期刊
CANCER
卷 126, 期 -, 页码 2448-2457出版社
WILEY
DOI: 10.1002/cncr.32857
关键词
Caribbean; Chile; education; educational strategies; Jamaica; Latin America; palliative care; resource stratified; training
类别
资金
- GE Healthcare Funding Source: Medline
- NCI NIH HHS [1R13CA224776-01A1] Funding Source: Medline
- Novartis Funding Source: Medline
- Pfizer Funding Source: Medline
- Susan G. Komen [GSP18BHGI001] Funding Source: Medline
- University of Washington Funding Source: Medline
- Journal of Global Oncology Funding Source: Medline
- pH Trust Funding Source: Medline
- American Society of Clinical Oncology Funding Source: Medline
- National Comprehensive Cancer Network Funding Source: Medline
- National Breast Cancer Foundation Funding Source: Medline
- American Society of Clinical Pathology Funding Source: Medline
- UE LifeSciences Funding Source: Medline
- Seattle Cancer Care Alliance Funding Source: Medline
- Cepheid Funding Source: Medline
- Harvard/MGH Center on Genomics, Vulnerable Populations and Health Disparities Funding Source: Medline
- Union for International Cancer Control Funding Source: Medline
- Fred Hutchinson Cancer Research Center Funding Source: Medline
Individuals in low-income and middle-income countries (LMICs) account for approximately two-thirds of cancer deaths worldwide, and the vast majority of these deaths occur without access to essential palliative care (PC). Although resource-stratified guidelines are being developed that take into account the actual resources available within a given country, and several components of PC are available within health care systems, PC will never improve without a trained workforce. The design and implementation of PC provider training programs is the lynchpin for ensuring that all seriously ill patients have access to quality PC services. Building on the Breast Health Global Initiative's resource-stratified recommendations for provider education in PC, the authors report on efforts by the Jamaica Cancer Care and Research Institute in the Caribbean and the Universidad Catolica in successfully developing and implementing PC training programs in the Caribbean and Latin America, respectively. Key aspects of this approach include: 1) fostering strategic academic partnerships to bring additional expertise and support to the effort; 2) careful adaptation of the curriculum to the local context and culture; 3) early identification of feasible metrics to facilitate program evaluation and future outcomes research; and 4) designing PC training programs to meet local health system needs.
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