Document Type : Original Article
Authors
- . Mohammad Salimi Amroud
- . Pouran Raeissi
- . Seyed‑Masoud Hashemi 1
- . Nahid Reisi 2
- . Seyed‑Ahmad Ahmadi
1 Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Pediatric Hematology and Oncology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Palliative care and terminal patients care centers have an important role in improving the physical
and psychological state of the patient and their families and increasing their satisfaction and care
providers. A literature search of online databases (PubMed, Scopus, Web of science, Cochrane
library, and Google Scholar) was searched from January 1, 2000, to the end of April 2019, by using
the appropriate English keywords. Furthermore, IranMedex, Barkat, and Magiran databases were
searched for the Persian articles. We used Standards for Reporting Qualitative Research checklist
to evaluate the articles quality. From 1328 articles, 166 were reviewed in depth with 13 satisfying
our inclusion criteria. The findings of this study revealed a wide range of barriers and challenges to
palliative care delivery. The identified barriers were: Cultural, social and organizational barriers, lack
of resources, equipment and financing, attitudes and cultures, barriers related to the patient and the
patient’s family, related barriers providers, time and money, education, communication challenges,
policies, insurance problems, safety, and crisis management. The results of the studies showed that
there are various barriers and challenges such as economic, cultural, social, organizational, and
communication related to palliative care. Given the identified barriers and challenges, it is suggested
that to improve the delivery of palliative care, the health system policy‑makers and planners consider
a resource‑appropriate and culturally appropriate framework for palliative care delivery.
Keywords
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