Developing rural communities' capacity for palliative care: a conceptual model.
Developing rural communities' capacity for palliative care: a conceptual model.
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发展农村社区的姑息治疗能力：概念模型。
DOI：
10.1177/082585970702300304
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发表时间：
2007
影响因子：
1.7
通讯作者：
M. Kelley
中科院分区：
文献类型：
--
作者：
M. Kelley
加拿大和其他发展中国家的人口正在老龄化，增加了对姑息治疗服务的需求。在农村社区，临终者的护理通常由卫生保健专业人员提供，作为全科实践的一部分，而不是由姑息治疗专家提供。尽管缺乏专家和资源，一些农村社区已经制定了当地的姑息治疗计划。本研究的目的是以社区能力发展的理论观点，概念化农村社区发展缓和医疗计画的过程。数据来自九个重点小组的跨学科的农村卫生保健提供者提供姑息治疗在加拿大的七个省/地区。结果是一个理论模型，概念化的过程中，姑息治疗计划在四个连续的阶段：先行社区条件，催化剂，创建团队，并增长的程序。概述了每个阶段的活动。这项研究提供了实践和理论知识，以指导从业者和规划者寻求在其他农村社区发展姑息治疗计划。
The population in Canada and other developing countries is aging, increasing the need for palliative care services. In rural communities, care of dying people is normally provided by health care professionals as part of a generalist practice, not by palliative care specialists. Despite a lack of specialists and resources, some rural communities have developed local palliative care programs. The goal of this research was to conceptualize rural communities' process of developing palliative care programs using a theoretical perspective of community capacity development. Data were from nine focus groups of interdisciplinary rural health care providers who provided palliative care in seven provinces/territories of Canada. The outcome is a theoretical model that conceptualizes the process of developing palliative care programs in four sequential phases: antecedent community conditions, a catalyst, creating the team, and growing the program. The activities of each phase are outlined. This research offers practical and theoretical knowledge to guide practitioners and planners seeking to develop palliative care programs in other rural communities.