Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer
IntroductionMaking appropriate plans for the provision of hospice care is considered a perceived need in the Iranian health system. The current study aimed to develop a model for establishing hospice care delivery system for the adult patients with cancer.Materials and MethodsThis study is part (dat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.807621/full |
| _version_ | 1818394152634679296 |
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| author | Samira Beiranvand Maryam Rassouli Maryam Hazrati Shahram Molavynejad Suzanne Hojjat Suzanne Hojjat Kourosh Zarea |
| author_facet | Samira Beiranvand Maryam Rassouli Maryam Hazrati Shahram Molavynejad Suzanne Hojjat Suzanne Hojjat Kourosh Zarea |
| author_sort | Samira Beiranvand |
| collection | DOAJ |
| description | IntroductionMaking appropriate plans for the provision of hospice care is considered a perceived need in the Iranian health system. The current study aimed to develop a model for establishing hospice care delivery system for the adult patients with cancer.Materials and MethodsThis study is part (data of the third and fourth phases) of a larger study that has been done in four phases. This Health System Policy Research (HSPR) utilized a mixed qualitative-quantitative approach. At the first phase, a qualitative study was conducted which explained the care needs and the requirements for establishing this system from the stakeholders’ perspective (directed content analysis). The second phase aimed to examine the current situation of hospice care delivery in Iran and identify and determine the similarities and differences among them in the selected countries (comparative study). At the third phase, the main areas of the model and the related indicators were extracted and prioritized by consulting with experts (Delphi survey). Then the model was formulated. At the fourth phase, the proposed model was validated and finalized in terms of importance, scientific acceptability, and feasibility.ResultsBased on the developed model the first and the most important step in establishing the hospice care delivery system is laying the groundwork in the health system which requires focusing on policymaking. It is necessary to establish hospice centers and implement public awareness raising programs, train, and supply expert manpower, strengthen family physician and referral process, formulate clinical guidelines, encourage the private sector and NGOs(Non-Governmental Organizations (NGOs).) to invest, develop end-of-life and hospice care service packages, and create quality care indicators. The proposed model had moderate feasibility.ConclusionThis model was developed based on the current Iranian healthcare structure and the needs of terminally ill cancer patients. It can be used as a model tailored to the current state of the health system and community in Iran. It is suggested to use this model as a pilot at the regional level. |
| first_indexed | 2024-12-14T05:56:40Z |
| format | Article |
| id | doaj.art-c5d31efbd87c4ef19b2b3f3959e818ea |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-14T05:56:40Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-c5d31efbd87c4ef19b2b3f3959e818ea2022-12-21T23:14:33ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-03-011310.3389/fpsyg.2022.807621807621Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With CancerSamira Beiranvand0Maryam Rassouli1Maryam Hazrati2Shahram Molavynejad3Suzanne Hojjat4Suzanne Hojjat5Kourosh Zarea6Nursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranCommunity Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, IranNursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Home-Based Palliative Care, ALA Cancer Prevention and Control Center (MACSA), Tehran, IranFrench Institute of International Research and High Education, Paris, FranceNursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranIntroductionMaking appropriate plans for the provision of hospice care is considered a perceived need in the Iranian health system. The current study aimed to develop a model for establishing hospice care delivery system for the adult patients with cancer.Materials and MethodsThis study is part (data of the third and fourth phases) of a larger study that has been done in four phases. This Health System Policy Research (HSPR) utilized a mixed qualitative-quantitative approach. At the first phase, a qualitative study was conducted which explained the care needs and the requirements for establishing this system from the stakeholders’ perspective (directed content analysis). The second phase aimed to examine the current situation of hospice care delivery in Iran and identify and determine the similarities and differences among them in the selected countries (comparative study). At the third phase, the main areas of the model and the related indicators were extracted and prioritized by consulting with experts (Delphi survey). Then the model was formulated. At the fourth phase, the proposed model was validated and finalized in terms of importance, scientific acceptability, and feasibility.ResultsBased on the developed model the first and the most important step in establishing the hospice care delivery system is laying the groundwork in the health system which requires focusing on policymaking. It is necessary to establish hospice centers and implement public awareness raising programs, train, and supply expert manpower, strengthen family physician and referral process, formulate clinical guidelines, encourage the private sector and NGOs(Non-Governmental Organizations (NGOs).) to invest, develop end-of-life and hospice care service packages, and create quality care indicators. The proposed model had moderate feasibility.ConclusionThis model was developed based on the current Iranian healthcare structure and the needs of terminally ill cancer patients. It can be used as a model tailored to the current state of the health system and community in Iran. It is suggested to use this model as a pilot at the regional level.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.807621/fullcancerhospicepalliative carehealth systemIran |
| spellingShingle | Samira Beiranvand Maryam Rassouli Maryam Hazrati Shahram Molavynejad Suzanne Hojjat Suzanne Hojjat Kourosh Zarea Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer Frontiers in Psychology cancer hospice palliative care health system Iran |
| title | Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer |
| title_full | Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer |
| title_fullStr | Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer |
| title_full_unstemmed | Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer |
| title_short | Developing a Model for the Establishment of the Hospice Care Delivery System for Iranian Adult Patients With Cancer |
| title_sort | developing a model for the establishment of the hospice care delivery system for iranian adult patients with cancer |
| topic | cancer hospice palliative care health system Iran |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.807621/full |
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