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Hospice care delivery system requirements
Samira Beiranvand1, Maryam Rassouli2, Maryam Hazrati3
1Assistant Professor, Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Developing hospice care in Iran requires diverse settings, participatory decision-making, and specialized human resources. Integrating hospice care into the health system and building societal capacity are crucial for cancer patient needs.
Area of Science:
- Health Services Research
- Oncology Supportive Care
- Qualitative Research Methods
Background:
- Hospice care is recognized as a significant unmet need within Iran's healthcare system.
- The study addresses the demand for comprehensive end-of-life care for cancer patients in Iran.
Purpose of the Study:
- To explore stakeholder perceptions on the essential components for establishing a hospice care system in Iran.
- To identify requirements for developing a robust hospice care framework for cancer patients.
Main Methods:
- Qualitative study employing in-depth interviews with 21 diverse stakeholders (specialists, policymakers, providers, patients, caregivers).
- Purposeful sampling and directed content analysis of interview data conducted in 2020.
Main Results:
- Identified key requirements including diverse care settings, participatory decision-making, health system integration, specialized workforce, and accountability.
- Extracted 1054 codes, 7 categories, and 21 subcategories highlighting system preparation and societal capacity-building needs.
Conclusions:
- Iranian healthcare services must implement participatory care plans, utilize expert personnel, and integrate hospice care.
- Policymakers should prioritize health system readiness and societal capacity-building for effective hospice care delivery.
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