公共卫生方法在姑息治疗中的应用。
Public Health Approach to Developing Palliative Care.
机构信息
School of Public Health and Department of Community Health Sciences, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
Community Based Palliative Care Programme, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):750-752. doi: 10.31729/jnma.7255.
UNLABELLED
Nepal has witnessed demographic and epidemiological transition resulting in the shift from infectious diseases to non-communicable diseases as the major disease burden. Around 60% of mortalities and morbidities are attributable to non-communicable diseases of which the majority end with the need for palliative care services. The current palliative care services in Nepal are in the infancy stage compared with other services. Undignified dying is a challenging public health problem and as such requires a public health approach to address it with the involvement of all stakeholders. Recognizing the need for the end spectrum of non-communicable diseases patients, the Ministry of Health, Nepal recently introduced the policy to address the unmet need through the community-based palliative care program, a laudable initiation.
KEYWORDS
community health care; Nepal; palliative care; public health.
背景
尼泊尔经历了人口和流行病学转变，传染病导致的死亡和发病负担逐渐降低，而非传染性疾病逐渐成为主要的疾病负担。约 60%的死亡和发病归因于非传染性疾病，其中大多数需要姑息治疗服务。与其他服务相比，尼泊尔目前的姑息治疗服务仍处于起步阶段。不体面的死亡是一个具有挑战性的公共卫生问题，因此需要采取公共卫生方法，通过所有利益攸关方的参与来解决这一问题。鉴于需要满足非传染性疾病末期患者的需求，尼泊尔卫生部门最近通过社区为基础的姑息治疗方案出台了一项政策，以满足这一未满足的需求，这是一个值得称赞的举措。
关键词
社区卫生保健；尼泊尔；姑息治疗；公共卫生。
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