Implementation of a Municipal Palliative Care Network
DOI:
https://doi.org/10.5712/rbmfc20(47)4268Keywords:
Palliative care, Delivery of health care, Continuing education, Health policyAbstract
Problem: Palliative Care (PC) is a comprehensive healthcare approach provided by a multidisciplinary team to individuals dealing with serious, life- threatening illnesses that no longer respond to curative treatments or who present complex symptoms that compromise their quality of life as well as that of their families. Methods: This study described the experience of implementing a Municipal Palliative Care Program in a large city, organized as a Palliative Care Health Care Network (Rede de Atenção em Saúde – RAS). It outlines the planning process involved in establishing it as a public health policy, along with the actions taken and the results achieved. Results: The actions adopted to organize the access to and the provision of PC included: 1) Performing a situational diagnosis and identifying the demand for PC support in the municipality and the way healthcare network was organized; 2) Promoting the training of healthcare professionals in PC; 3) Strengthening Primary Health Care (PHC) to guide PC in the health care network; 4) Promoting integration among public healthcare services that offered PC; 5) Carry out actions to raise community awareness and establish specific public policies for the development of PC. The strategy involved creating a municipal health program with a management working group comprising representatives from services at all levels of care, which already serve patients in need of PC. Conclusions: It is concluded that Permanent Health Education is an essential strategy for the integration and consolidation of the Municipal Palliative Care Network. This strategy is based on the need to improve PC support, focusing on the program’s guidelines and objectives: to provide quality palliative care and comfort to individuals and families facing life-threatening illnesses, and to support physical, spiritual, social, family, and emotional suffering.
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Copyright (c) 2025 Beatriz Zampar, Fernando Cesar Iwamoto Marcucci, Vânia Cristina da Silva Alcantara, Marina Gorgato de Carvalho, Franciane Fabiola Campos Sottile, Regina Melchior, Rosilene Aparecida Machado
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