Centre for Humanitarian Leadership, Deakin University, Burwood, VIC, Australia.
Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Inquiry. 2024 Jan-Dec;61:469580241277443. doi: 10.1177/00469580241277443.
How can palliative care framings advance humanitarian discourse? The imperative for palliative care in humanitarian settings is increasingly urgent. Recent efforts by health and humanitarian organizations demonstrate increasing attention to the issue. Yet palliative care is still not adequately formally considered or enacted by humanitarian agencies in rhetoric, policy, research, or practice. Even where it is considered in humanitarian action, palliative care is often assumed to be a novel intervention, rather than a caring practice that has existed from time immemorial, including in humanitarian situations. The generation of ideas in this paper has followed a dynamic, iterative, and reflexive process through engagement with key literature, critical thinking, conversations with colleagues across both sectors, primary data, and debate amongst the authors. The paper argues that the current dominant frame of a new, specialized, professionalized, and medicalized palliative care in the humanitarian sector would perpetuate existing challenges. It contends that viewing both fields through a "new-old" lens, where historical and traditional caring practices intertwine with progressive discourse for a more just and appropriate public health response, can further humanitarianism. It posits that the humanitarian-development nexus, decoloniality, and localization thought can benefit from palliative care practice through critical interaction with a broad range of literature.
姑息治疗框架如何能促进人道主义话语？在人道主义环境中提供姑息治疗的必要性变得越来越紧迫。最近卫生和人道主义组织的努力表明，人们越来越关注这个问题。然而，在言辞、政策、研究或实践中，人道主义机构并没有充分地正式考虑或实施姑息治疗。即使在人道主义行动中考虑到姑息治疗，它也常常被认为是一种新的干预措施，而不是一种自古以来就存在的关怀实践，包括在人道主义局势中。本文的观点是通过与关键文献的互动、批判性思考、与两个部门的同事的对话、原始数据以及作者之间的辩论，以动态、迭代和反思的方式产生的。本文认为，目前在人道主义部门中新的、专门的、专业化的和医学化的姑息治疗主导框架将使现有的挑战长期存在。它认为，通过“新-旧”的视角来看待这两个领域，将历史和传统的关怀实践与更公正和适当的公共卫生应对的进步话语交织在一起，可以进一步推动人道主义事业。它假设，人道主义-发展关系、去殖民化和本地化思想可以通过与广泛的文献进行批判性互动，从姑息治疗实践中受益。
