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基于社区的姑息治疗运作的喀拉拉邦模式可持续吗?来自实地的证据。

Is the Kerala Model of Community-Based Palliative Care Operations Sustainable? Evidence from the Field.

作者信息

Azeez E P Abdul, Anbuselvi G

机构信息

Department of Social Work, Amity University Haryana, Gurugram, Haryana, India.

Department of Social Work, Sree Saraswathi Thyagaraja College, Pollachi, Tamil Nadu, India.

出版信息

Indian J Palliat Care. 2021 Jan-Mar;27(1):18-22. doi: 10.4103/IJPC.IJPC_45_20. Epub 2021 Feb 17.

DOI:10.4103/IJPC.IJPC_45_20
PMID:34035612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8121230/
Abstract

BACKGROUND

The palliative care operation in Kerala, unlike other parts of India, is widespread. Kerala's community-based approach to palliative care is often recognized in the current literature as a sustainable model. However, the sustainability of palliative care operations is not empirically studied, and the domains of sustainability are not clearly explained in the current literature.

AIMS

The present study attempted to explore the following research questions. First, are the community-based palliative care operations in Kerala really sustainable? Second, what are the dimensions of sustainability?

METHODS

To answer these research questions, an empirical field-based investigation was carried out using the case study method. The study was conducted among ten selected palliative care units in the Malappuram and Palakkad districts of Kerala. The records of service delivery, reports, and other available documents were accessed. Interviews were conducted with the key functionaries and other staff of the individual palliative care units.

RESULTS

The result of the study indicates that palliative care is delivering uninterrupted and comprehensive care to the needy in the region. Three dimensions were evident as the sustainability of palliative care operation.

CONCLUSION

The replication of this model requires an understanding of these dimensions.

摘要

背景

与印度其他地区不同,喀拉拉邦的姑息治疗业务广泛开展。喀拉拉邦基于社区的姑息治疗方法在当前文献中常被视为一种可持续模式。然而,姑息治疗业务的可持续性尚未得到实证研究,且当前文献中对可持续性的领域也未作明确解释。

目的

本研究试图探讨以下研究问题。第一,喀拉拉邦基于社区的姑息治疗业务是否真的可持续?第二,可持续性的维度有哪些?

方法

为回答这些研究问题,采用案例研究法进行了基于实地的实证调查。研究在喀拉拉邦马拉普拉姆和帕拉卡德地区选定的十个姑息治疗单位开展。查阅了服务提供记录、报告及其他可用文件。对各姑息治疗单位的关键工作人员和其他员工进行了访谈。

结果

研究结果表明,姑息治疗正在为该地区有需要的人提供不间断的全面护理。作为姑息治疗业务可持续性的三个维度很明显。

结论

复制该模式需要了解这些维度。

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Twenty years of home-based palliative care in Malappuram, Kerala, India: a descriptive study of patients and their care-givers.印度喀拉拉邦马拉普兰地区 20 年的居家姑息治疗:对患者及其照护者的描述性研究。
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Curr Opin Support Palliat Care. 2013 Jun;7(2):216-22. doi: 10.1097/SPC.0b013e3283610255.
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