The attitude of the population to the development of palliative care in our country

2021 ◽  
pp. 52-58
Author(s):  
E. E. Fokina
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Questionnaire Survey ◽  
Public Awareness ◽  
Terminal State ◽  
Place Of Residence ◽  
Low Level ◽  
Current State

The article analyzes the respondents ‘attitude to the current state and development of palliative care in Russia. The study was carried out on the basis of a questionnaire survey. The author concludes that there is a low level of public awareness about the availability of palliative care and a low level of interest in this topic. At the same time, the majority of respondents consider it necessary to improve the provision of medical care to patients in a terminal state at the place of residence.

REGULATORY LEGAL FRAMEWORK FOR PROVIDING PALLIATIVE MEDICAL CARE IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 247-253
Author(s):  
Khabriev R.U. ◽  
Kolomiychenko M.E.
Keyword(s):  
Palliative Care ◽  
Medical Care ◽  
Russian Federation ◽  
Public Awareness ◽  
Action Plan ◽  
Medical Personnel ◽  
Legal Framework ◽  
Legal Regulation ◽  
Adults And Children ◽  
The Russian Federation

Palliative care as a separate type of medical care was enshrined in legislation 10 years ago. However, the law-making process is still ongoing. The guidelines for this type of medical care for adults and children have been approved twice. It must be noted amendments to the Federal Law in 2019 (which significantly expanded the definition and consolidated the "varieties" for the provision of palliative care), and the interdepartmental Regulation on the organization of the provision of this type of assistance was approved (which now includes not only the guidelines for this type of medical care for adults and children, but also provides for the guidelines for interdepartmental interaction). In addition, since 2019, regional programs for the development of palliative care in the constituent entities of the Russian Federation are being developed. Together with these documents, an action plan was approved for the implementation of the Strategy for the Development of Healthcare of the Russian Federation for the period up to 2025, in which the development of palliative care is designated as activities; action plan has been approved ("road map") "Improving the quality and availability of palliative care" until 2024 was approved, among the tasks of which: improving legal regulation, increasing the availability and quality of painkillers, developing infrastructure for providing palliative care in the constituent entities of constituent entities of the Russian Federation, training of specialists (medical personnel, clinical psychologists, social workers), public awareness about the provision of this type of medical care, the implementation of a multidisciplinary approach. This publication includes an overview of the legislation governing the functioning of the palliative care system in the Russian Federation.

scholarly journals Examining public knowledge, attitudes and perceptions towards palliative care: a mixed method sequential study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Sonja McIlfatrick ◽  
Paul Slater ◽  
Esther Beck ◽  
Olufikayo Bamidele ◽  
Sharon McCloskey ◽  
...  
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
End Of Life ◽  
Current Knowledge ◽  
Care Delivery ◽  
Public Awareness ◽  
Public Understanding ◽  
Public Health Issue ◽  
Public Health Approach ◽  
Cross Sectional Survey

Abstract Background Palliative care is recognised as a public health issue with the need for earlier integration in the wider healthcare system. However, research indicates that it continues to be accessed late in the course of an illness, public understanding of palliative care is limited, and common misconceptions prevail. Strategies to address this are needed in order to reduce barriers to palliative care delivery and improve access. Methods An explanatory sequential mixed methods study, comprising a cross-sectional survey and interviews was undertaken. Sociodemographic characteristics, public awareness, knowledge and perceptions of palliative care were examined and strategies to raise awareness and overcome barriers within a public health framework were identified. Survey data were analysed using SPSS v25 with factor analysis and non-parametric statistics and qualitative data were analysed using thematic analysis. Results A total of 1201 participants completed the survey (58.3% female, mean age 61 years) and 25 took part in interviews. A fifth of participants (20.1%) had previously heard about palliative care and had an accurate understanding of the term. Being female, higher educated, married, and older, increased respondents’ levels of awareness. The three most commonly held misconceptions included: Palliative care is exclusively for people who are in the last 6 months of life (55.4% answered incorrectly); A goal of palliative care is to address any psychological issues brought up by serious illness (42.2% answered incorrectly); and a goal of palliative care is to improve a person’s ability to participate in daily activities (39.6% answered incorrectly). Talking about palliative and end of life care was advocated but societal taboos restricted this occurring with exposure limited to personal experience. Conclusions Current knowledge gaps and misconceptions derived from limited ad hoc personal experiences and fear of engaging in taboo conversations may deter people from accessing integrated palliative care services early in a disease trajectory. The results indicate the need for public education programmes that move beyond merely raising awareness but provide key messages within a public health approach, which may change attitudes to palliative care thus ultimately improving end of life outcomes.

scholarly journals Recent advances in non-surgical management of cancer in the elderly

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1793
Author(s):  
Emily J. Guerard ◽  
Gil E. Harmon ◽  
Kieran D. Sahasrabudhe ◽  
Noelle K. LoConte
Keyword(s):  
Older Adults ◽  
Palliative Care ◽  
Supportive Care ◽  
Medical Care ◽  
Surgical Management ◽  
The Elderly ◽  
The Body ◽  
The Other ◽  
Patients With Cancer ◽  
Chemotherapy Agents

This article summarizes the seminal publications from mid-2016 through 2017 in the area of medical care for older adults with cancer. Areas addressed include chemotherapy tolerance and efficacy in the aged, geriatric fitness assessments, and advancements in palliative and supportive care. The practice-changing finding from this past year’s publications is that antipsychotics should not be used in the management of terminal delirium in older adults receiving palliative care. The other trials demonstrated an improved understanding of the utility of geriatric assessments in patients with cancer, developed the body of information about which chemotherapy agents are safe and effective in older adults (and which are not), and expanded our understanding of good palliative and supportive care.

scholarly journals Palliative Care Gaps in Providing Psychological Treatment: A Review of the Current State of Research in Multidisciplinary Palliative Care

2017 ◽  
Vol 35 (3) ◽  
pp. 505-510 ◽  
Author(s):  
Elissa Kozlov ◽  
Bahar Niknejad ◽  
M. C. Reid
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Intervention Studies ◽  
Psychological Symptoms ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Future Research ◽  
Psychological Outcome ◽  
Current State ◽  
Care Intervention

Background: Patients with advanced illness often have high rates of psychological symptoms. Many multicomponent palliative care intervention studies have investigated the efficacy of overall symptom reduction; however, little research has focused explicitly on how interventions address psychological symptoms associated with serious illness. Methods: The current study reviewed 59 multicomponent palliative care intervention articles and analyzed the mental health components of palliative care interventions and their outcomes in order to better understand the current state of psychological care in palliative care. Results: The majority of articles (69.5%) did not provide any details regarding the psychological component delivered as part of the palliative care intervention. Most (54.2%) studies did not specify which provider on the team was responsible for providing the psychological intervention. Studies varied regarding the type of outcome measure utilized; multi-symptom assessment scales were used in 54.2% of studies, mental health scales were employed in 25.4%, quality of life and distress scales were used in 16.9%, and no psychological scales were reported in 28.8%. Fewer than half the studies (42.4%) documented a change in a psychological outcome. Discussion and Conclusion: The majority of analyzed studies failed to describe how psychological symptoms were identified and treated, which discipline on the team provided the treatment, and whether psychological symptoms improved as a result of the intervention. Future research evaluating the effects of palliative care interventions on psychological symptoms will benefit from using reliable and valid psychological outcome measures and providing specificity regarding the psychological components of the intervention and who provides it.

scholarly journals The Factors Related to Low Back Pain among Female Medical Care Workers: A Questionnaire Survey

2017 ◽  
Vol 32 (2) ◽  
pp. 243-247
Author(s):  
Fumika KIMURA ◽  
Ayumi ECHIGO ◽  
Hiroyasu IWATSUKI
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Medical Care ◽  
Questionnaire Survey ◽  
Low Back ◽  
Care Workers

scholarly journals ОСНОВНІ ХАРАКТЕРИСТИКИ СИСТЕМИ ВЗАЄМОДІЇ МЕДИЧНИХ ЗАКЛАДІВ В МЕЖАХ ОДНОГО ГОСПІТАЛЬНОГО ОКРУГУ

2020 ◽  
pp. 11-18
Author(s):  
Стовбан Микола Петрович ◽  
Стовбан Ірина Василівна
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Care ◽  
Strategic Decisions ◽  
Local Authorities ◽  
Prospective Development ◽  
Hospital District ◽  
Functional Association ◽  
Development Plans ◽  
Area Health

The article examines the concept of "hospital district". Broad participation of hospital districts requires the implementation of effective forms of partnership in planning and taking strategic decisions on their development. The hospital districts are created to organize a network of health care institutions in the region, in a way that will provide systematic interaction between members of the hospital district, as well as with providers of other types of care (primary, tertiary (highly specialized) medical care, palliative care and rehabilitation), pharmaceutical services. Boundaries and composition of each district are formed on the basis of criteria of the district, they are established by the Procedure for the creation of hospital districts. The hospital districts are created as "a functional Association of hospitals located in a particular area". Health establishments, which belong to the hospital district, remain in the ownership and subordination of local authorities who are members of the hospital district. To improve secondary healthcare, Hospital Council are created with the aim of coordinating actions, devising ideas the on organization and operation of medical care within a separate hospital district, preparation and confirmation of the prospective development plans of hospital districts for 5 years (taking into account the needs of modernization and resources).

scholarly journals Financial literacy of university students – the Czech and Slovak experience

2017 ◽  
Vol 4 (7) ◽  
pp. 41-51
Author(s):  
Ales Kozubik ◽  
Zuzana Kozubikova ◽  
Jiri Rybicka
Keyword(s):  
Statistical Analysis ◽  
University Students ◽  
Financial Literacy ◽  
Questionnaire Survey ◽  
Statistical Tests ◽  
Personal Characteristics ◽  
Modern Society ◽  
The Self ◽  
European Countries ◽  
Current State

Financial literacy is one of the key components of education for living in a modern society. In this article, we present the results of our research into the current state of financial literacy among university students from two European countries. Our research was conducted in the form of a questionnaire survey. In the first part of the questionnaire we investigated selected personal characteristics of respondents and the second part was devoted to knowledge in different areas of financial literacy. The knowledge questions were focused mainly on respondents’ competence in specific practical situations. The obtained data were processed by statistical analysis, including the dependencies between the results of the knowledge part and the self-reflexive assessment in the first part of the questionnaire. This analysis revealed several noteworthy findings. Keywords: Financial literacy; questionnaire survey; statistical tests;

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