2010
DOI: 10.1186/1471-2458-10-222
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Developing targets for public health initiatives to improve palliative care

Abstract: BackgroundPalliative Care is an approach that improves quality of life for patients and their families facing the problems associated with incurable life-threatening illness. In many countries, due to the rapidly ageing population, increasingly more people are suffering from serious chronic disease towards the end of life, making further development in palliative care a major public health challenge. The aim of this study was to develop the first targets for public health initiatives to improve palliative care… Show more

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Cited by 32 publications
(38 citation statements)
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“…The aforementioned argument is based on a number of grounds including demographics and the aging societies, the spread of life-threatening incurable and chronic diseases, and that informal care, as for example within families, becomes uncommon due to socioeconomic factors. Indeed, due to these changes the number of older people with incurable chronic disease and multiple morbidities has significantly increased over the last two decades (Schneider et al, 2010). This imposes a major undertaking for health systems worldwide, enhancing the need for appropriate PC healthcare units.…”
mentioning
confidence: 99%
“…The aforementioned argument is based on a number of grounds including demographics and the aging societies, the spread of life-threatening incurable and chronic diseases, and that informal care, as for example within families, becomes uncommon due to socioeconomic factors. Indeed, due to these changes the number of older people with incurable chronic disease and multiple morbidities has significantly increased over the last two decades (Schneider et al, 2010). This imposes a major undertaking for health systems worldwide, enhancing the need for appropriate PC healthcare units.…”
mentioning
confidence: 99%
“…O conhecimento das famílias, por vezes prévio ao diagnóstico de doença grave e fatal, leva os profissionais de APS a compreenderem suas dificuldades e as potencialidades em cada situação. 1,19,25 A manutenção do acompanhamento por profissionais da APS aos pacientes em cuidado especializado facilita a transição para os cuidados paliativos e contribui nas tomadas de decisão posteriores. 9,19,21,24 Os textos analisados trazem também que Responsabilizar-se pelo cuidado paliativo com a família leva os profissionais de APS a colocarem-se lado a lado com as famílias, agindo como tradutores do universo de exames, especialistas e laudos dos serviços especializados envolvidos nos tratamentos e paliação.…”
Section: 19-21unclassified
“…22 A família é frequentemente identificada como cuidadora, mas a APS vê a própria família como objeto do cuidado, buscando apoiá-la no exercício do cuidado com seu ente em processo de morrer, buscando fortalecê-la e protegê-la da sobrecarga. 1 Ao Buscar aprimoramento profissional em cuidados paliativos os profissionais de APS procuram suprir deficiências de sua formação hospitalocêntrica, focada em tecnologias duras e busca pela cura, não em qualidade de vida. 11,25 Os autores declaram que desde a formação do profissional que atuará na APS é fundamental que se tenha experiências com paliação, garantindo o aprendizado desse novo paradigma de cuidado.…”
Section: 19-21unclassified
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“…In England, the work of Murtagh and colleagies refined methods for population-based estimates of palliative care need, 9 leading to new initiatives and funding models proposed by policymakers. 10 Recently German researchers developed the first targets for public health initiatives to improve palliative care in Germany, 11 and the European Association for Palliative Care has laid out a comprehensive palliative care agenda. 12 Despite progress in other developing and developed countries, the United States has largely left palliative care off of the public health agenda.…”
mentioning
confidence: 99%