印度死亡前的生活:叙事审查
Wasey Ali Yadullahi Mir1, Sudha Misra2, Devang Sanghavi3
1Department of Pulmonary and Critical Care, Saint Elizabeth Medical Center, Chicago, Illinois, United States.
Indian journal of palliative care
|June 16, 2023
概括
印度的息护理准入率极低 (<1%),尽管需求日益增长. 社区主导的倡议显示出希望,但资源限制和耻辱等重大障碍阻碍了质量终身护理的进展.
科学领域:
- 公共卫生 公共卫生
- 获得医疗保健 获得医疗保健 获得医疗保健
- 在生命末期的护理.
背景情况:
- 印度面临着日益增长的息护理需求,因为其人口庞大,慢性疾病增加.
- 在死亡质量指数上,印度的低排名 (67/80) 凸显了缓解护理的可用性和质量的重大差距.
- 尽管临终关怀设施增加了,但目前印度人口中只有不到1%的人获得了息治疗.
研究的目的:
- 检查印度息护理的现状和挑战.
- 识别阻碍改善和改善息护理服务的障碍.
- 探索潜在的解决方案和社区参与在增强息护理方面的作用.
主要方法:
- 对印度息治疗的现有文献和数据的审查.
- 分析导致访问有限的因素,包括资源限制,社会耻辱和政策问题.
- 案例研究成功的社区主导的息护理项目的例子.
主要成果:
- 主要障碍包括财政和人力资源的限制,贫困,缺乏公众意识,社会耻辱,限制性阿片类法律和文化冲突.
- 社区主导的项目,特别是在喀拉拉邦,证明了在适度的资源和志愿者参与下成功提供息护理.
- 随着COVID-19大流行,息治疗在管理复杂的健康危机方面发挥了有效的作用.
结论:
- 将息治疗整合到初级医疗保健系统中,需要进行重大的公众宣传活动和适应当地方案.
- 家庭和社区的参与对于克服障碍和改善息护理准入至关重要.
- 解决系统性,社会和政策相关的障碍对于推动印度的息护理至关重要.
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