土耳其的姑息关怀:通过关键信息提供者访谈获得的专家见解

IF 2 Q3 HEALTH POLICY & SERVICES Journal of Cancer Policy Pub Date : 2024-09-14 DOI:10.1016/j.jcpo.2024.100506
Fahad Ahmed , Tezer Kutluk , Sema Yurduşen , Meltem Şengelen , Burça Aydın , Meral Kirazli , Sinem Aydın , Richard Sullivan , Richard Harding
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引用次数: 0

摘要

背景自 2010 年国家颁布姑息治疗政策以来,土耳其因癌症而日益增长的姑息治疗(PC)需求引起了越来越多的关注。尽管如此,医疗系统仍主要关注治疗护理,缺乏姑息治疗的整合。这是行政障碍、分散协调、教育和培训匮乏等综合因素造成的。因此,需要采取紧急战略来解决 PC 差距日益扩大的问题。本定性研究探讨了 PC 专业人员和政策制定者的观点,为国家政策和计划的制定提供了有价值的见解。访谈使用半结构化问卷进行。研究试图收集相关背景信息,以实现研究目的。结果对 21 名参与者进行了访谈,其中包括护士、专家和肿瘤学家。研究结果包含八个主题。1) 综合护理,强调了不同医疗服务提供者、社会护理服务和初级护理系统之间协调合作的重要性,以确保提供全面有效的护理。2) 满足社会护理需求强调了满足患者广泛需求(包括社会心理支持)的重要性。3) PC 教育强调有必要通过全面培训使医护人员掌握必要的技能和知识。4) 使 "拒绝复苏 "医嘱合法化提请人们关注围绕生命末期决定的重要讨论。5) 增强社区的能力承认弥合患者和护理人员之间的知识差距。6) 决策强调知情和协作决策过程的重要性。7) 文化方面的考虑促使我们采用对文化敏感的方法。8) 持续存在的挑战揭示了长期存在的问题,如提供者的态度和行政障碍。土耳其现有的医疗保健系统为先进的 PC 提供了机遇。要成功实施该计划,就必须采取战略性行动,以促进有意义的转变。
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Palliative Care in Turkey: Insights from experts through key informant interviews

Background

The rising demand for palliative-care (PC) in Turkey, driven by cancer, has prompted increased attention since the national PC policy in 2010. Despite this, the healthcare system predominantly focuses on curative care, lacking PC integration. This is due to combination of administrative obstacles, fragmented coordination, education and training scarcity. Thus urgent strategies are required to address the growing PC gap. This qualitative study explores the perspectives of PC professionals and policymakers, providing valuable insights for national policy and program development.

Material and method

This study employed an exploratory approach using key informant interviews. Interviews were conducted using semi-structured questionnaire. It sought to collect relevant contextual information in order to achieve its aim. Thematic content analysis was employed to examine and interpret the data.

Result

Twenty-one participants, comprising nurses, specialists, and oncologists, were interviewed. The findings are encompassed by eight themes. 1) Integrated Care, highlights the importance of cohesive collaboration among diverse healthcare providers, social care services, and primary care systems to ensure comprehensive and effective care. 2) Meeting social care needs underscores significance of addressing a wide spectrum of patient requirements, including psychosocial support. 3) PC education emphasizes necessity of equipping healthcare professionals with the requisite skills and knowledge through comprehensive training. 4) Legalizing do-notresuscitate orders draws attention to the critical discussion surrounding end-of-life decisions. 5) Empowering communities recognizes bridging knowledge gaps among patients and caregivers. 6) Decision-Making underscores the importance of informed and collaborative decision-making processes. 7) Cultural considerations urge the adoption of culturally sensitive approaches. 8) Ongoing challenges shed light on persistent issues such as provider attitudes, and administrative hurdles.

Conclusion

This study highlights essential factors for establishing an integrated PC program for cancer patients in Turkey. The existing healthcare system in Turkey offers opportunities for advanced PC. Successful implementation demands strategic actions to facilitate meaningful transformation.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
期刊最新文献
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