Document Type : Original Article

Authors

1 Associate Professor, Health Services Management, Department of Health Services Management, School of Health Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Health Services Management, Department of Health Services Management, School of Health Management and Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: Palliative care should be a top priority in public health and disease management programs. This study endeavored to compare the palliative care services in some selected countries and this way provide a framework for Iran.Methods: This study was conducted with a descriptive and comparative approach in the year 2019. Data were collected through literature review of the databases of the relevant organizations in the selected countries.Results: Findings revealed that the United Kingdom and the United States are leading countries in palliative care and provide comprehensive services to the patients. Turkey has also made significant progress in palliative care and has covered a large population in recent years. In Iran, many services required for end stage patients have not yet been implemented or the centers for providing these services are limited. Experts in palliative care believe that in Iran, less attention has been paid to the organization of such centers than the United Kingdom, the United States and Turkey.Conclusion: Based on the results of this study, it is suggested to benchmark the experiences of leading countries and initiatives and proceedings of the developing countries, considering organizational structure, financing and support services, supervision of services, interdisciplinary teams, patient care need assessment, training and recruitment as a framework for Iran.

Keywords

  1. Mousavi F, Beiranvand M. The effect of palliative care on the quality of life of cancer patients: A systematic review. Nursing Development in Health 2020; 11(1): 8-17. [In Persian].
  2. Wittenberg-Lyles E, Goldsmith J, Ferrell B, Burchett M. Assessment of an interprofessional online curriculum for palliative care communication training. J Palliat Med 2014; 17(4): 400-6.
  3. Ghanbarimotlagh A, Tahmasbi M. Theoretical foundations and comparative studies in the system of supportive and palliative care cancer. Tehran, Iran: Iran National Cancer Research Network; 2012. p. 8-113. [In Persian].
  4. World Health Organization. World Report on Mortality, 2018 [Online]. [cited 2018]; Available from: URL: https://www.who.int/data/mortality/country-profile
  5. NHS Health Scotland. Coordination of palliative care in community settings. Summary report. 2018; Available from: URL: http://www.healthscotland.scot/media/1733/coordination-of-palliative-care-in-community-settings.pdf
  6. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015; 136(5): E359-E386.
  7. Heydari H. Home-based palliative care: A missing link to patientsGÇÖ care in Iran. HAYAT 2018; 24(2): 97-101.
  8. Amiresmaeili MR, Imani E, Sarvestani Amin J. Evaluation of terminal life cost for patients admitted in teaching hospitals affiliated with Kerman University of Medical Sciences in 2014. Journal of Health-Based Research 2015; 1(2): 133-43.
  9. Hassankhani H, Rahmani A, Dehghannezhad J. Development of Palliative Care in Cancer Patients: A Neglected Necessity. Iran Journal of Nursing 2019; 31(115): 1-5. [In Persian].
  10. World Health Organization. Working Together for Health: The WHO Health Report 2006 [Online]. [cited 2006]; Available from: URL: https://www.who.int/whr/2006/whr06_en.pdf
  11. Sleeman KE, Timms A, Gillam J, Anderson JE, Harding R, Sampson EL, et al. Priorities and opportunities for palliative and end of life care in United Kingdom health policies: A national documentary analysis. BMC Palliative Care 2021; 20(1): 108.
  12. Ten KM, Onwuteaka-Philipsen BD, Van den Block L, Deliens L, Gambassi G, Heymans MW, et al. Palliative care provision in long-term care facilities differs across Europe: Results of a cross-sectional study in six European countries (PACE). Palliat Med 2019; 33(9): 1176-88.
  13. Arias-Casais N, Garralda E, Rhee J, De Lima L, Pons Izquierdo J, Clark D, et al. EAPC Atlas of Palliative Care in Europe 2019. Vilvoorde, Belgium: EAPC Press; 2019.
  14. UK Health Care. Palliative Care - Pediatric [Online]. [cited 2021]; Available from: URL: https://ukhealthcare.uky.edu/kentucky-childrens-hospital/services/support-services/palliative-care
  15. Finlay I. UK Strategies for palliative care. J R Soc Med 2001; 94(9): 437-41.
  16. Hughes MT, Smith TJ. The growth of palliative care in the united states. Annu Rev Public Health 2014; 35(1): 459-75.
  17. Morrison RS. Models of palliative care delivery in the United States. Curr Opin Support Palliat Care 2013; 7(2): 201-6.
  18. Mather HL, Coats H, Desanto K, Dionne-Odom JN, Smith CB, Gelfman LP. Update in hospice and palliative care. J Palliat Med 2019; 22(4): 357-63.
  19. Taylor DH, Kaufman BG, Olson A, Harker M, Anderson D, Cross SH, et al. Paying for palliative care in medicare: evidence from the four seasons/duke CMMI demonstration. J Pain Symptom Manage 2019; 58(4): 654-61.
  20. Fay M. Hospice Costs & End-of-Life Options [Online]. [cited 2021 Apr 29]; Available from: URL: https://www.debt.org/medical/hospice-costs/
  21. MACSA. Supportive and palliative care in countries around the world [Online]. [cited 2021]; Available from: URL: https://macsa.ir/fa/global-situation-of-palliative/
  22. Terzioglu F, Sahan FU, Boztepe H. Palliative care to the cancer patient: Turkish nurses' perspectives. J Palliat Care Med 2015; S5: 004
  23. Akyar I. Palliative and supportive care in Turkey: Literature review and current status of research. Proceedings of the Sigma Theta Tau International's 27th International Nursing Research Congress; 2016 Jul 21-25; Cape Town, South Africa.
  24. Bagcivan G, Bakitas M, Palmore J, Kvale E, Nichols AC, Howell SL, et al. Looking back, moving forward: A retrospective review of care trends in an academic palliative and supportive care program from 2004 to 2016. J Palliat Med 2019; 22(8): 970-6.
  25. Ozgul N, Gultekin M, Koc O, Goksel F, Bayraktar G, Ekinci H, et al. Turkish community-based palliative care model: A unique design. Ann Oncol 2012; 23(Suppl 3): 76-8.
  26. Walker DK, Edwards RL, Bagcivan G, Bakitas MA. Cancer and palliative care in the United States, Turkey, and Malawi: Developing global collaborations. Asia Pac J Oncol Nurs 2017; 4(3): 209-19.
  27. Ministry of Health and Medical Education. Clinical Medicine Guideline to Providing Palliative Care to End-Cancer Patients in Palliative Medicine [Online]. [cited 2021]; Available from: URL: http://treatment.sbmu.ac.ir/uploads/2-teb_taskini.pdf
  28. MACSA: Supporter of Cancer Patients [Online]. [cited 2021]; Available from: URL: https://macsa.ir/fa
  29. Nouraei SM, Sajadi SA, Malekzadeh R, Mohagheghi SMA, Mousavi Jarahi A, Ghorbani A, et al. Cancer incidence in Iran in 2002, an international estimation. J Med Counc I.R. Iran 2006; 24(1): 48-56. [In Persian].