泰国在提前护理规划方面的经验
Srivieng Pairojkul1, Attakorn Raksasataya1, Chalermsri Sorasit1
1Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
概括
泰国 泰国 泰国 泰国
科学领域:
- 卫生政策和法律卫生政策和法律
- 抚慰性护理是一种缓解性护理.
- 生命终端决策 - - 生命终端决策
背景情况:
- 泰国的2007年"国家卫生法"包括提前指令,但医生采用率仍然很低.
- 诸如家庭参与和沟通障碍等文化因素阻碍了生命终结 (EOL) 讨论和患者自主权.
- 2014年的息护理政策和随后的国家计划监督旨在改善EOL护理.
研究的目的:
- 分析泰国提前护理计划 (ACP) 的实施情况.
- 确定将EOL决策融入国家卫生战略中的挑战和进展.
- 评估政策对患者参与护理规划的影响.
主要方法:
- 泰国国家卫生法和息护理政策的审查.
- 分析国家卫生检查关键绩效指标 (KPIs) 相关的ACP.
- 审查国家卫生委员会办公室为全国范围的ACP实施所采取的举措.
主要成果:
- 尽管2007年提前指令立法,医生采用是有限的.
- 文化规范对开放的生命终结讨论和共享决策提出了挑战.
- 自2014年以来的国家努力,包括政策整合和自2021年以来的专门委员会,正在推动提前护理计划 (ACP) 的实施.
结论:
- 泰国正在积极努力克服提前护理计划 (ACP) 的文化和系统障碍.
- 政策整合和结构化实施策略对于改善终身护理和患者自主性至关重要.
- 持续监测和评估对于成功采用预先指令和息护理至关重要.
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