Öz
Palyatif bak›m kanser kontrol programlar›n›n ve kanser tedavisinin
vazgeçilmez bir parças›d›r. Maliyet etkin ve do¤rudan yaflam kalitesini
ilgilendirir. Pek çok geliflmifl ülkelerde de¤iflik düzeylerde
palyatif bak›m modelleri görülebilir. Ülkemizde ise palyatif bak›m
hizmetleri uzun y›llarca göz ard› edilmifltir. Bu araflt›rmada, ülkemizdeki
palyatif bak›m hizmetlerinin mevcut durumu analiz edilmifl ve
olas› nedenler ortaya konulmaya çal›fl›lm›flt›r. ‹l Sa¤l›k Müdürlükleri
arac›l›¤› ile toplanan verilere göre, ülkemizde sadece 9 adet palyatif
bak›m merkezi vard›r ve bunlar›n büyük bölümü üniversite hastanelerindedir
(7/9). 33 ilde hizmet veren toplam 72 adet a¤r› bölümü vard›.
Bu merkezlerin 35’i devlet hastanelerinde, 31’i üniversite hastanelerinde
ve kalan 6’s› da özel sektör içerisinde hizmet vermektedir. 28
merkez ( %38,9) Ankara ve ‹stanbul’da yerleflik iken 56 merkez Bat› ve
Orta Anadolu’da yerleflikti (%77.7). Ülkemizde kifli bafl› morfin kullan›m›
da çok düflük seviyelerdedir. Ancak, opioid kullan›m k›s›tl›l›¤›
ile beraber mevcut opioid çeflitlili¤i de ne k›s›tl› olup, immediate release
morfin preparatlar› ülkemizde bulunmamaktad›r.
Öz
Palliative care is one of the most important part of cancer control
programmes and cancer treatments. It is both a cost effective strategy
and is directly related with quality of life. Different types of palliative
care models can be seen in most of the developed countries. However,
palliative care was an ignored issue for many years in our country.
In this research, current status of our country with respect to
palliative care services are analyzed and possible reaonns fort he current
situations are searched. According to the data gathered from the
Health Governor of each province, there are only 9 palliative care service
across the whole country and a great majority is located in university
hospitals (7/9). There were a total of 72 pain centers in different
33 province. Of these 72, 35 were in governmental hospitals, 31
were in university hospitals and the remaining 6 were in the private
sector. Among all, 28 centers were located in Ankara and Istanbul
(38,9%) and 56 centers were located in the Middle and Western Anatolia
(77.7%). Morphine consumption rates per capita was also found
to be lower and in addition to this low consumption rates; the current
availaibility of different opioid types were also limited such as there is
no immediate release morphine preparations stil in our market.
Ayrıntılar
| Diğer ID | JA89RT77KH |
|---|---|
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2010 |
| Gönderilme Tarihi | 1 Ocak 2010 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 13 Sayı: 1 |