Amroud Mohammad Salimi, Raeissi Pouran, Hashemi Seyed-Masoud, Reisi Nahid, Ahmadi Seyed-Ahmad
Department of Health Services Management, School of Health Management and Medical Information Science, Iran University of Medical Sciences, Tehran, Iran.
Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2021 Oct 29;10:370. doi: 10.4103/jehp.jehp_1413_20. eCollection 2021.
Terminally, illnesses such as cancer, AIDS, dementia, and advanced heart disease will require special supportive and palliative care, although a few numbers of these patients are provided with these services. The aim of the present study was to perform a comparative study of supportive-palliative care provision in selected countries.
This research was a descriptive comparative study that its research population was the frameworks of palliative and supportive care provision in Egypt, Turkey, America, Australia, Canada, the Netherlands, and China. These frameworks were compared across six dimensions of service receivers, financing, providers, service provider centers, type of services provided, and training. Data collection tool has included the checklist and information sources, documents, evidence, articles, books, and journals collected through the Internet and organizations related to the health information of selected countries and by the library search. Data were investigated and analyzed using the data collection tool and checklists.
The findings showed that the developed countries having decentralized trusteeship structure had a more favorable status in palliative and supportive care provision. The type of services provided was a combination of mental, psychological, social, spiritual, financial, and physical and communication services. Provider centers included hospital, the elderly, and cancer and charity centers.
Regarding the investigation and recognition of the status of supportive-palliative care provision, it was observed that the provision of these services was a concern of the selected countries, but they did not have a defined model or pattern to provide these services. Therefore, it is suggested that each country takes a step to redesign and define frameworks and structures in the evolution of supportive-palliative cares in accordance with the particular conditions, indigenous culture, religion, and other effective cases of that country and pays special attention to the role and position of supportive-palliative cares.
诸如癌症、艾滋病、痴呆症和晚期心脏病等终末期疾病需要特殊的支持性和姑息性护理，尽管只有少数这类患者能获得这些服务。本研究的目的是对选定国家的支持性姑息性护理服务提供情况进行比较研究。
本研究为描述性比较研究，其研究对象是埃及、土耳其、美国、澳大利亚、加拿大、荷兰和中国的姑息性和支持性护理服务框架。从服务接受者、资金筹集、服务提供者、服务提供中心、所提供服务的类型以及培训这六个维度对这些框架进行比较。数据收集工具包括清单以及通过互联网收集的信息来源、文件、证据、文章、书籍和期刊，还有与选定国家健康信息相关的组织提供的资料以及图书馆检索结果。使用数据收集工具和清单对数据进行调查与分析。
结果表明，具有分散托管结构的发达国家在姑息性和支持性护理服务提供方面具有更有利的状况。所提供的服务类型包括心理、精神、社会、心灵、经济、身体和沟通服务。服务提供中心包括医院、养老院、癌症中心和慈善中心。
关于对支持性姑息性护理服务提供状况的调查与认识，发现这些服务的提供是选定国家所关注的问题，但它们没有提供这些服务的明确模式或方案。因此，建议每个国家根据本国的具体情况、本土文化、宗教及其他相关有效因素，在支持性姑息性护理的发展过程中采取措施重新设计和界定框架与结构，并特别关注支持性姑息性护理的作用和地位。
