Pretorius Deidre, Mahole Lesley G
Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2025 Apr 28;17(1):e1-e4. doi: 10.4102/phcfm.v17i1.4866.
Few patients and their families receive palliative care (PC), and if provided, it is usually in the end stages of the disease. In the past, these services were rendered by non-governmental organisations (NGOs), but after the dedicated South African palliative care policy was released, the responsibility of PC service delivery is at the provincial level. Department of Health's National Policy Framework and Strategy on PC was a major step forward in palliation; however, the services are not yet reaching the rural areas in North West province. This article highlights the need for PC for patients and their families in rural health. A model is suggested to facilitate these services under the leadership of a family physician.
很少有患者及其家属能获得姑息治疗（PC），即便有，通常也是在疾病晚期。过去，这些服务由非政府组织（NGO）提供，但在南非专门的姑息治疗政策发布后，提供PC服务的责任下放到了省级层面。卫生部的《国家姑息治疗政策框架与战略》是姑息治疗方面向前迈出的重要一步；然而，这些服务尚未惠及西北省的农村地区。本文强调了农村地区患者及其家属对PC的需求。建议采用一种模式，在家庭医生的引领下推动这些服务。
