TY - JOUR
T1 - Palliative Care in 2020 & Beyond Workshop
T2 - an expert symposium to develop palliative care advocacy in Turkey
AU - Ahmed, Fahad
AU - Kutluk, Tezer
AU - Kirazli, Meral
AU - Yurduşen, Sema
AU - Cemaloğlu, Mustafa
AU - Boufkhed, Sabah
AU - Şengelen, Meltem
AU - Aydın, Burça
AU - Sullivan, Richard
AU - Harding, Richard
N1 - Funding Information:
The symposium took place between 27th-28th February 2020 at Hacettepe University Turkey under the theme of ‘Palliative Care in 2020 & Beyond’. It was attended by more than 80 participants: senior oncology professionals (doctors, nursing, and allied healthcare staff) from major hospitals in Turkey; civil servants from the Turkish Ministry of Health Cancer Control Department; and International palliative care experts (for further details, see Table 1 ). This symposium also targeted researchers, health professionals, and social workers from palliative care services at different hospitals in Turkey. It was organized by Hacettepe University Department of Pediatric Oncology and funded by the Research for Health in Conflict (R4HC-MENA) program [9] .
Funding Information:
This workshop was supported by the UK Research and Innovation Global Challenges Research Fund (GCRF) grant for “ Research for Health in Conflict ( R4HC-MENA )” project ( ES/P010962/1 ).
Publisher Copyright:
© 2022 Elsevier Ltd
PY - 2022/12
Y1 - 2022/12
N2 - Background: In 2014, the World Health Assembly called for improved access to palliative care (PC) as a core component of healthcare systems. Still, in 2019 the development of PC activism in Turkey was patchy in scope, care provision is isolated and services are limited in relation to population size. This workshop was aimed to increase understanding of the PC approach in cancer and to discuss holistic strategies for implementing PC for cancer in Turkey. Methods: The workshop hosted in February 2020 at Ankara was attended by 80 healthcare professionals, bureaucrats, and international PC experts. Panel discussions were held to determine the current status, shortcomings and specify solutions for future PC in cancer in Turkey. Results: Positive developments in PC after 2010 were acknowledged. Yet PC services are insufficient and mostly unavailable in the less developed regions. PC centers embedded in oncology hospitals were run by oncologists and follows classical cancer treatment protocol. It has emerged that the future need for specialized pc will be greater than anticipated. The latest regulations and the National Pallia-Turk project will provide a framework to develop nationwide PC activism. The barriers are; limited training, lack of integration into cancer care, public ignorance, and legislative issues to Do-Not-Resuscitate (DNR) orders. The contextual suggestions are; all healthcare workers must acquire a minimum knowledge and skills of PC. Home-based PC should be timely and responsive, coordination among patient's care stakeholders, Hospital-based PC for intensive symptom control or reduce caregiver burden. simultaneous cancer and PC to avoid late referral, legal arrangements for advance directives and DNR orders, and public awareness via mass media initiatives. Significance of Results: The workshop recommendation substantially contributes to the existence of PC policy and guidelines; will be useful for the development of comprehensive PC activism to address the future need of PC in Turkey.
AB - Background: In 2014, the World Health Assembly called for improved access to palliative care (PC) as a core component of healthcare systems. Still, in 2019 the development of PC activism in Turkey was patchy in scope, care provision is isolated and services are limited in relation to population size. This workshop was aimed to increase understanding of the PC approach in cancer and to discuss holistic strategies for implementing PC for cancer in Turkey. Methods: The workshop hosted in February 2020 at Ankara was attended by 80 healthcare professionals, bureaucrats, and international PC experts. Panel discussions were held to determine the current status, shortcomings and specify solutions for future PC in cancer in Turkey. Results: Positive developments in PC after 2010 were acknowledged. Yet PC services are insufficient and mostly unavailable in the less developed regions. PC centers embedded in oncology hospitals were run by oncologists and follows classical cancer treatment protocol. It has emerged that the future need for specialized pc will be greater than anticipated. The latest regulations and the National Pallia-Turk project will provide a framework to develop nationwide PC activism. The barriers are; limited training, lack of integration into cancer care, public ignorance, and legislative issues to Do-Not-Resuscitate (DNR) orders. The contextual suggestions are; all healthcare workers must acquire a minimum knowledge and skills of PC. Home-based PC should be timely and responsive, coordination among patient's care stakeholders, Hospital-based PC for intensive symptom control or reduce caregiver burden. simultaneous cancer and PC to avoid late referral, legal arrangements for advance directives and DNR orders, and public awareness via mass media initiatives. Significance of Results: The workshop recommendation substantially contributes to the existence of PC policy and guidelines; will be useful for the development of comprehensive PC activism to address the future need of PC in Turkey.
KW - Cancer
KW - Capacity building
KW - Expert symposium
KW - Palliative Care
KW - Turkey
UR - http://www.scopus.com/inward/record.url?scp=85138015772&partnerID=8YFLogxK
U2 - 10.1016/j.jcpo.2022.100361
DO - 10.1016/j.jcpo.2022.100361
M3 - Article
C2 - 36087917
AN - SCOPUS:85138015772
SN - 2213-5383
VL - 34
JO - Journal of Cancer Policy
JF - Journal of Cancer Policy
M1 - 100361
ER -
