2025, Number 1
<< Back Next >>
Rev Mex Anest 2025; 48 (1)
Barriers and facilitators for access to palliative care in Mexico. Perspective of health workers
Guevara-López U, Fraga-Gil S, Prieto-Duarte ML, Campos-Hernández A, Ramos-Guerrero J, Córdova-Domínguez JA, Matos-Patrón I
Language: Spanish
References: 20
Page: 8-15
PDF size: 568.75 Kb.
ABSTRACT
Introduction: in the Latin American region, palliative care (PC) has advanced in a heterogeneous manner according to the economic development, culture and idiosyncrasy of each country.
Objective: identify the barriers and facilitators that determine providing palliative care in the Mexican Republic.
Material and methods: a web survey was designed based on six indicators, it was applied for 11 months from January to December 2023, the data were analyzed by descriptive statistics, presenting the data in the Mexican Atlas of palliative care (PC) in the form of tables and figures and infograms by state.
Results: 1,523 health workers identified the barriers that prevent timely provision of PC and participation of facilitators such as the presence of cultural and family values, a solid family support network, community participation, and staff interest in providing compassionate care.
Conclusions: the progress achieved is insufficient to reverse the existing deficit in this area; however, we consider that eliminating barriers and strengthening existing facilitators will allow culturally sensitive palliative care to be provided to the numerous patients with non-curable diseases.
REFERENCES
Centeno C, Lynch T, Donea O, et al. EAPC atlas of palliative care in Europe 2013-full edition. Milano: European Association for Palliative Care (EAPC); 2013.
Connor SR. Sepulveda BMC. Global atlas of palliative care at the end of life. London: Worldwide Palliative Care Alliance; 2014. Available in: https://www.iccp-portal.org/system/files/resources/Global_Atlas_of_Palliative_Care.pdf
Pastrana T, de Lima L, Sánchez-Cárdenas M, Van-Steijn D, Garralda E, Pons JJ, et al. Atlas de Cuidados Paliativos en Latinoamérica 2020 (2da ed.). Houston: IAHPC Press; 2021. Disponible en: https://cuidadospaliativos.org/uploads/2021/8/Atlas%20de%20Cuidados%20Paliativos%20en%20Latinoamerica%202020.pdf
Ailshire JA, Herrera CA, Choi E, Osuna M, Suzuki E. Cross-national differences in wealth inequality in health services and caregiving used near the end of life. EClinicalMedicine. 2023;58:101911.
World Health Organization (WHO). [accessed 21 November 2013] Global action plan for the prevention and control of NCDs 2013-2020. Available in: http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf
Guevara-López U, Fraga-Gil S, Prieto-Duarte ML, Campos-Hernández A, Ramos-Guerrero J, Córdova-Domínguez JA et al. Primera Edición del Atlas Mexicano de Cuidados Paliativos 2023. OCUPA-IMEDOCP. México: Ed. Corinter; 2023. Disponible en: https://imedocp.org/wp-content/uploads/2024/10/Primera-Edicion-Atlas-Mexicano-de-CP-2023.pdf
Pastrana T, Torres-Vigil I, Liliana De Lima L4. Palliative care development in Latin America: an analysis using macro indicators. Palliat Med. 2014;28:1231-1238. doi: 10.1177/0269216314538893.
Dalal S, Bruera E. Management of pain in the cancer patient. Front Pain Res (Lausanne). 2022;3:926712. doi: 10.3389/fpain.2022.926712.
Pitzer S, Kutschar P, Paal P, et al. Barriers for adult patients to access palliative care in hospitals: a mixed methods Systematic Review. 2024;67:e16-e33. Available in: https://doi.org/10.1016/j.jpainsymman.2023.09.012
Agrawal A, Singh D, Chanchlani R, et al. A review on palliative care challenges and benefits. journal of clinical and diagnostic research. 2022;16:OE01-OE06. Available in: https://www.researchgate.net/publication/363935245
De Hoyos Bermea A, Guevara-López U, González Sánchez J.A, Viguri Castellanos R.F, Camacho Bueno P.S. Cuidados paliativos culturalmente sensibles: experiencias sobre la enfermedad y muerte a partir de los cuidadores en los Valles Centrales de Oaxaca. En experiencias interculturales y reflexiones filosóficas desde perspectivas diversas. UNAM-San Antonio. Ed. Biblioteca Arte y Cultura. México 2023.
Cleary J, De Lima L, Eisenchlas J, Radbruch L, Torode J, Cherny NI. Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Latin America and the Caribbean: a report from the Global Opioid Policy Initiative (GOPI). Ann Oncol. 2013;24 Suppl 11:xi41-50. doi: 10.1093/annonc/mdt502.
Córdova-Domínguez A, Guevara-López U. Guía práctica para el alivio del dolor y cuidados paliativos. Versión en español tzotzil y zapoteco. Ed CORINTER México 2019.
INEGI. Extensión territorial. Disponible en: https://cuentame.inegi.org.mx/territorio/extension/default.aspx?tema=T
Fang LM, Woolrych R, Sixsmith J, Canham S, Battersby L, Sixsmith A. Place-making with older persons: establishing sense-of-place through participatory community mapping workshops. Soc Sci Med. 2016;168:223-229. Available in: https://doi.org/10.1016/j.socscimed.2016.07.007
Ghati N, Bhatnagar S, Mahendran M, et al. Investigating the role of palliative care education in improving the life quality of women with breast cancer. Clin Cancer Investig J. 2024;13(1):46-50. Available in: https://doi.org/10.51847/j28oEjwdVb
Rudilla D, Soto A, Pérez MA, et al. Intervenciones psicolo?gicas en espiritualidad en cuidados paliativos. Med Paliat. 2018;25:203-212. Disponible en: https://doi.org/10.1016/j.medipa.2016.10.004
Guevara-López UM, Elizarrarás-Rivas J, Ramírez-García SA, et al. Empleo empírico de cannabis para control del dolor crónico de origen musculoesquelético. Rev Mex Anest. 2024;47:96-101. doi: 10.35366/115316.
Trujillo-De Los Santos Z, Paz-Rodríguez F, Corona T, et al. Investigación sobre cuidados paliativos en México. Revisión Sistemática Exploratoria. Rev Mex Neuroci. 2018;19:74-85.
Dumont K, Marcoux I, Warren É, et al. How compassionate communities are implemented and evaluated in practice: a scoping review. BMC Palliat Care. 2022;21(1):131. Available in: https://doi.org/10.1186/s12904-022-01021-3