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首页> 美国卫生研究院文献>Annals of Oncology >Setting up home-based palliative care in countries with limited resources: a model from Sarawak Malaysia
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Setting up home-based palliative care in countries with limited resources: a model from Sarawak Malaysia

机译：在资源有限的国家中建立家庭姑息治疗：马来西亚沙捞越州的模式

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>Background: The provision of palliative care (PC) and opioids is difficult to ensure in remote areas in low- and middle-income countries. We describe here the set up of a home-care program in Sarawak (the Malaysian part of the Borneo Island), where half the population lives in villages that are difficult to access.>Methods: The establishment of this program, initiated in 1994 by the Department of Radiotherapy of Sarawak General Hospital, consisted of training, empowering nurses, simplifying referral, facilitating access to medication, and increasing awareness among public and health professionals about PC.>Results: The program has been sustainable and cost efficient, serving 936 patients in 2006. The total morphine usage in the program increased from <200 g in 1993 to >1400 g in 2006. The results show that pain medication can be provided even in remote areas with effective organization and empowerment of nurses, who were the most important determinants for the set up of this program. Education of family was also a key aspect.>Conclusion: The authors believe that the experience gained in Sarawak may help other regions with low or middle resources in the set up of their PC program especially for their remote rural population.
机译：>背景：在中低收入国家的偏远地区很难确保提供姑息治疗（PC）和阿片类药物。我们在这里描述在砂拉越（婆罗洲岛的马来西亚部分）建立的家庭护理计划，那里一半的人口生活在难以接近的村庄。>方法：该计划由砂拉越总医院放射治疗部于1994年启动，包括培训，赋予护士权力，简化转诊，促进药物使用以及提高公共和卫生专业人员对PC的认识。>结果：该方案具有可持续性和成本效益，2006年为936名患者提供服务。该方案中吗啡的总使用量从1993年的<200 g增加到2006年的> 1400 g。结果表明，即使在偏远地区，也可以提供止痛药护士的有效组织和授权，这是制定该计划的最重要决定因素。家庭教育也是一个关键方面。>结论：作者认为，在砂拉越获得的经验可能会帮助其他资源匮乏或中等的地区建立PC程序，特别是针对偏远的农村人口。

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