Document Type : Original Article


1 Department of Anesthesiology, School of Medicine, 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


BACKGROUND: Terminally, illnesses such as cancer, AIDS, dementia, and advanced heart disease
will require special supportive and palliative care, although a few numbers of these patients are
provided with these services.The aim of the present study was to perform a comparative study of
supportive‑palliative care provision in selected countries.
MATERIALS AND METHODS: This research was a descriptive comparative study that its research
population was the frameworks of palliative and supportive care provision in Egypt, Turkey, America,
Australia, Canada, the Netherlands, and China. These frameworks were compared across six
dimensions of service receivers, financing, providers, service provider centers, type of services
provided, and training. Data collection tool has included the checklist and information sources,
documents, evidence, articles, books, and journals collected through the Internet and organizations
related to the health information of selected countries and by the library search. Data were investigated
and analyzed using the data collection tool and checklists.
FINDINGS: The findings showed that the developed countries having decentralized trusteeship
structure had a more favorable status in palliative and supportive care provision. The type of services
provided was a combination of mental, psychological, social, spiritual, financial, and physical and
communication services. Provider centers included hospital, the elderly, and cancer and charity
CONCLUSION: Regarding the investigation and recognition of the status of supportive‑palliative
care provision, it was observed that the provision of these services was a concern of the selected
countries, but they did not have a defined model or pattern to provide these services. Therefore, it
is suggested that each country takes a step to redesign and define frameworks and structures in
the evolution of supportive‑palliative cares in accordance with the particular conditions, indigenous
culture, religion, and other effective cases of that country and pays special attention to the role and
position of supportive‑palliative cares.


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