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Pediatric Palliative Care Initiative in Cambodia
Cancer care with curative intent remains difficult to manage in many resource-limited settings such as Cambodia. Cambodia has a small workforce with limited financial and health-care resources resulting in delayed diagnoses and availability of limited therapeutic tools. Thus, palliative care becomes...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532395/ https://www.ncbi.nlm.nih.gov/pubmed/28804708 http://dx.doi.org/10.3389/fpubh.2017.00185 |
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author | Çeliker, Mahmut Yaşar Pagnarith, Yos Akao, Kazumi Sophearin, Dim Sorn, Sokchea |
author_facet | Çeliker, Mahmut Yaşar Pagnarith, Yos Akao, Kazumi Sophearin, Dim Sorn, Sokchea |
author_sort | Çeliker, Mahmut Yaşar |
collection | PubMed |
description | Cancer care with curative intent remains difficult to manage in many resource-limited settings such as Cambodia. Cambodia has a small workforce with limited financial and health-care resources resulting in delayed diagnoses and availability of limited therapeutic tools. Thus, palliative care becomes the primary form of care in most cases. Although palliative care is becoming an integral part of medical care in developed countries, this concept remains poorly understood and utilized in developing countries. Angkor Hospital for Children serves a relatively large pediatric population in northern Cambodia. According to the modern definition of palliative care, approximately two-thirds of the patients admitted to the hospital were deemed candidates to receive palliative care. In an effort to develop a pediatric palliative care team utilizing existing resources and intensive training, our focus group recruited already existing teams with different health-care expertise and other motivated members of the hospital. During this process, we have also formed a palliative care training team of local experts to maintain ongoing palliative care education. Feedback from patients and health-care providers confirmed the effectiveness of these efforts. In conclusion, palliative and sustainable care was offered effectively in a resource-limited setting with adequately trained and motivated local providers. In this article, the steps and systems used to overcome challenges in Cambodia are summarized in the hope that our experience urges governmental and non-governmental agencies to support similar initiatives. |
format | Online Article Text |
id | pubmed-5532395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-55323952017-08-11 Pediatric Palliative Care Initiative in Cambodia Çeliker, Mahmut Yaşar Pagnarith, Yos Akao, Kazumi Sophearin, Dim Sorn, Sokchea Front Public Health Public Health Cancer care with curative intent remains difficult to manage in many resource-limited settings such as Cambodia. Cambodia has a small workforce with limited financial and health-care resources resulting in delayed diagnoses and availability of limited therapeutic tools. Thus, palliative care becomes the primary form of care in most cases. Although palliative care is becoming an integral part of medical care in developed countries, this concept remains poorly understood and utilized in developing countries. Angkor Hospital for Children serves a relatively large pediatric population in northern Cambodia. According to the modern definition of palliative care, approximately two-thirds of the patients admitted to the hospital were deemed candidates to receive palliative care. In an effort to develop a pediatric palliative care team utilizing existing resources and intensive training, our focus group recruited already existing teams with different health-care expertise and other motivated members of the hospital. During this process, we have also formed a palliative care training team of local experts to maintain ongoing palliative care education. Feedback from patients and health-care providers confirmed the effectiveness of these efforts. In conclusion, palliative and sustainable care was offered effectively in a resource-limited setting with adequately trained and motivated local providers. In this article, the steps and systems used to overcome challenges in Cambodia are summarized in the hope that our experience urges governmental and non-governmental agencies to support similar initiatives. Frontiers Media S.A. 2017-07-28 /pmc/articles/PMC5532395/ /pubmed/28804708 http://dx.doi.org/10.3389/fpubh.2017.00185 Text en Copyright © 2017 Çeliker, Pagnarith, Akao, Sophearin and Sorn. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Çeliker, Mahmut Yaşar Pagnarith, Yos Akao, Kazumi Sophearin, Dim Sorn, Sokchea Pediatric Palliative Care Initiative in Cambodia |
title | Pediatric Palliative Care Initiative in Cambodia |
title_full | Pediatric Palliative Care Initiative in Cambodia |
title_fullStr | Pediatric Palliative Care Initiative in Cambodia |
title_full_unstemmed | Pediatric Palliative Care Initiative in Cambodia |
title_short | Pediatric Palliative Care Initiative in Cambodia |
title_sort | pediatric palliative care initiative in cambodia |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532395/ https://www.ncbi.nlm.nih.gov/pubmed/28804708 http://dx.doi.org/10.3389/fpubh.2017.00185 |
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