Chronic Disease and Palliative Care, INF Nepal Green Pastures Hospital and Rehabilitation Center, Pokhara, Province Gandaki, Nepal.
School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia.
J Pain Palliat Care Pharmacother. 2024 Jun;38(2):170-179. doi: 10.1080/15360288.2024.2320384. Epub 2024 Mar 5.
Palliative care is essential for life-threatening illnesses. However, Nepal still faces significant challenges in accessing primary palliative care services, including required medications, particularly in rural areas. This commentary highlights the need for policies and guidelines to ensure equitable access to palliative care with medicines. While limited studies in Nepal confirmed the demand, challenges persist in rural areas with deficient access to quality healthcare. This article discusses the existing efforts and noteworthy initiatives implemented by healthcare institutions. However, these efforts are currently limited in scale. We recommend including essential palliative care medicines in government healthcare policies, establishing training programs for healthcare professionals, and developing comprehensive policies with detailed field research work to meet the growing demand. Addressing these issues will significantly improve the quality of life for palliative care patients in Nepal.
姑息治疗对于危及生命的疾病至关重要。然而,尼泊尔在获得基本姑息治疗服务方面仍然面临重大挑战,包括所需药物,特别是在农村地区。本评论强调需要制定政策和准则,确保公平获得姑息治疗和药物。尽管尼泊尔的有限研究证实了这一需求,但农村地区仍然面临着获得优质医疗保健服务的不足的挑战。本文讨论了医疗机构现有的努力和值得注意的举措。然而,这些努力目前规模有限。我们建议将基本姑息治疗药物纳入政府医疗保健政策,为医疗保健专业人员制定培训计划,并制定综合政策,进行详细的实地研究工作,以满足不断增长的需求。解决这些问题将显著提高尼泊尔姑息治疗患者的生活质量。