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Palliative care developments in Ukraine

机译：乌克兰的姑息治疗发展

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Aim: The aim of the study is to describe and analyze the development and access to palliative care in Ukrainenand in the context of international standards and practices.nResults: Desk review and personal communications with palliative care providers, policy makers, patients,nand volunteers suggest that Ukraine is undergoing the initial stages of palliative care development; limitednnumbers of hospices and palliative care units are available. Most health providers working in thesenfacilities have only limited specialized training in palliative care or pain management. In the majority ofncases, training was obtained through international donor support and only occasionally through thengovernmental medical post-graduate education system. Access to medications, even in specializednpalliative care units, is limited by a lack of funding and extremely strict regulations for controllednmedications, such as morphine. An absence of clinical guidelines and protocols on palliative care andnpain management results in a non-unified approach to patient care that offers few treatment options.nDiscussion: The country’s overall situation can be explained by the absence of a National Strategy or Programnto promote and support palliative care and integrate it into the general health care system. Although the firstnsteps are being taken to promote evidence-based standards of practice in palliative care, there arenconsiderable barriers that should be addressed by the government and the professional community.
机译：目的：该研究的目的是在国际标准和实践的背景下，描述和分析乌克兰和全球姑息治疗的发展和获取情况。n结果：案头审查以及与姑息治疗提供者，政策制定者，患者，志愿者的自愿性交流乌克兰正处于姑息治疗发展的初期阶段；有限数量的收容所和姑息治疗室可供使用。在福利院工作的大多数医疗服务提供者仅接受有关姑息治疗或疼痛治疗的专门培训。在大多数情况下，培训是通过国际捐助者的支持而获得的，偶尔是通过当时的政府医学研究生教育系统进行的。即使在专门的姑息治疗病房中，药品的获得也受到资金短缺和对吗啡等受控药物极为严格的法规的限制。缺乏有关姑息治疗和痛觉管理的临床指南和协议，导致无法采取统一的方法来提供很少的治疗选择。n讨论：该国的总体状况可以通过缺乏促进和支持姑息治疗的国家战略或计划来解释。护理并将其整合到一般医疗保健系统中。尽管正在采取第一步措施来促进姑息治疗的循证实践标准，但政府和专业人士仍应克服许多障碍。

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