استعرض مصدر A comparative review of palliative care development in six countries


A comparative review of palliative care development in six countries represented by the Middle East Cancer Consortium<ref>http://eprints.gla.ac.uk/45372/1/45372.pdf</ref>

Abstract
Palliative care development and services were reviewed in the region represented by the six
members of the Middle East Cancer Consortium: Cyprus, Egypt, Israel, Jordan, the
Palestinian Authority, and Turkey. The multimethod review synthesized evidence from
ethnographic field visits to inpatient units, home care hospice teams and free-standing
hospices, including interviews with hospice and palliative care clinicians, administrators,
volunteers, policy makers and academic researchers. Public health data and relevant
literature were collated together with internet-accessed information on services and health
care systems. A total of 69 services were located; two country members have a history of
relatively sustained development of hospice and palliative care, but provision across the
Middle East Cancer Consortium region is highly variable at a local level. Considerable
barriers to service development were identified in a region already struggling with many
military and political conflicts. Key problems are a lack of secure funds and government
support, inadequate professional training programs, opioid phobia in professionals and the
public, and a lack of awareness and understanding of palliative care needs at public,
government, and professional levels. Key areas for further attention were increasing national
and international professional training and public education programs, improving opioid
legislation and health care policies, negotiating for secure government or health insurance
funding provision, raising awareness about the need for pediatric services and for patients
with other illnesses, as well as for those with cancer, and working to integrate palliative care
into mainstream health service provision and education. J Pain Symptom Manage
2008;-:-e-.  2008 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All
rights reserved.

http://eprints.gla.ac.uk/45372/1/45372.pdf

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