Development of Palliative Care around the World
| Main Author: | |
|---|---|
| Language: | English |
| Published: |
Miami University / OhioLINK
2011
|
| Subjects: | |
| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=miami1312041936 |
| id |
ndltd-OhioLink-oai-etd.ohiolink.edu-miami1312041936 |
|---|---|
| record_format |
oai_dc |
| spelling |
ndltd-OhioLink-oai-etd.ohiolink.edu-miami13120419362021-08-03T05:41:25Z Development of Palliative Care around the World Mwangi, Samuel M. Gerontology Public Health Palliative care terminal illness population aging Public Health Strategy Palliative care has grown enormously across the world since the establishment of first modern hospice by Cecily Saunders in the United Kingdom in late 1960s. Two decades later, in 1986, the WHO developed the first definition of palliative care. Subsequent revisions were done in 1996 and 2002 to reflect the increasing need for comprehensive palliative care. In 1990, the WHO pioneered the Public Health Strategy, a model aimed at helping countries integrate palliative care into their healthcare systems. Partly as a result of the WHO leadership, palliative care has grown tremendously. Other factors have contributed to this growth as well. However, there has been little systematic documentation and analysis of this growth, or of the current status of palliative care worldwide. This project employed a mixed methods approach to explore the underlying frameworks and concepts for palliative care standards in different countries and to investigate the salient factors associated with growth of palliative care around the world. Findings from qualitative analysis suggested that the “primary domains” framework (comprising physical, psychological, social, and spiritual), and operationalized from the WHO’s definition features prominently in standards addressing palliative care at the micro-level (i.e., patients/families) and meso-level (i.e., facilities/other care settings). The study also found that the importance of the domains enables delivery of comprehensive services by multidisciplinary staff. The quantitative study employed the Public Health Strategy to examine the salient factors associated with the growth of palliative care. Both population aging (as a risk factor for chronic illnesses) and adequate health care personnel have led to growth of palliative care services. HIV-mortality is another predictor of the existence of palliative care; this pattern was typical in sub-Saharan African countries. These two findings (the role of population aging and an adequate health care workforce on one hand, and the role of HIV on the other) suggest a developed/developing nation divide in the factors that underlie the evolution of palliative care. In more developed nations, palliative care is correlated with well-developed health care systems and increasing prevalence of chronic diseases among aging populations; in developing nations, the emergence of palliative care is associated with HIV-mortality. 2011-08-02 English text Miami University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=miami1312041936 http://rave.ohiolink.edu/etdc/view?acc_num=miami1312041936 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Gerontology Public Health Palliative care terminal illness population aging Public Health Strategy |
| spellingShingle |
Gerontology Public Health Palliative care terminal illness population aging Public Health Strategy Mwangi, Samuel M. Development of Palliative Care around the World |
| author |
Mwangi, Samuel M. |
| author_facet |
Mwangi, Samuel M. |
| author_sort |
Mwangi, Samuel M. |
| title |
Development of Palliative Care around the World |
| title_short |
Development of Palliative Care around the World |
| title_full |
Development of Palliative Care around the World |
| title_fullStr |
Development of Palliative Care around the World |
| title_full_unstemmed |
Development of Palliative Care around the World |
| title_sort |
development of palliative care around the world |
| publisher |
Miami University / OhioLINK |
| publishDate |
2011 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=miami1312041936 |
| work_keys_str_mv |
AT mwangisamuelm developmentofpalliativecarearoundtheworld |
| _version_ |
1719423635782893568 |