2021
DOI: 10.1016/j.jpainsymman.2020.10.025
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What Is the Preparedness and Capacity of Palliative Care Services in Middle-Eastern and North African Countries to Respond to COVID-19? A Rapid Survey

Abstract: This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, a… Show more

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Cited by 23 publications
(27 citation statements)
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“…The proportion services with no redeployment plan was high in comparison to previous survey in Africa 23 and India, 21 but similar to the Middle-East. 29 This diverges from recommendations for palliative care to support the wider health system. 11 As governments and health care systems in Asia have learnt from previous experience on infectious disease control, 31,32 alternative actions and advanced deployment plans may have been in place in other sectors and ready for this public emergency, [31][32][33] but not in palliative care despite evidence showed beneficial.…”
Section: Discussionmentioning
confidence: 99%
“…The proportion services with no redeployment plan was high in comparison to previous survey in Africa 23 and India, 21 but similar to the Middle-East. 29 This diverges from recommendations for palliative care to support the wider health system. 11 As governments and health care systems in Asia have learnt from previous experience on infectious disease control, 31,32 alternative actions and advanced deployment plans may have been in place in other sectors and ready for this public emergency, [31][32][33] but not in palliative care despite evidence showed beneficial.…”
Section: Discussionmentioning
confidence: 99%
“…While many hospitals and ICUs treating COVID-19 patients are slowly reaching capacity, the governments should raise the preparedness of health sectors of available laboratories, technical and working staff and, train and seek assistance to provide the needed health care services during this pandemic. 47 For example, in Jordan additional measures have been reintroduced including Friday lockdowns and extended curfew hours. As well as the government is moving forward to accelerate the vaccination programme against COVIID-19.…”
Section: Discussionmentioning
confidence: 99%
“…The respondents reported a moderate level of psychological distress related to family care and self-care during the pandemic among staff, slightly lower but comparable to the surveys in Italian,[ 27 ] African,[ 25 ] and the Middle-East settings. [ 26 ] However, only half of the services had stress management procedures, which may impact the capacity to respond to a recurrence and continue providing care efficiently. With respect to palliative care staff's well-being, it should also be noted that the pandemic has been associated with excess non-COVID deaths.…”
Section: Discussionmentioning
confidence: 99%
“…The survey questionnaire development is described elsewhere[ 25 26 ] and was developed using the IHR guidelines[ 12 ] and national and international studies on palliative care preparedness in rapidly spreading epidemics. [ 8 27 ] The survey was adapted to the Indian context by consulting local clinicians and academic experts and piloted from April 16 to 26, 2020, with 14 local palliative care providers.…”
Section: Ethodsmentioning
confidence: 99%