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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
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) :9-21
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
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 ،
چکیده: (2759 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.
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.
نوع مقاله: مروری |
موضوع مقاله:
مدیریت خدمات بهداشتی و درمانی
دریافت: 1400/4/10 | پذیرش: 1400/6/29 | انتشار: 1400/8/10
دریافت: 1400/4/10 | پذیرش: 1400/6/29 | انتشار: 1400/8/10
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