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https://www.readbyqxmd.com/read/30481305/factors-associated-with-older-people-s-emergency-department-attendance-towards-the-end-of-life-a-systematic-review
#1
Anna E Bone, Catherine J Evans, Simon N Etkind, Katherine E Sleeman, Barbara Gomes, Melissa Aldridge, Jeff Keep, Julia Verne, Irene J Higginson
Background: Emergency department (ED) attendance for older people towards the end of life is common and increasing, despite most preferring home-based care. We aimed to review the factors associated with older people's ED attendance towards the end of life. Methods: Systematic review using Medline, Embase, PsychINFO, CINAHL and Web of Science from inception to March 2017. Included studies quantitatively examined factors associated with ED attendance for people aged ≥65 years within the last year of life...
November 26, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/30449711/integrated-care-for-people-with-long-term-mental-and-physical-health-conditions-in-low-income-and-middle-income-countries
#2
REVIEW
Graham Thornicroft, Shalini Ahuja, Sarah Barber, Daniel Chisholm, Pamela Y Collins, Sumaiyah Docrat, Lara Fairall, Heidi Lempp, Unaiza Niaz, Vicky Ngo, Vikram Patel, Inge Petersen, Martin Prince, Maya Semrau, Jürgen Unützer, Huang Yueqin, Shuo Zhang
Integrated care is defined as health services that are managed and delivered such that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services, coordinated across the different levels and sites of care within and beyond the health sector and, according to their needs, throughout the life course. In this Review, we describe the most relevant concepts and models of integrated care for people with chronic (or recurring) mental illness and comorbid physical health conditions, provide a conceptual overview and a narrative review of the strength of the evidence base for these models in high-income countries and in low-income and middle-income countries, and identify opportunities to test the feasibility and effects of such integrated care models...
November 15, 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/30389694/integrated-management-of-non-communicable-diseases-in-low-income-settings-palliative-care-primary-care-and-community-health-synergies
#3
Daniel Munday, Vandana Kanth, Shadrach Khristi, Liz Grant
Palliative care is recognised as a fundamental component of Universal Health Coverage (UHC), which individual countries, led by the United Nations and the WHO, are committed to achieving worldwide by 2030-Sustainable Development Goal (SDG) 3.8. As the incidence of non-communicable diseases (NCD) in low-income and middle-income countries (LMICs) increases, their prevention and control are the central aspects of UHC in these areas. While the main focus is on reducing premature mortality from NCDs (SDG 3.4), palliative care is becoming increasingly important in LMICs, in which 80% of the need is found...
November 1, 2018: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/30306578/palliative-care-in-women-s-cancer-care-global-challenges-and-advances
#4
Joanna M Cain, Lynette Denny
Women's cancer rates are increasing in low- and middle-income countries, with presentations that are often far advanced requiring intense symptom management, thus advancing the urgent need to address palliative care. Most resource settings have some options available to assist women with advanced gynecologic cancer, and a combination of leveraging these and expanding on emerging models for palliative care could lessen suffering and improve care for women with gynecologic cancers globally. Providing palliative care for women with cancer is constrained by resources (human and physical), lack of equipment, lack of access, and policy absence or barriers...
October 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/30274970/is-palliative-care-cost-effective-in-low-income-and-middle-income-countries-a-mixed-methods-systematic-review
#5
Eleanor Anderson Reid, Olga Kovalerchik, Karen Jubanyik, Stuart Brown, Denise Hersey, Liz Grant
INTRODUCTION: Of the 40 million people globally in need of palliative care (PC), just 14% receive it, predominantly in high-income countries. Within fragile health systems that lack PC, incurable illness is often marked by pain and suffering, as well as burdensome costs. In high-income settings, PC decreases healthcare utilisation, thus enhancing value. Similar cost-effectiveness models are lacking in low-income and middle-income countries and with them, the impetus and funding to expand PC delivery...
October 1, 2018: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/30243996/supportive-and-palliative-care-in-people-with-cirrhosis-international-systematic-review-of-the-perspective-of-patients-family-members-and-health-professionals
#6
Joseph T S Low, Gudrun Rohde, Katherine Pittordou, Bridget Candy, Sarah Davis, Aileen Marshall, Paddy Stone
BACKGROUND & AIMS: People with cirrhosis have unmet needs, which could benefit from a palliative care approach. Developing effective services needs to be based on evidence from those with personal experience. This review aims to explore; patient and family perspectives of perceived needs including communication; health professionals' perspectives on delivery of care and improving palliative care between specialities. METHODS: A literature search was conducted in Medline, Embase and CINAHL using key words reporting on the perspectives of patients with liver cirrhosis (18 years and over), family members or health professionals on the provision of care in liver cirrhosis...
December 2018: Journal of Hepatology
https://www.readbyqxmd.com/read/30241254/palliative-care-program-development-in-a-low-to-middle-income-country-delivery-of-care-by-a-nongovernmental-organization-in-india
#7
Anjali Krishnan, M R Rajagopal, Safiya Karim, Richard Sullivan, Christopher M Booth
PURPOSE: Limited data describe the delivery of palliative care services in low- and middle-income countries. We describe delivery of care by the Trivandrum Institute of Palliative Sciences (TIPS) in Trivandrum, India. METHODS: Administrative records were used to describe case volumes, setting of care, and organizational expenditures. An estimate of cost per clinical encounter was derived by dividing 2016 monthly clinical expenditures by the number of patient visits...
September 2018: Journal of Global Oncology
https://www.readbyqxmd.com/read/30241251/illness-understanding-and-end-of-life-care-communication-and-preferences-for-patients-with-advanced-cancer-in-south-africa
#8
Megan Johnson Shen, Holly G Prigerson, Mpho Ratshikana-Moloko, Keletso Mmoledi, Paul Ruff, Judith S Jacobson, Alfred I Neugut, Jamila Amanfu, Herbert Cubasch, Michelle Wong, Maureen Joffe, Charmaine Blanchard
PURPOSE: The understanding of patients with cancer of their condition and their wishes regarding care as they approach end of life (EoL) have been studied more in high-income countries than in low- and middle-income countries (LMICs). PATIENTS AND METHODS: Data were analyzed from a cohort study (N = 221) of patients with advanced cancer who were recruited from a palliative care center in Soweto, South Africa (LMIC), between May 2016 and June 2017. Patients were asked about their understanding of their illness, estimated life expectancy, EoL care communication, and EoL care preferences...
September 2018: Journal of Global Oncology
https://www.readbyqxmd.com/read/30113950/education-in-pain-and-palliative-care-in-the-low-and-middle-income-countries-of-the-asia-pacific-region
#9
Cynthia Ruth Goh, Sze-Yi Lee
No abstract text is available yet for this article.
September 2018: Pain
https://www.readbyqxmd.com/read/29976487/radiation-therapy-research-a-global-analysis-2001-2015
#10
REVIEW
Ajay Aggarwal, Grant Lewison, Danielle Rodin, Anthony Zietman, Richard Sullivan, Yolande Lievens
Radiation therapy is a core modality of cancer treatment; however, concerns have been expressed regarding its underutilization and its lack of prioritization as a research domain relative to other cancer treatment modalities, despite its rapid technical evolution. It is therefore important to understand, from a public policy perspective, the evolution of global radiation therapy research, to identify strengths, weaknesses, and opportunities. This study used a bibliometric approach to undertake a quantitative analysis of global radiation therapy research published between 2001 and 2015 and available in the Web of Science (Wos) database, with particular focus on the 25 leading research-active countries...
July 15, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29974131/barriers-and-facilitators-to-implementation-of-cancer-treatment-and-palliative-care-strategies-in-low-and-middle-income-countries-systematic-review
#11
REVIEW
Andrew Donkor, Tim Luckett, Sanchia Aranda, Jane Phillips
OBJECTIVES: To appraise improvement strategies adopted by low- and middle-income countries to increase access to cancer treatments and palliative care; and identify the facilitators and barriers to implementation. METHODS: A systematic review was conducted and reported in accordance with PRISMA statement. MEDLINE, CINAHL, and the Cochrane Library databases were searched. Bias was assessed using the Standards for Quality Improvement Reporting Excellence, and evidence graded using the Australian National Health and Medical Research Council system...
December 2018: International Journal of Public Health
https://www.readbyqxmd.com/read/29932831/palliative-care-in-northern-tanzania-doing-a-lot-with-a-little
#12
Melissa J Bond, Andrea Knopp
The number of people in need of palliative care is growing worldwide, particularly in the developing world. The World Health Organization recognises palliative care as a basic human right, but there are many challenges for delivering palliative care in low- and middle-income countries. In the African continent, the African Palliative Care Association (APCA) provides guidance for political advocacy for developing palliative care programmes and has developed the APCA Palliative Outcome Score (POS), an evidence-based tool for measuring outcomes of palliative care...
June 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29927698/opioid-medications-in-expensive-formulations-are-sold-at-a-lower-price-than-immediate-release-morphine-in-countries-throughout-the-world-third-phase-of-opioid-price-watch-cross-sectional-study
#13
Liliana De Lima, Natalia Arias Casais, Roberto Wenk, Lukas Radbruch, Tania Pastrana
BACKGROUND: International Association for Hospice and Palliative Care implemented Opioid Price Watch (OPW) to monitor availability, dispensing prices and affordability of opioids. We found that opioids with complex delivery mechanisms [fentanyl transdermal (TD) patches, sustained-release (SR) morphine, and SR oxycodone] had lower dispensing prices than immediate-release (IR) morphine formulations. OBJECTIVE: Identify the extent that SR and TD formulations are dispensed at lower prices than generic IR morphine and the possible reasons to explain this observation...
October 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29892691/evidence-based-improvisation-facing-the-challenges-of-cervical-cancer-care-in-uganda
#14
REVIEW
Megan Swanson, Stefanie Ueda, Lee-May Chen, Megan J Huchko, Carol Nakisige, Jane Namugga
There is significant disparity in the prevalence of cervical cancer globally, with low- and middle-income countries (LMICs) shouldering a disproportionate share of disease incidence and an even greater proportion of morbidity and mortality. Available resources for diagnosis, treatment and palliation of cervical cancer are inversely related to per capita income. While prevention and screening remain public health priorities, given the large number of women affected by cervical cancer, expanding treatment capacity should be included in any evidence-based intervention plan...
May 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/29860920/pilot-study-assessing-the-direct-medical-cost-of-treating-patients-with-cancer-in-kenya-findings-and-implications-for-the-future
#15
Omondi Michelle Atieno, Sylvia Opanga, Antony Martin, Amanj Kurdi, Brian Godman
BACKGROUND: Currently the majority of cancer deaths occur in low- and middle-income countries, where there are appreciable funding concerns. In Kenya, most patients currently pay out of pocket for treatment, and those who are insured are generally not covered for the full costs of treatment. This places a considerable burden on households if family members develop cancer. However, the actual cost of cancer treatment in Kenya is unknown. Such an analysis is essential to better allocate resources as Kenya strives towards universal healthcare...
September 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/29736120/symptoms-in-bangladeshi-patients-with-incurable-cancers-implications-for-interventions
#16
Richard R Love, G M Tanimul Ahsan, Tahmina Ferdousy, Shamsun Nahar, Sheikh Iqbal Ahamed
Aims: The poor state of palliative care in low- and middle-income countries has been termed a global crisis by the Lancet Commission on Palliative Care. The investigators previously reported on a cross-sectional study of symptoms in 640 Bangladeshi adults with incurable cancers. Usual levels of pain were high. The not-reported details of pain and other symptoms offered an opportunity to consider explanations and implications for interventions to lessen these symptoms. Methods: At one visit, 640 Bangladeshi patients completed a symptom questionnaire...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29713625/development-and-implementation-of-a-pediatric-palliative-care-program-in-a-developing-country
#17
Megan Doherty, Chloé Thabet
Background: Palliative care is recognized as an important component of care for children with cancer and other life-limiting conditions. In resource limited settings, palliative care is a key component of care for children with cancer and other life-limiting conditions. Globally, 98% of children who need palliative care live in low- or middle-income countries, where there are very few palliative care services available. There is limited evidence describing the practical considerations for the development and implementation of sustainable and cost-effective palliative care services in developing countries...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29316883/active-ingredients-of-a-person-centred-intervention-for-people-on-hiv-treatment-analysis-of-mixed-methods-trial-data
#18
RANDOMIZED CONTROLLED TRIAL
Keira Lowther, Richard Harding, Victoria Simms, Aabid Ahmed, Zipporah Ali, Nancy Gikaara, Lorraine Sherr, Hellen Kariuki, Irene J Higginson, Lucy Ellen Selman
BACKGROUND: A new model of care is required to meet the changing needs of people living with HIV (PLWH), particularly in low and middle-income countries, where prevalence is highest. We evaluated a palliative care intervention for PLWH in Mombasa, Kenya. Although we found no effect on pain (primary outcome), there was a positive effect on mental health (secondary outcome) in the intervention group. To inform replication and implementation, we have determined the active ingredients of the intervention and their mechanisms of action...
January 10, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29288878/distributive-justice-an-ethical-priority-in-global-palliative-care
#19
Rachel A Hadler, William E Rosa
Providing care to cancer patients in resource-poor settings often demands complex trade-offs regarding resource allocation. It is estimated that over 60% of all cancer deaths worldwide occur in low- and middle-income countries, where channels to care and appropriate symptom management interventions are overstressed or obsolete. Concepts of distributive justice underlie much of global health policy. As appetites for expanding global palliative care services increase, so do questions of fair and culturally appropriate distribution...
April 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29244992/oral-morphine-use-in-south-india-a-population-based-study
#20
M R Rajagopal, Safiya Karim, Christopher M Booth
Purpose Access to opioids for pain control is recognized as an urgent issue in low- and middle-income countries. Here we report temporal and regional trends in morphine use in Kerala, India. Methods Oral morphine use data for the State of Kerala (2012 to 2015) was used to describe temporal trends, regional variation, and provider characteristics. Total morphine use was calculated for each district of Kerala to derive an annual per capita use rate (milligrams per capita). Each provider was classified as government, private, nongovernment organization (NGO), or NGO partnership...
December 2017: Journal of Global Oncology
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