Palliative care in India: Situation assessment and future scope

Kar, Sitanshu Sekhar; Subitha, L; Iswarya, S

doi:10.4103/0019-509x.175578

Cited by 31 publications

(33 citation statements)

References 2 publications

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“…Subsequently, a Master's degree in palliative care was started at the Tata Memorial Hospital, Mumbai, in 2012, and at the All India Institute of Medical Sciences (AIIMS), New Delhi, in 2016. Before this, AIIMS had a two-day course on palliative care organized twice a year starting 2009 [8]. In 2012, a National Palliative Care Strategy was drawn up that was to be implemented during the 12 th Five Year Plan period to create the basic infrastructure of this specialized care [7,8].…”

Section: Palliative Carementioning

confidence: 99%

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Health Care Delivery in India - SWOT Analyses

Anuradha¹,

Sultan²

2019

Int Arch Public Health Community Med

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Healthcare in India is undergoing a change that will meet the demands of the citizens from the village to the metropolitan city level. The National Health policy announced in 2017 is focused on "wellness" of patients and guarantees healthcare with suitable insurance to cover from primary to tertiary care. Ayushman Bharat Mission is a policy that promotes healthcare with a center-state cooperation. Program Indra Dhanush aims to cover immunization of children in rural and urban areas including those who were not covered in the previous program like Pulse Polio. In general healthcare is to provide and promote quality care, focus on emerging diseases and invest in promoting and preventive healthcare. The policy is patient centric and quality driven. It addresses health security and make in India free for drugs and devices. As National Health Policy varies from State to State according to the political, historical and socioeconomic situation prevailing in the country an attempt is made to shorten the gap and make it an universally applicable.

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Section: Palliative Carementioning

confidence: 99%

“…Before this, AIIMS had a two-day course on palliative care organized twice a year starting 2009 [8]. In 2012, a National Palliative Care Strategy was drawn up that was to be implemented during the 12 th Five Year Plan period to create the basic infrastructure of this specialized care [7,8].…”

Section: Palliative Carementioning

confidence: 99%

Health Care Delivery in India - SWOT Analyses

Anuradha¹,

Sultan²

2019

Int Arch Public Health Community Med

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“…Palliative care is an approach that offers comprehensive supportive care to individuals whose disease has stopped responding to curative treatments . The hospice and palliative care movement started in India around mid‐1980s, and its growth has been relatively slow .…”

Section: Introductionmentioning

confidence: 99%

Prevalence, correlates of depression, and its impact on quality of life of cancer patients attending a palliative care setting in South India

2019

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Objective Depression is an easily treatable yet frequently underdiagnosed affliction in palliative population with deleterious implications on their quality of life. It has been studied poorly in developing countries like India. Methods A cross‐sectional study was done with 234 consenting subjects attending a palliative care unit. Patient Health Questionnaire‐9 (PHQ‐9), World Health Organization Quality of Life (WHOQOL‐BREF), and semi‐structured proforma were used by trained nonmental health professional to collect data. Results The prevalence of major depression was 70%. Being a resident of nuclear family (p = .004), absence of insurance coverage (p = .01), presence of financial difficulties (p = .002), and absence of cancer recurrence (p = .001) were significantly associated with major depression in univariate analysis. In multivariate analysis, presence of financial difficulties (OR = 3.9; 95% CI, 2.00‐7.61) and absence of health insurance (OR = 1.92; 95% CI, 1.02‐3.7) were independently associated with major depression. The presence of depression showed significant negative correlation with physical health (p = .03), psychological health (p = .002), and environmental (p = .002) domains of the WHOQOL‐BREF. Conclusion This study brings to the fore the high rates of depression and its negative impact on the quality of life of terminally ill cancer patients. An improvement in their quality of life requires measures to reduce the rate of underdiagnosed psychiatric morbidities, especially in those who are financially burdened and lack insurance coverage.

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“…There have been many challenges and barriers to the implementation of palliative care globally. It is estimated that four million people a year are in need of Palliative Care in India, 4 The palliative care development follows the public health model developed by the WHO. 5 India ranks at the bottom of the Quality of Death Index.…”

mentioning

confidence: 99%

Untitled

2019

HPMIJ

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Palliative care is an approach that improves the quality of life of patients and their families facing problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and treatment of pain and associated problems as physical, psychosocial and spiritual. In India it is relatively a new concept so to understand and practice it is challenging thus small steps progressive to a big result will be achieved if determined .Thus the policies must be made and implemented by government of India which must be taken care by Health sciences and economics as at present, there is no uniform health-care system followed in India like in some developed countries. The universal health insurance system in government and private sector is still in its infancy and most of the population remains uninsured because of great expanses due to inequalities which are related to socioeconomic status, geography, and gender and are compounded by high out-of-pocket expenditures, with more than three-quarters of the increasing financial burden of health care being met by households.

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Palliative care in India: Situation assessment and future scope

Cited by 31 publications

References 2 publications

Health Care Delivery in India - SWOT Analyses

Health Care Delivery in India - SWOT Analyses

Prevalence, correlates of depression, and its impact on quality of life of cancer patients attending a palliative care setting in South India

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