A state-of-the-art review of community-based palliative care services in rural areas of Southern Minnesota and the United States.

Ellen Vorbeck, Kristen Abbott-Anderson, Alicia Reed, Meritxell Mondejar-Pont
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Abstract

Background: This state-of-the-art (SOTA) review aimed to understand the historical, current and future of rural community palliative care services (PCS) with a primary focus in rural southern Minnesota communities and the United States.

Methods: This review followed the six step SOTA systematic review process described by Barry et al (2022) and examined articles from 2010-2023 regarding rural PCS.

Results: Historical and current research consistently supported the benefits of PCS and reported the top facilitators as a clear definition of palliative care and PCS. The top barriers included a lack service provision, funding/resources, national policies/regulation, and shortages of trained providers in rural communities.

Conclusions: Barriers to the provision of PCS have not improved based on this review in rural areas and must be addressed to reduce healthcare disparities for rural populations.

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明尼苏达州南部和美国农村地区社区姑息关怀服务的最新回顾。
背景:这篇最新(SOTA)综述旨在了解农村社区姑息关怀服务(PCS)的历史、现状和未来,主要关注明尼苏达州南部农村社区和美国:本综述遵循巴里等人(2022 年)描述的六步 SOTA 系统综述流程,研究了 2010-2023 年间有关农村姑息关怀服务的文章:结果:历史研究和当前研究一致支持姑息关怀和姑息关怀服务的益处,并将姑息关怀和姑息关怀服务的明确定义列为最大的促进因素。最大的障碍包括缺乏服务提供、资金/资源、国家政策/法规以及农村社区缺乏训练有素的医疗服务提供者:结论:根据本次研究,在农村地区提供姑息关怀服务的障碍并没有得到改善,因此必须加以解决,以减少农村人口在医疗保健方面的差距。
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