• Je něco špatně v tomto záznamu ?

Inclusion of palliative care in health care policy for older people: A directed documentary analysis in 13 of the most rapidly ageing countries worldwide

L. Pivodic, T. Smets, M. Gott, KE. Sleeman, B. Arrue, M. Cardenas Turanzas, K. Pechova, H. Kodba Čeh, TJ. Lo, M. Nakanishi, Y. Rhee, M. Ten Koppel, DM. Wilson, L. Van den Block

. 2021 ; 35 (2) : 369-388. [pub] 20201209

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc21019370

BACKGROUND: Palliative care is insufficiently integrated in the continuum of care for older people. It is unclear to what extent healthcare policy for older people includes elements of palliative care and thus supports its integration. AIM: (1) To develop a reference framework for identifying palliative care contents in policy documents; (2) to determine inclusion of palliative care in public policy documents on healthcare for older people in 13 rapidly ageing countries. DESIGN: Directed documentary analysis of public policy documents (legislation, policies/strategies, guidelines, white papers) on healthcare for older people. Using existing literature, we developed a reference framework and data extraction form assessing 10 criteria of palliative care inclusion. Country experts identified documents and extracted data. SETTING: Austria, Belgium, Canada, Czech Republic, England, Japan, Mexico, Netherlands, New Zealand, Singapore, Slovenia, South Korea, Spain. RESULTS: Of 139 identified documents, 50 met inclusion criteria. The most frequently addressed palliative care elements were coordination and continuity of care (12 countries), communication and care planning, care for family, and ethical and legal aspects (11 countries). Documents in 10 countries explicitly mentioned palliative care, nine addressed symptom management, eight mentioned end-of-life care, and five referred to existing palliative care strategies (out of nine that had them). CONCLUSIONS: Health care policies for older people need revising to include reference to end-of-life care and dying and ensure linkage to existing national or regional palliative care strategies. The strong policy focus on care coordination and continuity in policies for older people is an opportunity window for palliative care advocacy.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc21019370
003      
CZ-PrNML
005      
20210830100933.0
007      
ta
008      
210728s2021 xxk f 000 0|eng||
009      
AR
024    7_
$a 10.1177/0269216320972036 $2 doi
035    __
$a (PubMed)33295232
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxk
100    1_
$a Pivodic, Lara $u End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium
245    10
$a Inclusion of palliative care in health care policy for older people: A directed documentary analysis in 13 of the most rapidly ageing countries worldwide / $c L. Pivodic, T. Smets, M. Gott, KE. Sleeman, B. Arrue, M. Cardenas Turanzas, K. Pechova, H. Kodba Čeh, TJ. Lo, M. Nakanishi, Y. Rhee, M. Ten Koppel, DM. Wilson, L. Van den Block
520    9_
$a BACKGROUND: Palliative care is insufficiently integrated in the continuum of care for older people. It is unclear to what extent healthcare policy for older people includes elements of palliative care and thus supports its integration. AIM: (1) To develop a reference framework for identifying palliative care contents in policy documents; (2) to determine inclusion of palliative care in public policy documents on healthcare for older people in 13 rapidly ageing countries. DESIGN: Directed documentary analysis of public policy documents (legislation, policies/strategies, guidelines, white papers) on healthcare for older people. Using existing literature, we developed a reference framework and data extraction form assessing 10 criteria of palliative care inclusion. Country experts identified documents and extracted data. SETTING: Austria, Belgium, Canada, Czech Republic, England, Japan, Mexico, Netherlands, New Zealand, Singapore, Slovenia, South Korea, Spain. RESULTS: Of 139 identified documents, 50 met inclusion criteria. The most frequently addressed palliative care elements were coordination and continuity of care (12 countries), communication and care planning, care for family, and ethical and legal aspects (11 countries). Documents in 10 countries explicitly mentioned palliative care, nine addressed symptom management, eight mentioned end-of-life care, and five referred to existing palliative care strategies (out of nine that had them). CONCLUSIONS: Health care policies for older people need revising to include reference to end-of-life care and dying and ensure linkage to existing national or regional palliative care strategies. The strong policy focus on care coordination and continuity in policies for older people is an opportunity window for palliative care advocacy.
650    _2
$a senioři $7 D000368
650    _2
$a stárnutí $7 D000375
650    _2
$a poskytování zdravotní péče $7 D003695
650    12
$a zdravotní politika $7 D006291
650    _2
$a lidé $7 D006801
650    12
$a paliativní péče $7 D010166
651    _2
$a Rakousko $7 D001317
651    _2
$a Belgie $7 D001530
651    _2
$a Kanada $7 D002170
651    _2
$a Anglie $7 D004739
651    _2
$a Japonsko $7 D007564
651    _2
$a Nizozemsko $7 D009426
651    _2
$a Nový Zéland $7 D009520
651    _2
$a Korejská republika $7 D056910
651    _2
$a Singapur $7 D012846
651    _2
$a Španělsko $7 D013030
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Smets, Tinne $u End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium
700    1_
$a Gott, Merryn $u Te Arai Palliative Care and End of Life Research Group, School of Nursing, The University of Auckland, Auckland, New Zealand
700    1_
$a Sleeman, Katherine E $u Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK
700    1_
$a Arrue, Borja $u AGE Platform Europe, Brussels, Belgium
700    1_
$a Cardenas Turanzas, Marylou $u The University of Texas School of Bioinformatics, Houston, TX, USA
700    1_
$a Pechova, Karolina $u Faculty of Humanities, Charles University, Prague, Czech Republic
700    1_
$a Kodba Čeh, Hana $u University Clinic for Respiratory and Allergic Diseases Golnik, Golnik, Slovenia
700    1_
$a Lo, Tong Jen $u Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore
700    1_
$a Nakanishi, Miharu $u Research Center for Social Science & Medicine, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
700    1_
$a Rhee, YongJoo $u Department of Health Sciences, College of Natural Science, Dongduk Women's University, Seoul, Republic of Korea
700    1_
$a Ten Koppel, Maud $u Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Expertise Center for Palliative Care, Amsterdam, The Netherlands
700    1_
$a Wilson, Donna M $u Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
700    1_
$a Van den Block, Lieve $u End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium
773    0_
$w MED00006021 $t Palliative medicine $x 1477-030X $g Roč. 35, č. 2 (2021), s. 369-388
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33295232 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20210728 $b ABA008
991    __
$a 20210830100934 $b ABA008
999    __
$a ok $b bmc $g 1690240 $s 1139816
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 35 $c 2 $d 369-388 $e 20201209 $i 1477-030X $m Palliative medicine $n Palliat Med $x MED00006021
LZP    __
$a Pubmed-20210728

Najít záznam

Citační ukazatele

Možnosti archivace