Integration of Palliative Care into the Primary Health Care of Iran: A Document Analysis

被引:11
作者
Barasteh, Salman [1 ]
Parandeh, Akram [1 ]
Rassouli, Maryam [2 ]
Zaboli, Rouhallah [3 ]
Vahedian-Azimi, Amir [4 ]
Khaghanizadeh, Morteza [1 ]
机构
[1] Baqiyatallah Univ Med Sci, Nursing Fac, Med Quran & Hadith Res Ctr, Tehran, Iran
[2] Shahid Beheshti Univ Med Sci, Canc Res Ctr, Tehran, Iran
[3] Baqiyatallah Univ Med Sci, Hlth Management Res Ctr, Tehran, Iran
[4] Baqiyatallah Univ Med Sci, Nursing Fac, Trauma Res Ctr, Tehran, Iran
关键词
Palliative care; Primary health care; Policy making; Integration; Iran; CHALLENGES; SERVICES;
D O I
10.30476/mejc.2020.82856.1111
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Providing palliative care (PC) is increasing by the increase in the number of people with life-threatening diseases and determined the benefits of these services in the community. Access to palliative care is a patient's rights and ethical responsibility. Thus it is necessary to integrate into all level of the health system, including the primary health care. This study was conducted to assess the requirements for the integration of PC into the primary health care. Method: It was a document analysis, carried out through conventional content analysis and 10 national documents on PC, released by governmental organizations from 2010. The 4-step Scott method was used for the data validity and the coding process was done utilizing MAXQDA 10 software. Results: Base on the data analysis, we identified the "requirements of the integration of PC into the primary health care", was of 4 main categories and 12 sub-categories. The categories include "principles and basics", "legislation and policy-making", "the establishment of PC system" and "the need for civil support", which were extracted by reviewing the documents. Conclusion: PC is believed to be in its early stages in the Iranian health system. Therefore, universal access to these services requires their provision at the community level. Thus, it is recommended that the principles and basics of PC in the country be explained and then, the necessary infrastructures of this integration be provided with the cooperation of governmental organizations, NGOs, and charities, through proper policy making.
引用
收藏
页码:292 / 300
页数:9
相关论文
共 26 条
[1]  
[Anonymous], 2018, INT PALL CAR SYMPT R
[2]   Palliative Care Policy Analysis in Iran: A Conceptual Model [J].
Ansari, Mojgan ;
Rassouli, Maryam ;
Akbari, Mohhamad Esmaiel ;
Abbaszadeh, Abbas ;
Akbarisari, Ali .
INDIAN JOURNAL OF PALLIATIVE CARE, 2018, 24 (01) :51-57
[3]  
Asadi-Lari M, 2008, IRAN J CANCER PREV, V1, P1
[4]   Qualitative analysis of national documents on health care services and pharmaceuticals' purchasing challenges: evidence from Iran [J].
Bastani, Peivand ;
Samadbeik, Mahnaz ;
Dinarvand, Rassoul ;
Kashefian-Naeeini, Sara ;
Vatankhah, Soudabeh .
BMC HEALTH SERVICES RESEARCH, 2018, 18
[5]  
Baxter S, 2014, GLOBAL ATLAS PALLIAT, P27
[6]   Impact of rural Family Physician programme on maternal and child health indicators in Iran: an interrupted time series analysis [J].
Beyrami, Hossein Jabbari ;
Doshmangir, Leila ;
Ahmadi, Ayat ;
Jafarabadi, Mohammad Asghari ;
Morasae, Esmaeil Khedmati ;
Gordeev, Vladimir S. .
BMJ OPEN, 2019, 9 (01)
[7]   Delivery of Community-Based Palliative Care: Findings from a Time and Motion Study [J].
Bhavsar, Nrupen A. ;
Bloom, Kate ;
Nicolla, Jonathan ;
Gable, Callie ;
Goodman, Abby ;
Olson, Andrew ;
Harker, Matthew ;
Bull, Janet ;
Taylor, Donald H., Jr. .
JOURNAL OF PALLIATIVE MEDICINE, 2017, 20 (10) :1120-1126
[8]  
Borimnezhad L., 2014, Iran J Nurs, V26, P1
[9]   The origins of primary health care and selective primary health care [J].
Cueto, M .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2004, 94 (11) :1864-1874
[10]  
Damari B, 2014, Payesh, V13, P541