Bridging the Gaps in Palliative Care Bereavement Support: An International Perspective
Bridging the Gaps in Palliative Care Bereavement Support: An International Perspective
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DOI：
10.1080/07481187.2012.725451
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发表时间：
2014-01-02
期刊：
影响因子：
3.8
通讯作者：
Rumbold, Bruce
中科院分区：
文献类型：
--
作者：
Breen, Lauren J.;Aoun, Samar M.;Rumbold, Bruce
对美国、加拿大、英国、澳大利亚和日本的姑息治疗政策和丧亲支持实践的审查显示了 4 个挑战：提供普遍支持与定向支持的问题；缺乏推动服务提供的明确证据；非正式或没有风险评估；对服务的评估有限或没有。弥合姑息治疗丧亲支持的政策与实践之间的差距需要承认医疗和公共卫生模式的挑战，改进丧亲需求评估流程，加强初级保健提供者的作用，并扩大研究范围，为干预措施提供证据基础。
A review of palliative care policies and bereavement support practices in the United States, Canada, United Kingdom, Australia, and Japan demonstrated 4 challenges: questions over providing universal versus targeted support; a lack of clear evidence driving service delivery; informal or no risk assessment; and limited or no evaluation of services. Bridging the gaps between the policy and practice of palliative care bereavement support requires acknowledging the challenges of medical and public health models, improving bereavement need assessment processes, enhancing the role of primary care providers, and extending research to provide an evidence-base for interventions.