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Mehrolhassani M H, yazdi_ Feyzabadi V, setayesh M, khajeh Z. Challenges of palliative care: A systematic review. jha. 2021; 24 (3) :9-21
URL: http://jha.iums.ac.ir/article-1-3716-fa.html
مهرالحسنی محمد حسین، یزدی فیض آبادی وحید، ستایش محمد، خواجه زهرا. چالش‌های طب تسکینی: یک مرور متون نظام‌مند. فصلنامه مدیریت سلامت. 1400; 24 (3) :21-9

URL: http://jha.iums.ac.ir/article-1-3716-fa.html


1- دانشیار، مرکز تحقیقات مدیریت ارائه خدمات سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان
2- استادیار، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان
3- استادیار، گروه طب ایرانی، دانشکده طب ایرانی، دانشگاه علوم پزشکی کرمان، کرمان
4- کارشناس ارشد، مرکز تحقیقات مدیریت ارائه خدمات سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان ، z.khajeh@kmu.ac.ir
چکیده:   (402 مشاهده)
مقدمه: مراقبت ‏های تسکینی نقش مهمی در بهبود کیفیت زندگی بیماران مزمن و صعب‌العلاج دارد. بنابراین، ضروری است موانع دسترسی به مراقبت ‏های تسکینی برطرف شود تا نیاز بیماران به این خدمات تأمین شود. مطالعه حاضر باهدف شناسایی چالش‌های مراقبت تسکینی به‌صورت مرور نظام‌مند انجام شد.
روش ­ها: در این مطالعه مروری نظام مند، جست و جو در پایگاه های Magiran, Scopus, SID, Cochrane, Embase, Pubmed, Web of science وموتور جست و جوی Google scholar  در بازه زمانی 2000 تا 2021 میلادی انجام گرفت. برای جست و جو در پایگاه های ذکر شده از کلیدواژه های فارسی و انگلیسی شامل ((طب سنتی))، ((مراقبت های پایان زندگی))، ((هاسپیس)) و ((مراقبت های بهداشتی)) استفاده شد. کلیه مقالات به دست آمده در سه مرحله ( بررسی عنوان، چکیده و متن کامل) غربال گردید. داده ها بر مبنای چارچوب WHO 2018 و با رویکرد استقرایی - قیاسی تحلیل شد.
یافته ­ها: در جست وجوی اولیه 3497 مقاله بازیابی شد و از بین این مقالات تعداد 48 مقاله وارد مطالعه شد. داده‏ ها بر اساس چهار کارکرد ارائه خدمت، تولیت، تولید منابع و مالی استخراج و دسته ‏بندی شدند. کارکرد ارائه خدمت با چهار گروه و نه زیرگروه، کارکرد تولیت با دو گروه و پنج زیرگروه، کارکرد تولید منابع با سه گروه و نه زیرگروه و کارکرد تأمین مالی با یک گروه و سه زیرگروه شناسایی شد.
نتیجه‌گیری: یافته‏ های این مطالعه می ‏تواند به سیاستگذاران‌ حوزه مراقبت­های تسکینی در خصوص توجه به تقویت زیرساخت­ها، منابع و فرآیندهای مختلف برای بهبود پیامدهای طب تسکینی کمک کند. همچنین، رفع این چالش‏ها مستلزم تقویت نظام‏ های سلامت کشورها باهدف طراحی و به‌کارگیری سیاست‌های مناسب می‏باشد.
متن کامل [PDF 1170 kb]   (316 دریافت)    
نوع مقاله: مروری | موضوع مقاله: مدیریت خدمات بهداشتی‌ و درمانی
دریافت: 1400/4/10 | پذیرش: 1400/6/29 | انتشار: 1400/8/10

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