Approaches to integrating palliative care into African health systems: a qualitative systematic review.

Health Policy and Planning
Lara Court, Jill Olivier

Abstract

Africa is characterized by a high burden of disease and health system deficits, with an overwhelming and increasing demand for palliative care (PC). Yet only one African country is currently considered to have advanced integration of palliative care into medical services and generalized PC is said to be available in only a handful of others. The integration of PC into all levels of a health system has been called for to increase access to PC and to strengthen health systems. Contextually appropriate evidence to guide integration is vital yet limited. This qualitative systematic review analyses interventions to integrate PC into African health systems to provide insight into the 'how' of PC integration. Forty articles were identified, describing 51 different interventions. This study found that a variety of integration models are being applied, with limited best practices being evaluated and repeated in other contexts. Interventions typically focused on integrating specialized PC services into individual or multiple health facilities, with only a few examples of PC integrated at a population level. Four identified issues could either promote integration (by being present) or block integration (by their absence). These include th...Continue Reading

References

Jun 28, 2002·Lancet·François Dabis, Ehounou René Ekpini
Sep 17, 2002·Journal of Pain and Symptom Management·Jan Stjernswärd
Jun 26, 2003·Public Health Nursing·Leana R Uys
Jun 7, 2005·Lancet·Richard Harding, Irene J Higginson
Jan 26, 2006·The Journal of the Association of Nurses in AIDS Care : JANAC·Busisiwe P Ncama
Apr 21, 2006·The Cochrane Database of Systematic Reviews·C J Briggs, P Garner
Apr 28, 2006·Advances in Skin & Wound Care·Diane K Langemo
Nov 17, 2006·Journal of Neurophysiology·Margaret S Livingstone, Bevil R Conway
Mar 17, 2007·Journal of Public Health Policy·Jan Stjernswärd
May 8, 2007·Journal of Pain and Symptom Management·Jan StjernswärdFrank D Ferris
May 8, 2007·Journal of Pain and Symptom Management·Frank Brennan
May 8, 2007·Journal of Pain and Symptom Management·Liz Gwyther, Fiona Rawlinson
May 9, 2007·Bulletin of the World Health Organization·Ritu SadanaAlena Petrakova
Dec 29, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Steven A LevinMichael M E Johns
Aug 30, 2008·Journal of Pain and Symptom Management·Richard HardingCarla Alexander
Dec 9, 2008·International Journal of Palliative Nursing·Julia Downing, Esther Kawuma
Jun 23, 2009·International Journal of Palliative Nursing·Richard HardingSuzanne Penfold
Jul 11, 2009·International Journal of Integrated Care·Gail D ArmitageCarol E Adair
Jan 13, 2010·Healthcare Quarterly·Dennis L Kodner
Feb 20, 2010·The American Journal of Hospice & Palliative Care·Samy A AlsirafyEnas N Abou-Elela
Mar 31, 2010·Clinical Journal of Oncology Nursing·Judith A PaiceThomas Smith
May 13, 2010·BMC Palliative Care·Daryl BainbridgeAlan Taniguchi
May 14, 2010·Home Healthcare Nurse·Julia DowningFaith Mwangi-Powell
Jul 14, 2010·Journal of Pain and Symptom Management·Kathleen M Defilippi, Sue Cameron
Jul 14, 2010·Journal of Pain and Symptom Management·Medhanit WubeFrancesca Stuer
Jul 14, 2010·Journal of Pain and Symptom Management·Zodwa Sithole, Colleen Dempers
Jul 14, 2010·Journal of Pain and Symptom Management·Erinn NanneyPaul Mmbando
Jul 14, 2010·Journal of Pain and Symptom Management·Philip G Di SorboS H Williams
Oct 6, 2010·Cancer Nursing·Pam MalloyThomas Smith
Mar 11, 2011·BMC Palliative Care·Marjolein GyselsRobert Pool
Mar 16, 2011·Palliative Medicine·Barbara A JackA Merriman
Jul 12, 2011·BMC Palliative Care·Julia B Tapsfield, M Jane Bates
Jul 19, 2011·Health Services Research·Silvana RobonePeter C Smith
Dec 15, 2011·Development and Change·Juliana Martínez Franzoni, Koen Voorend
Mar 1, 2012·Health Policy·Reinhard Busse
Sep 1, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·David HuiEduardo Bruera
Sep 29, 2012·Journal of Pain and Symptom Management·Thomas LynchDavid Clark
Dec 12, 2012·Tropical Medicine & International Health : TM & IH·Helena Legido-QuigleyAlison D Grant

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Dec 4, 2021·Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship·Patricia Moyle Wright

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