» Articles » PMID: 39534767

Integrating Palliative Care into Primary Healthcare Systems: Advocacy Efforts, Milestones and Challenges in Asia

Overview
Specialty Public Health
Date 2024 Nov 13
PMID 39534767
Authors
Affiliations
Soon will be listed here.
Abstract

Palliative care is a vital component of primary healthcare systems, especially in Asia, where the ageing population is expected to increase significantly in the coming years. Integrating palliative care into primary healthcare systems is a crucial strategy for achieving universal access to palliative care. It is necessary to take concurrent actions to achieve this integration, including integrating palliative care into public health policies, educating primary healthcare workers, establishing appropriate service structures and ensuring the availability of controlled medications. Healthcare professionals involved with primary care, often led by physicians, play a significant role in driving the implementation of primary palliative care in Asia, as evidenced by their involvement in community- and home-based palliative care in India and primary palliative care for patients with cancer in Indonesia. However, there are challenges associated with implementing these actions in each country. Therefore, it is crucial to examine the ongoing advocacy efforts, milestones, obstacles and strategies that shape this process in the Asian context.

References
1.
Knaul F, Bhadelia A, Atun R, De Lima L, Radbruch L . Palliative care: an essential facet of universal health coverage. Lancet Glob Health. 2019; 7(11):e1488. DOI: 10.1016/S2214-109X(19)30323-7. View

2.
Johnson C, McVey P, Rhee J, Senior H, Monterosso L, Williams B . General practice palliative care: patient and carer expectations, advance care plans and place of death-a systematic review. BMJ Support Palliat Care. 2018; . DOI: 10.1136/bmjspcare-2018-001549. View

3.
Brennan F . Palliative care as an international human right. J Pain Symptom Manage. 2007; 33(5):494-9. DOI: 10.1016/j.jpainsymman.2007.02.022. View

4.
Atreya S, Jeba J, Pease N, Thyle A, Murray S, Barnard A . Primary palliative care competency framework for primary care and family physicians in India-Collaborative work by Indian Association of Palliative Care and Academy of Family Physicians of India. J Family Med Prim Care. 2019; 8(8):2563-2567. PMC: 6753829. DOI: 10.4103/jfmpc.jfmpc_451_19. View

5.
Eng V, Sudoyo A, Nuhonni S, Hendrianto K . Indonesia's Unique Social System as Key to Successful Implementation of Community- and Home-Based Palliative Care. JCO Glob Oncol. 2023; 9:e2200290. PMC: 10497302. DOI: 10.1200/GO.22.00290. View