Hospice care delivery system requirements

Article

BEIRANVAND, Samira | RASSOULI, Maryam | HAZRATI, Maryam | MOLAVYNEJAD, Shahram | HOJJAT, Suzanne | TUVESSON, Hanna | ZAREA, Kourosh

Background: Hospice care is a perceived need in the Iranian health system. AIM: This qualitative study is explaining the stakeholders' perception of what is required to develop a hospice care system for patients living with cancer in Iran. Methods: A total of 21 participants (specialists, policymakers, healthcare providers, cancer patients and family caregivers) were selected through purposeful sampling and interviewed in-depth in 2020. Interviews were analysed through directed content analysis. Findings: A total of 1054 codes, 7 categories and 21 subcategories were extracted. The requirements include the need to provide: multiple settings and diverse services; participatory decision making; integration into the health system; specialised human resources; an organised system of accountability; the preparation of the existing health system; and wider capacity-building in existing Iranian society. Conclusion: It is essential that Iranian services create a participatory comprehensive care plan, utilise expert manpower, integrate hospice care into the existing health system and organise a system of accountability. Policymakers should focus on the preparation of the health system and capacity building in society.

http://dx.doi.org/10.12968/ijpn.2022.28.12.562

Voir la revue «International Journal of Palliative Nursing, 28»

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