Mollman Sarah, Berke Charlene, Anderson Debra, Walstrom Beth, Minton Mary, Sinclair Stacie, Kerkvliet Jennifer, Hawkins-Taylor Chamika
South Dakota Palliative Care Network, Yankton, South Dakota, USA.
South Dakota State University College of Nursing, Rapid City, South Dakota, USA.
J Palliat Med. 2023 Jan;26(1):47-56. doi: 10.1089/jpm.2022.0024. Epub 2022 Jun 28.
In 2018, the Avera Sacred Heart Hospital and two partners were awarded a planning grant to improve palliative health care services in South Dakota (SD), United States, by assessing palliative care in rural SD communities. Through this effort, a newly formed South Dakota Palliative Care Network (SDPCN) convened statewide partners to develop a palliative care strategy for improving quality palliative care access for individuals with serious illness. Guided by a multidisciplinary governing board, the SDPCN completed needs assessments to (1) better understand the perception of palliative care in SD; (2) assess the palliative care landscape in the state; and (3) explore possible solutions to address the uneven access to palliative care. This article shares the process of network development, considers the future of the SDPCN, and provides a blueprint for improving palliative care in rural areas. The SDPCN sought first to inventory community-based palliative care resources and increase awareness of the need for services followed by addressing gaps identified through a comprehensive assessment. The SDPCN has engaged partners, captured data, and mapped a blueprint for sustaining accessible quality palliative care. Three years since its inception, the SDPCN secured additional funding to sustain the Network and to provide education on palliative care to providers and community members as a first strategic step toward improving overall palliative care in rural communities. The SDPCN currently serves rural SD patients by increasing knowledge of palliative care among health professionals (current and future), fostering Network member engagement, and maintaining an active governing board.
2018年，阿韦拉圣心医院及其两个合作伙伴获得了一项规划拨款，旨在通过评估美国南达科他州（SD）农村地区的姑息治疗，改善该州的姑息医疗服务。通过这项工作，新成立的南达科他州姑息治疗网络（SDPCN）召集了全州的合作伙伴，制定了一项姑息治疗战略，以改善重症患者获得优质姑息治疗的机会。在一个多学科管理委员会的指导下，SDPCN完成了需求评估，以（1）更好地了解南达科他州对姑息治疗的看法；（2）评估该州的姑息治疗情况；（3）探索解决姑息治疗获取不均衡问题的可能方案。本文分享了网络发展的过程，思考了SDPCN的未来，并提供了改善农村地区姑息治疗的蓝图。SDPCN首先试图盘点基于社区的姑息治疗资源，并提高对服务需求的认识，随后解决通过全面评估发现的差距。SDPCN已经与合作伙伴合作，收集了数据，并绘制了一份维持可及的优质姑息治疗的蓝图。自成立三年来，SDPCN获得了额外的资金，以维持该网络的运转，并向医疗服务提供者和社区成员提供姑息治疗教育，作为改善农村社区整体姑息治疗的第一步战略举措。SDPCN目前通过增加（现任和未来）卫生专业人员对姑息治疗的了解、促进网络成员的参与以及维持一个活跃的管理委员会，为南达科他州农村地区的患者提供服务。
