فهرست نشریات علمی دسترسی آزاد ایران

Palliative care and terminal patients care centers have an important role in improving the physicaland psychological state of the patient and their families and increasing their satisfaction and careproviders. A literature search of online databases (PubMed, Scopus, Web of science, Cochranelibrary, and Google Scholar) was searched from January 1, 2000, to the end of April 2019, by usingthe appropriate English keywords. Furthermore, IranMedex, Barkat, and Magiran databases weresearched for the Persian articles. We used Standards for Reporting Qualitative Research checklistto evaluate the articles quality. From 1328 articles, 166 were reviewed in depth with 13 satisfyingour inclusion criteria. The findings of this study revealed a wide range of barriers and challenges topalliative care delivery. The identified barriers were: Cultural, social and organizational barriers, lackof resources, equipment and financing, attitudes and cultures, barriers related to the patient and thepatient’s family, related barriers providers, time and money, education, communication challenges,policies, insurance problems, safety, and crisis management. The results of the studies showed thatthere are various barriers and challenges such as economic, cultural, social, organizational, andcommunication related to palliative care. Given the identified barriers and challenges, it is suggestedthat to improve the delivery of palliative care, the health system policy‑makers and planners considera resource‑appropriate and culturally appropriate framework for palliative care delivery.