Challenges for Developing Palliative Care Services in Resource- Limited Settings of Kazakhstan.

Autor: Salikhanov I; Department of Clinical Research, University of Basel, Basel, Switzerland., Connor SR; Worldwide Hospice Palliative Care Alliance, Fairfax, VA, United States., Kunirova G; Kazakhstan Palliative Care Association, Almaty, Kazakhstan., Khashagulgova F; National Research Cardiac Surgery Center, Astana, Kazakhstan., Nazarova G; National Research Cardiac Surgery Center, Astana, Kazakhstan., Crape BL; School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan., Katapodi MC; Department of Clinical Research, University of Basel, Basel, Switzerland.
Jazyk: angličtina
Zdroj: Public health reviews [Public Health Rev] 2023 Aug 18; Vol. 44, pp. 1605672. Date of Electronic Publication: 2023 Aug 18 (Print Publication: 2023).
DOI: 10.3389/phrs.2023.1605672
Abstrakt: Background: Approximately 40 million people in need of palliative care worldwide, while 80% of them live in low- and middle-income countries. Kazakhstan, a low-to middle-income country with a reforming healthcare system, is committed to improving quality and accessibility of care for its 100,000 terminal patients in need of palliative care. Policy Options and Recommendations: To join the group of countries where palliative care is available, accessible, and affordable, Kazakhstan must integrate palliative services into the mainstream healthcare system at all levels, from primary healthcare to hospices, and from major cities to remote villages. Based on the evidence thoroughly collected directly from the Ministry of Health, authors propose a feasible set of recommendations regarding palliative policy, pain relief, infrastructure, workforce, and education, which could be implemented in LMICs beyond Kazakhstan. Conclusion: This study presents an analysis of challenges, recent developments, and needs of palliative care in Kazakhstan, including funding, policy, workforce, education, and infrastructure, providing an evidence base and recommendations for future development of palliative care in Kazakhstan and in other LMICs.
Competing Interests: The authors declare that they do not have any conflicts of interest.
(Copyright © 2023 Salikhanov, Connor, Kunirova, Khashagulgova, Nazarova, Crape and Katapodi.)
Databáze: MEDLINE
Externí odkaz: