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Future of palliative medicine
Sushma Bhatnagar1, Mayank Gupta2
1Department of Anesthesiology, Pain and Palliative Care, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
Palliative medicine faces significant hurdles due to unmet needs and increasing demand. Achieving equitable, evidence-based palliative care requires integration into education, healthcare, and society, alongside political will and partnerships.
Area of Science:
- Palliative Medicine
- Healthcare Systems
- Medical Education
Background:
- Palliative care faces critical challenges including a 'need-supply' mismatch and an escalating demand.
- Existing disparities in palliative care access are based on diagnosis, prognosis, socioeconomic status, and geography.
Purpose of the Study:
- To outline the primary obstacles in palliative medicine.
- To propose achievable goals for equitable palliative care provision.
- To emphasize the necessity of integrating palliative medicine into broader frameworks.
Main Methods:
- This study is a conceptual analysis and synthesis of current palliative care challenges and future directions.
- It reviews existing literature and expert consensus on palliative care delivery.
Main Results:
- Key hurdles include supply-demand imbalances and unequal distribution of palliative care services.
- Achievable future goals encompass palliative care as a human right, global capacity building, affordable essential medicines, multidisciplinary teams, and caregiver support.
Conclusions:
- Addressing palliative care needs requires a multifaceted approach including strong political commitment, professional dedication, and public-private partnerships.
- Integrating palliative medicine into medical education, healthcare systems, and societal structures is crucial for future progress.
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