Perspectives"How should Argentina raise Advance Care Planning awareness? Introduction of the Shared Care Planning Group

被引:1
|
作者
Tripodoro, Vilma A. [1 ,2 ,3 ,8 ]
Di Gennaro, Stella [1 ,4 ]
Fila, Julia [1 ,5 ]
Quiroga, Celeste [1 ,6 ]
Varela, Constanza [1 ,6 ]
Francia, Lucrecia [1 ,7 ]
机构
[1] Inst Pallium Latinoamer, SCP Grp Argentina, Buenos Aires, Argentina
[2] Univ Buenos Aires, Dermatol Dept, Inst Invest Med A Lanari, Buenos Aires, Argentina
[3] Univ Navarra, Atlantes Global Observ Palliat Care, Pamplona, Spain
[4] Clin Univ Reina Fabiola, Cordoba, Argentina
[5] Natl Univ La Plata, Buenos Aires, Argentina
[6] Hosp Aleman, Buenos Aires, Argentina
[7] Hosp Jose Maria Cullen Santa Fe, Santa Fe, Argentina
[8] Cadiz 3817, RA-1430 Buenos Aires, Argentina
来源
ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN | 2023年 / 180卷
关键词
Advance Care Planning; Advance directives; Shared care planning; Palliative care; PREFERENCES;
D O I
10.1016/j.zefq.2023.04.013
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The WHO Concept Model of Palliative Care emphasises empowering people and communities with Advance Care Planning (ACP). In Latin America, a more relational approach involving family members is suited to ACP. Improvements in doctor-patient-family relationships are needed. Policy efforts have been made to foster ACP in Argentina's healthcare system, but implementation barriers include a need for more communication skills and coordination between healthcare providers. The Shared Care Planning Group Argentina aims to promote ACP through research and training programs. It has sensitised and trained 236 healthcare providers in short courses to introduce basic information and skills. However, there needs to be specific documentation for ACP in Argentina. Research found obstacles to ACP implementation, such as the inability to converse with patients and the lack of coordination between healthcare teams. A new project will assess the self-efficacy of healthcare professionals who assist patients with Sclerosis Lateral Amyotrophic in ACP and evaluate a specific training program. Patient and public involvement in ACP remains limited in Argentina, with paternalistic medical culture and a need for more awareness and training among healthcare professionals as significant barriers. Collaborative research projects with Spain and Ecuador aim to train healthcare professionals and evaluate ACP implementation in other Latin American countries.
引用
收藏
页码:50 / 55
页数:6
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