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Continuing Care

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

Specialized Care Centers and Settings-II

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

Restorative Care

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...

Tertiary Healthcare System

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

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Published on: October 31, 2010

Palliative care in low- and medium-resource countries.

Arnab Basu¹, Barbro Norrström Mittag-Leffler, Kenneth Miller

¹A portion of this manuscript will be incorporated into a chapter in an upcoming book on global cancer care, Editors, Kenneth Miller, MD, and Miklos Simon, MD, Praeger Press. From *The Johns Hopkins University/Sinai Hospital of Baltimore Internal Medicine Residency Program, Baltimore, MD; †Friends of Hospice Ethiopia (formerly PHEALPS [Partnership of Hospice Ethiopia & ASIH L˚ngbro Park, Sweden]); ‡Sinai Hospital of Baltimore, Palliative Care Program, Baltimore, MD.

Cancer Journal (Sudbury, Mass.)

|September 21, 2013

Summary

Palliative care is increasingly needed in low- and medium-resource countries due to rising cancer rates. Despite barriers like workforce shortages and opioid access, progress is being made in integrating these essential services.

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Area of Science:

Global Health
Oncology
Palliative Care

Background:

Noncommunicable diseases, particularly cancer, are rising in low- and medium-resource countries.
Many patients present with advanced cancer, limiting curative treatment options.
There is a growing global demand for palliative care services.

Purpose of the Study:

To provide an overview of palliative care progress in low- and medium-resource countries.
To highlight regional variations and common challenges in palliative care provision.
To present specific examples and a personal perspective on palliative care development.

Main Methods:

Review of global palliative care initiatives.
Analysis of regional palliative care landscapes in Latin America, Asia, and Africa.
Case study of palliative care development in Ethiopia.

Main Results:

Palliative care integration into health systems and cancer care is progressing globally.
Significant regional disparities exist in palliative care service availability.
Barriers include workforce limitations, opioid access restrictions, cultural attitudes, and funding.

Conclusions:

Despite challenges, successful models of palliative care exist in resource-limited settings.
Continued efforts are needed to overcome barriers and expand access to palliative care.
Palliative care is crucial for improving cancer care continuum in underserved regions.