The public health strategy for palliative care
The public health strategy for palliative care
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DOI：
10.1016/j.jpainsymman.2007.02.016
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发表时间：
2007-05-01
影响因子：
4.7
通讯作者：
Ferris, Frank D.
中科院分区：
文献类型：
--
作者：
Stjernsward, Jan;Foley, Kathleen M.;Ferris, Frank D.
如果今天所有人都能获得姑息治疗的知识，至少1亿人的生活质量将得到改善。公共卫生战略（PHS）提供了将新知识和技能转化为基于证据、具有成本效益的干预措施的最佳方法，可以惠及所有人。为使公共卫生系统有效，政府必须将其纳入各级卫生保健系统，并由社区拥有。如果通过集体和社会行动使社会参与进来，这一战略将是最有效的。世界卫生组织（世卫组织）率先将姑息治疗纳入一国的卫生保健系统。它包括就优先事项以及如何实施国家姑息治疗计划和国家癌症控制计划向政府提供建议和指导，姑息治疗将成为全面癌症控制的四大支柱之一。世卫组织公共卫生服务涉及：1）适当的政策; 2）充足的药物供应; 3）对决策者、卫生保健工作者和公众的教育; 4）在整个社会的各个层面实施姑息治疗服务。这一做法已证明，它为在一国纳入/建立姑息治疗提供了有效的战略。
The quality of life of at least 100 million people would have improved - if today's knowledge of palliative care was accessible to everyone. A Public Health Strategy (PHS) offers the best approach for translating new knowledge and skills into evidence-based, cost-effective interventions that can reach everyone in the population. For PHSs to be effective, they must be incorporated by governments into all levels of their health care systems and owned by the community. This strategy will be most effective if it involves the society through collective and social action. The World Health Organization (WHO) pioneered a PHS for integrating palliative care into a country's health care system. It included advice and guidelines to governments on priorities and how to implement both national palliative care programs and national cancer control programs where palliative care will be one of the four key pillars of comprehensive cancer control. The WHO PHS addresses 1) appropriate policies; 2) adequate drug availability; 3) education of policy makers, health care workers, and the public; and 4) implementation of palliative care services at all levels throughout the society. This approach has demonstrated that it provides an effective strategy for integrating/establishing palliative care into a country.