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Vietnam's palliative care initiative: Successes and challenges in the first five years

Krakauer E.L. Center for Palliative Care, Departments of Medicine and of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115, United States|
Khue L.N. | Cham N.T.P. Vietnam Administration of Medical Services, Ministry of Health, Hanoi, Viet Nam|

Journal of Pain and Symptom Management Số 1, năm 2010 (Tập 40, trang 27-30)

ISSN: 8853924

ISSN: 8853924

DOI: 10.1016/j.jpainsymman.2010.04.009

Tài liệu thuộc danh mục: Scopus



Từ khóa: acquired immune deficiency syndrome; article; cancer pain; health care organization; health care system; human; Human immunodeficiency virus infection; medical education; palliative therapy; public health; world health organization; health care planning; management; organization and management; palliative therapy; treatment outcome; trends; Viet Nam; Health Plan Implementation; Humans; Management Audit; Outcome and Process Assessment (Health Care); Palliative Care; Vietnam; World Health Organization
Tóm tắt tiếng anh
In 2005, Vietnam's Ministry of Health (MoH) launched a palliative care initiative that uses the World Health Organization (WHO) public health strategy for national palliative care program development. With international financial and technical support, the initiative has made significant early progress. A rapid situation analysis in 2005 led to national Guidelines on Palliative Care in 2006, radically improved opioid prescribing regulations in 2008, the training of more than 400 physicians in palliative care by early 2010 using three curricula written especially for Vietnam, and the initiation of palliative care services in some hospitals and in the community. Yet, access to palliative care services remains very limited. Many challenges must be overcome to reach the goal of access for all to essential palliative care services that are integrated into the systems of cancer care, HIV/AIDS care, and primary care. Going forward, crucial aspects of the initiative will be continued commitment to palliative care by the MoH, careful planning and targeted funding that address each part of the WHO public health strategy, ongoing expert technical support, and collaboration among international technical and financial supporters. � 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc.

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