Barriers and mechanisms to the development of palliative care in Aceh, Indonesia.
The aim of this study was to identify barriers and mechanisms in the development of palliative care in the province of Aceh, North West Indonesia. Several factors, including an ageing population, have increased palliative care needs in the region; however, as with many low to middle income countries...
| Publicado en: | Progress in Palliative Care Vol. 32; no. 1; pp. 22 - 29 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174709601&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174709601 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09699260 131V jtl: Progress in Palliative Care issn: 09699260 maglogo: N pubinfo: dt: Feb2024 vid: 32 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 174709601 172389030 174709601 174709601 10.1080/09699260.2023.2256177 174709601 ppf: 22 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers and mechanisms to the development of palliative care in Aceh, Indonesia. aug: au: Wilson, Fiona Wardani, E. Ryan, T. Gardiner, C. Talpur, A. affil: Health Sciences School, The University of Sheffield, Sheffield, UK sug: subj: Palliative Care Evaluation Program Development Evaluation Palliative Care Nursing Human Indonesia Qualitative Studies Male Female Descriptive Statistics Semi-Structured Interview Thematic Analysis Leadership Health Priorities Hospice Care Cultural Diversity Spiritual Healing Socioeconomic Factors Funding Source Male Female ab: The aim of this study was to identify barriers and mechanisms in the development of palliative care in the province of Aceh, North West Indonesia. Several factors, including an ageing population, have increased palliative care needs in the region; however, as with many low to middle income countries (LMICs), palliative care is not well established or integrated into mainstream health care services. Consequently, many people may experience serious health-related suffering (SHRS) at the end-of-life. Qualitative semi-structured interviews and focus groups were conducted with key stakeholders in Aceh, Indonesia and a semi-structured interview guide prompted an exploration of palliative care provision, including barriers and enablers. Interviews were digitally recorded, transcribed, and analysed using the principles of thematic analysis. Eight interviews and two focus groups were conducted with medics (n = 6), nurses (n = 7), hospital management (n = 1) and religious/cultural leaders (n = 2). The findings indicate that all participants recognise a need to reduce SHRS and a growing impetus to embed a culturally salient and sustainable model of palliative care within the Aceh healthcare system. The following four themes indicate key areas for further focus: (1) Local vision and leadership, (2) Prioritisation of palliative care policy and funding, (3) Access to palliative care in community and public services, and (4) supporting palliative care in the cultural context of Sharia law, family, and faith. Future expansion requires the identification of a culturally and socioeconomically salient package of palliative care which operates across rural community and acute care settings and is informed by further evaluation and evidence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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