Alikhani Mahtab, Vatankhah Soudabeh, Gorji Hasan Abolghasem, Ravaghi Hamid
Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Health Services Management, Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Indian J Palliat Care. 2020 Jan-Mar;26(1):72-79. doi: 10.4103/IJPC.IJPC_55_19. Epub 2020 Jan 28.
Supportive and palliative care worldwide is recognized as one of the six main cancer control bases and plays an important role in managing the complications of cancer. Limited studies have been published in the field of this policy analysis in the world.
This study aimed to analysis the policy-making process of supportive and palliative cancer care in three countries.
This qualitative study is a part of a comparative study. The data were collected through reviewing scientific and administrative documents, the World Health Organization website and reports, government websites, and other authoritative websites. Searches were done through texts in English and valid databases, in the period between 2000 and 2018. To investigate the policy process, heuristic stages model is implemented consisting of the four stages: agenda setting, policy formulation, policy implementation, and policy evaluation.
The findings of the study were categorized based on the conceptual model used in four areas related to the policy process, including agenda setting, policy formulation, policy implementation, and evaluation of cancer palliative care policies.
Several factors are involved in how cancer palliative care policy is included in policy-makers' agenda, understanding a necessity, raising public awareness, and acceptance as a result of sensing the physical and nonphysical care outcomes. The stages of development, implementation, and evaluation of palliative care in countries regardless of existing differences are a function of the health system and context of each country.
全球范围内的支持性和姑息治疗被公认为六大主要癌症控制基础之一，在管理癌症并发症方面发挥着重要作用。在该政策分析领域，全球发表的研究有限。
本研究旨在分析三个国家的癌症支持性和姑息治疗政策制定过程。
这项定性研究是一项比较研究的一部分。数据通过查阅科学和行政文件、世界卫生组织网站及报告、政府网站和其他权威网站收集。在2000年至2018年期间，通过英文文本和有效数据库进行搜索。为了调查政策过程，实施了启发式阶段模型，该模型由议程设定、政策制定、政策实施和政策评估四个阶段组成。
该研究的结果根据用于与政策过程相关的四个领域的概念模型进行分类，包括癌症姑息治疗政策的议程设定、政策制定、政策实施和评估。
癌症姑息治疗政策如何被纳入政策制定者议程涉及多个因素，包括认识到必要性、提高公众意识以及因感受到身体和非身体护理结果而被接受。无论存在何种差异，各国姑息治疗的发展、实施和评估阶段都是每个国家卫生系统和背景的函数。
