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本文引用的文献

1
End-of-life care in amyotrophic lateral sclerosis: A comparative registry study.肌萎缩侧索硬化症的临终关怀:一项对比登记研究。
Acta Neurol Scand. 2021 May;143(5):481-488. doi: 10.1111/ane.13370. Epub 2020 Nov 23.
2
Palliative care consultation team: symptom relief in first 48 hours of hospitalization.缓和医疗咨询团队:在住院的头 48 小时内缓解症状。
Rev Bras Enferm. 2020;73(6):e20190391. doi: 10.1590/0034-7167-2019-0391. Epub 2020 Aug 10.
3
Redefining Palliative Care-A New Consensus-Based Definition.重新定义姑息治疗——基于共识的新定义
J Pain Symptom Manage. 2020 Oct;60(4):754-764. doi: 10.1016/j.jpainsymman.2020.04.027. Epub 2020 May 6.
4
Challenges on the provision of palliative care for patients with cancer in low- and middle-income countries: a systematic review of reviews.中低收入国家癌症患者姑息治疗提供面临的挑战:系统评价综述。
BMC Palliat Care. 2020 Apr 22;19(1):55. doi: 10.1186/s12904-020-00558-5.
5
Elderly gynaecological cancer patients at risk for poor end of life care: a population-based study from the Swedish Register of Palliative Care.老年妇科癌症患者临终关怀质量差的风险:来自瑞典姑息治疗登记处的一项基于人群的研究。
Acta Oncol. 2020 Jun;59(6):636-643. doi: 10.1080/0284186X.2020.1744717. Epub 2020 Apr 2.
6
Mapping Levels of Palliative Care Development in 198 Countries: The Situation in 2017.198个国家姑息治疗发展水平的映射:2017年的情况
J Pain Symptom Manage. 2020 Apr;59(4):794-807.e4. doi: 10.1016/j.jpainsymman.2019.11.009. Epub 2019 Nov 22.
7
Equal palliative care for patients with COPD? A nationwide register study.慢性阻塞性肺疾病患者的姑息治疗平等?一项全国性登记研究。
Ups J Med Sci. 2019 Apr;124(2):140-147. doi: 10.1080/03009734.2019.1586803. Epub 2019 Apr 23.
8
Palliative care team consultation and quality of death and dying in a university hospital: A secondary analysis of a prospective study.缓和医疗团队咨询与大学附属医院死亡和濒死质量:一项前瞻性研究的二次分析。
PLoS One. 2018 Aug 23;13(8):e0201191. doi: 10.1371/journal.pone.0201191. eCollection 2018.
9
Quality of end-of-life care in patients with dementia compared to patients with cancer: A population-based register study.痴呆症患者与癌症患者临终关怀质量的比较:一项基于人群的登记研究。
PLoS One. 2018 Jul 30;13(7):e0201051. doi: 10.1371/journal.pone.0201051. eCollection 2018.
10
How are physicians delivering palliative care? A population-based retrospective cohort study describing the mix of generalist and specialist palliative care models in the last year of life.医生如何提供姑息治疗?一项基于人群的回顾性队列研究,描述了在生命的最后一年中,普通科和专科姑息治疗模式的组合。
Palliat Med. 2018 Sep;32(8):1334-1343. doi: 10.1177/0269216318780223. Epub 2018 Jun 11.

挑战:根据个人需求,平等提供姑息治疗,而不受年龄、诊断、地理位置和护理水平的限制。

The Challenge: Equal Availability to Palliative Care According to Individual Need Regardless of Age, Diagnosis, Geographical Location, and Care Level.

机构信息

Department Radiation Sciences, Umeå University, Sweden FOU Unit, Östersund Hospital, 831 35 Östersund, Sweden.

出版信息

Int J Environ Res Public Health. 2022 Apr 1;19(7):4229. doi: 10.3390/ijerph19074229.

DOI:10.3390/ijerph19074229
PMID:35409908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8998807/
Abstract

The European Council, the World Health Organization, the International Association of Hospice and Palliative Care, and various other national guidelines emphasize equal provision of palliative care. To fulfill this vision, all involved need to be aware of the existing situation even in western European countries. Data from the European Atlas of Palliative Care and the Swedish Registry of Palliative Care are used to illustrate the present inequalities. The data illustrate the unequal provision of palliative care relating to level of care, place of residence, diagnoses, and age. The challenge of providing equal palliative care remains, even in Western European countries, in spite of all positive developments. Different approaches that may contribute to successful implementation of equal palliative care are discussed. The challenge is still there and will require some effort to resolve.

摘要

欧洲理事会、世界卫生组织、国际姑息治疗协会以及其他各种国家指南都强调要平等提供姑息治疗。为了实现这一愿景,即使在西欧国家,所有相关人员都需要了解现有情况。欧洲姑息治疗地图集和瑞典姑息治疗登记处的数据被用来说明目前存在的不平等现象。这些数据说明了姑息治疗在护理水平、居住地点、诊断和年龄方面的不平等提供情况。尽管所有积极的发展,提供平等姑息治疗的挑战仍然存在,即使在西欧国家也是如此。讨论了可能有助于成功实施平等姑息治疗的不同方法。挑战仍然存在,需要付出努力来解决。