Evaluating Palliative Care Needs in Middle Eastern Countries

被引：43

作者：

Silbermann, Michael ^{[1
]}

Fink, Regina M. ^{[2
]}

Min, Sung-Joon ^{[3
]}

Mancuso, Mary P. ^{[2
]}

Brant, Jeannine ^{[4
]}

Hajjar, Ramzi ^{[5
]}

Al-Alfi, Nesreen ^{[6
]}

Baider, Lea ^{[7
]}

Turker, Ibrahim ^{[8
]}

ElShamy, Karima ^{[9
]}

Ghrayeb, Ibtisam ^{[10
]}

Al-Jadiry, Mazin ^{[11
]}

Khader, Khaled ^{[12
]}

Kav, Sultan ^{[13
]}

Charalambous, Haris ^{[14
]}

Uslu, Ruchan ^{[15
]}

Kebudi, Rejin ^{[16
]}

Barsela, Gil ^{[17
]}

Kuruku, Nilgun ^{[18
]}

Mutafoglu, Kamer ^{[19
]}

Ozalp-Senel, Gulsin ^{[20
]}

Oberman, Amitai ^{[21
]}

Kislev, Livia ^{[22
]}

Khleif, Mohammad ^{[23
]}

Keoppi, Neophyta ^{[24
]}

Nestoros, Sophia ^{[24
]}

Abdalla, Rasha Fahmi ^{[25
]}

Rassouli, Maryam ^{[26
]}

Morag, Amira ^{[27
]}

Sabar, Ron

Nimri, Omar ^{[28
]}

Al-Qadire, Mohammad ^{[29
]}

Al-Khalaileh, Murad ^{[30
]}

Tayyem, Mona ^{[31
]}

Doumit, Myrna ^{[32
]}

Punjwani, Rehana ^{[33
]}

Rasheed, Osaid ^{[34
]}

Fallatah, Fatimah ^{[35
]}

Can, Gulbeyaz ^{[36
]}

Ahmed, Jamila ^{[37
]}

Strode, Debbie ^{[38
]}

机构：

[1] Technion Israel Inst Technol, Middle East Canc Consortium, Haifa, Israel

[2] Univ Colorado Hosp, Aurora, CO USA

[3] Univ Colorado, Sch Med, Aurora, CO 80045 USA

[4] Billings Clin, Billings, MT USA

[5] Amer Univ Beirut, Beirut, Lebanon

[6] Fatima Coll Hlth Care Sci, Abu Dhabi, U Arab Emirates

[7] Assuta Med Ctr, Tel Aviv, Israel

[8] Dr Abdurrahman Yurtaslan Oncol Training & Res Hos, Ankara, Turkey

[9] Mansoura Univ, Fac Nursing, Mansoura, Egypt

[10] Makassed Charitable Hosp, East Jerusalem, Israel

[11] Univ Baghdad, Children Welf Teaching Hosp, Baghdad, Iraq

[12] Taif Univ, At Taif, Saudi Arabia

[13] Baskent Univ, TR-06490 Ankara, Turkey

[14] Bank Cyprus, Ctr Oncol, Nicosia, Cyprus

[15] Ege Univ, Sch Med, Tulay Aktas Oncol Hosp, Izmir, Turkey

[16] Istanbul Univ, Cerrahpasa Med Fac, Istanbul, Turkey

[17] Rambam Hlth Care Campus, Div Oncol, Haifa, Israel

[18] Ankara Oncol Training & Res Hosp, Ankara, Turkey

[19] Dokuz Eylul Univ, Ctr Oncol, Izmir, Turkey

[20] Ankara Oncol Educ & Res Hosp, Ankara, Turkey

[21] Poria Med Ctr, Tiberias, Israel

[22] Israel Canc Assoc, Giv'atayim, Israel

[23] Al Sadeel Soc Palliat Care, Bethlehem, West Bank, Palestine

[24] Cyprus Anticanc Soc, Nicosia, Cyprus

[25] El Salam Oncol Ctr, Cairo, Egypt

[26] Shahid Beheshti Univ Med Sci, Sch Nursing & Midwifery, Tehran, Iran

[27] Rabin Med Ctr, Davidoff Canc Ctr, Petah Tiqwa, Israel

[28] Minist Hlth, Jordan Canc Registry, Amman, Jordan

[29] Al Ghad Int Coll Hlth Sci, Riyadh, Saudi Arabia

[30] Al Bayt Univ, Fac Nursing, Mafraq, Jordan

[31] Jordan Univ Sci & Technol, Fac Nursing, Irbid, Jordan

[32] Lebanese Amer Univ, Alice Ramez Chagoury Sch Nursing, Beirut, Lebanon

[33] Childrens Canc Hosp, Karachi, Pakistan

[34] Al Quds Univ, Abu Dies & Al Ahli Hosp, Hebron, West Bank, Palestine

[35] King Abdul Aziz Med City, Jeddah, Saudi Arabia

[36] Istanbul Univ, Florence Nightingale Hemsirelik Fak, Istanbul, Turkey

[37] Univ Aden, Fac Med, Aden, Yemen

[38] Tawam Hosp, Abu Dhabi, U Arab Emirates

来源：

JOURNAL OF PALLIATIVE MEDICINE | 2015年 / 18卷 / 01期

关键词：

CANCER;

D O I：

10.1089/jpm.2014.0194

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：

Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. Objective: To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Design: Descriptive survey. Setting/Subjects: Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Measurements: Palliative care needs assessment. Results: Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. Conclusions: The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.

引用

页码：18 / 25

页数：8

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