Document Type : Original Article
Authors
- . Mohammad Salimi Amroud
- . Pouran Raeissi
- . Seyed-Masoud Hashemi 1
- . Nahid Reisi 2
- . Seyed-Ahmad Ahmadi
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
Abstract
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
centers.
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.
Keywords
Acta Med Iran 2014;52:24-8.
2. Pad B, Alavi K, Hajebi A. A Randomized controlled trial of
telephone follow-up in patients with severe mental illness: Study
protocol. Iran J Psychiatry Clin Psychol 2017;23:108-17.
3. Rad GS, Bakht LA, Feizi A, Mohebi S. Importance of social support
in diabetes care. J Educ Health Promot 2013;2:62.
4. Beard JR, Officer A, Carvalho IA, Sadana R, Pot AM, Michel JP,
et al. The World report on ageing and health: A policy framework.
Lancet 2016;387:2145-54.
5. Organization WH. Cancer Control Knowledge into Action WHO
Guide for Effective Programmes: World Health Organization; 2007.
6. Hui D, De La Cruz M, Mori M, Parsons HA, Kwon JH, TorresVigil I, et al. Concepts and definitions for “supportive care,”“best
supportive care,”“palliative care,” and “hospice care” in the
published literature, dictionaries, and textbooks. Support Care
Cancer 2013;21:659-85.
7. Malayeri R, Hazini A, Pirjani P, Sharbafchi MR, Hojjat S. Palliative
care in Iran, two year experience of the Firoozgar Palliative
Medicine Unit. Ann Oncol 2016;27: 25-40 [doi: 10.1093/annonc/
mdw595.010].
8. Meier DE, Back AL, Berman A, Block SD, Corrigan JM,
Morrison RS. A national strategy for palliative care. Health Aff
2017;36:1265-73.
9. Khalilabad TH, AslAN, Raeissi P, ShaliM, Niknam N. Assessment
of clinical and paraclinical departments of military hospitals based
on the Pabon Lasso Model. J Educ Health Promot 2020;9:59.
10. Azami-Aghdash S, Jabbari H, Bakhshian F, Shafaei L, Shafaei S,
Kolahdouzan K, et al. Attitudes and knowledge of Iranian nurses
about hospice care. Indian J Palliat Care 2015;21:209-13.
11. Iranmanesh S, RazbanF, Tirgari B, Zahra G. Nurses’ knowledge
about palliative care in Southeast Iran. Palliat Support Care
2013;12:203-10.
12. Kelley AS, Morrison RS, Wenger NS, Ettner SL, Sarkisian CA.
Determinants of treatment intensity for patients with serious
illness: A new conceptual framework. J Palliat Med 2010;13:807-13.
13. Luzny J, Vyrostkova O, Blazkova M, Pospisilova I, Indrakova A.
520 – Key points in psychogeriatric palliative care – Developping
the “PANSS” model in the czech republic. Eur Psychiatry
2013;28 Suppl 1:1.
14. Palliative Care Australia; 2019. Available from: https://www.
health.gov.au/contacts/palliative-care-australia. [last accessed
on 2020 Sep 20]
15. Ministry of Public Health (China); 2019. Available from: http://
ghdx.healthdata.org/organizations/ministry-health-china. [last
accessed on 2020 Nov 19]
16. Hacıkamiloglu E, Utku ES, Cukurova Z, Keskinkilic B, Topcu I,
Gultekin M, et al. Community palliative care in Turkey:
A collaborative promoter to a new concept in the Middle East.
J Public Health Manage Pract 2016;22:81-8.
17. World Health Organization. World Health Organization’s
Ranking of the World’s Health Systems. World Health
Organization; 2000. Available from: https://www.google.com/
url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=
8&vd=0ahUKEwifz9CmoLLYAhXCa5oKHQbhDFMQFgg6MAE
&url=http%3A%2F%2Fwww.who.int%2Fhealthinfo 2Fpaper30.
pdf&usg=AOvVaw0 g5NYTFueYMYfe_fcYtVsW. [last accessed
on 2019 May 13]
18. Davis K, Stremikis K, Squires D, Schoen C. Mirror, Mirror on
the Wall. How the Performance of the US Health Care System
Compares Internationally. New York: CommonWealth Fund;
2014.
19. Kim CG. Hospice & palliative care policy in Korea. Korean J Hosp
Palliat Care 2017;20:8-17.
20. Cuadrado C, Crispi F, Libuy M, Marchildon G, Cid C. National
Health Insurance: A conceptual framework from conflicting
typologies. Health Policy 2019;123:621‑9.
)