Palliative and Supportive Care in the Philippines: Systems, Barriers, and Steps Forward.

Autor:	Ho FDV; College of Medicine, University of the Philippines, Manila, Philippines., De Luna DV; Department of Internal Medicine, Danbury Hospital, Danbury, CT, USA., Cubarrubias DLPF; College of Medicine, University of the Philippines, Manila, Philippines., Ong EP; College of Medicine, University of the Philippines, Manila, Philippines., Abello RMR; College of Medicine, San Beda University, Manila, Philippines., Ansay MFM; School of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines., Taliño MKV; School of Medicine and Public Health, Ateneo de Manila University, Pasig City, Philippines., Robredo JPG; Department of Global Health and Social Medicine, Harvard University, Boston, MA, USA., Eala MAB; Department of Radiation Oncology, University of California Los Angeles, Los Angeles, CA, USA., Dee EC; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Journal of palliative care [J Palliat Care] 2024 Apr; Vol. 39 (2), pp. 87-91. Date of Electronic Publication: 2023 Feb 05.
DOI:	10.1177/08258597231153381
Abstrakt:	Although integral to alleviating serious health-related suffering, global palliative care remains systemically and culturally inaccessible to many patients living in low- and middle-income countries. In the Philippines, a lower-middle income country in Southeast Asia of over 110 million people, up to 75% of patients with cancer suffer from inadequate pain relief. We reviewed factors that preclude access to basic palliative care services in the Philippines. PubMed and Google Scholar were searched thoroughly; search terms included but were not limited to "palliative care," "supportive care," "end-of-life care," and "Philippines." We found that a limited palliative care workforce, high out-of-pocket healthcare costs, and low opioid availability all hinder access to palliative care in the archipelago. Religious fatalism, strong family-orientedness, and physician reluctance to refer to palliative care providers represent contributory sociocultural factors. Efforts to improve palliative care accessibility in the country must address health systems barriers while encouraging clinicians to discuss end-of-life options in a timely manner that integrates patients' unique individual, familial, and spiritual values. Research is needed to elucidate how Filipinos-and other global populations-view end-of-life, and how palliative care strategies can be individualised accordingly. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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