Children's palliative care in low- and middle-income countries

被引:49
作者
Downing, Julia [1 ,2 ]
Powell, Richard A.
Marston, Joan [3 ]
Huwa, Cornelius [4 ]
Chandra, Lynna [5 ]
Garchakova, Anna [6 ]
Harding, Richard [7 ]
机构
[1] Int Childrens Palliat Care Network, London, England
[2] Makerere Univ, Kampala, Uganda
[3] Int Childrens Palliat Care Network, Bloemfontein, South Africa
[4] Queen Elizabeth Cent Hosp, Palliat Care Support Trust, Blantyre, Malawi
[5] Rachel House, Jakarta, Indonesia
[6] Belarusian Childrens Hosp, Minsk, Minsk Region, BELARUS
[7] Kings Coll London, Cicely Saunders Inst, Dept Palliat Care Policy & Rehabil, London WC2R 2LS, England
关键词
INFECTED CHILDREN; SCREENING SCALE; OF-LIFE; CHALLENGES; AFRICA; TELEHEALTH; PRIORITIES; SERVICES; ONCOLOGY; PEOPLE;
D O I
10.1136/archdischild-2015-308307
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
One-third of the global population is aged under 20 years. For children with life-limiting conditions, palliative care services are required. However, despite 80% of global need occurring in low- and middleincome countries (LMICs), the majority of children's palliative care (CPC) is provided in high-income countries. This paper reviews the status of CPC services in LMICs highlighting examples of best practice among service models in Malawi, Indonesia and Belarus before reviewing the status of the extant research in this field. It concludes that while much has been achieved in palliative care for adults, less attention has been devoted to the education, clinical practice, funding and research needed to ensure children and young people receive the palliative care they need.
引用
收藏
页码:85 / 90
页数:6
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