Palliative care in India: current progress and future needs.
Palliative care in India: current progress and future needs.
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DOI：
10.4103/0973-1075.105683
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发表时间：
2012-09
影响因子：
1.1
通讯作者：
Sharma SC
中科院分区：
文献类型：
--
作者：
Khosla D;Patel FD;Sharma SC
尽管姑息治疗的覆盖面有限，但它在印度已经存在了大约20年。印度姑息治疗发展的障碍太多，不仅包括人口密度、贫困、地理多样性、有关阿片类药物处方的限制性政策、基本水平的劳动力发展等因素，还包括国家姑息治疗政策有限以及机构对姑息治疗缺乏兴趣。尽管如此，我们有理由感到自豪，因为我们克服了几个障碍，在过去20年里，印度的医疗保健提供者和政策制定者在需要姑息治疗方面的心态发生了明显的变化。对医务人员进行系统和持续的教育是强制性的，实现这一目标的一个重大突破将是在大多数大学增加姑息医学的课程和教师数量。
Despite its limited coverage, palliative care has been present in India for about 20 years. Obstacles in the growth of palliative care in India are too many and not only include factors like population density, poverty, geographical diversity, restrictive policies regarding opioid prescription, workforce development at base level, but also limited national palliative care policy and lack of institutional interest in palliative care. Nonetheless we have reasons to be proud in that we have overcome several hurdles and last two decades have seen palpable changes in the mindset of health care providers and policy makers with respect to need of palliative care in India. Systematic and continuous education for medical staff is mandatory, and a major break-through for achieving this purpose would be to increase the number of courses and faculties in palliative medicine at most universities.