What must Iran do for Palliative care? A systematized review
نویسندگان
1 Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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3 Health Information Technology Research Center, Student Research Committee, Department of Medical Library and Information Sciences, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran,
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چکیده
Palliative care has been proposed as a multidisciplinary method for providing patients with care. Thepresent study proposes to discuss the necessary principles required for any country to successfullyimplement a palliative medicine program. The present study was a systematic review conducted inJanuary 2019, and the articles related to palliative care requirements on the databases of Web ofScience, PubMed, Scopus, Science Direct, Ovid, ProQuest, Wiley, and Google Scholar from January1, 2009, to January 20, 2019, were searched. Strategy for searching and selecting the articles wasPreferred Reporting Items for Systematic Reviews and Meta‑Analyses Guidelines. The findingsshowed that the World Health Organization has introduced for main phases for increasing these typesof services including: defining and developing a national policy, training and educating healthcareemployees and general public, as well as pain relief. In general, two scenarios are described in thedevelopment of palliative medicine: bottom‑up and top‑down approaches. In conclusion, althoughthere seem to be progressing activities regarding the issue of making palliative medicine accessible,there are still many obstacles including lack of adequate knowledge and political support, social andcultural problems, inadequate training and education of physicians and nurses, fixed and biasedattitude in medical professions, and low priority of palliative medicine among policymakers. Therefore,it could be said that implementing palliative medicine programs requires an overall change in culture,public and individual education, political support, and appropriate policies.
