the national policy for palliative care is implemented in SA.
随着南非国家卫生委员会最近批准了一项南非姑息治疗国家政策框架和战略，反思在公立医院发展姑息治疗服务的举措变得十分必要。本文回顾了南非西开普省医院姑息治疗服务的发展情况。南非的姑息治疗服务始于20世纪80年代的非政府部门。2001年，首个南非医院姑息治疗团队在约翰内斯堡夏洛特·马克西克学术医院成立。对医院环境中姑息治疗益处的认识促使南非公共卫生部门出现了一些提供姑息治疗的卓越分散点。本文描述了三级、省级和区级医院层面的姑息治疗模式，随着南非实施姑息治疗国家政策，这些模式可为医院姑息治疗的发展提供参考。
