Publications by authors named "D Martina"
Advance Care Planning in Palliative Care in Asia: Barriers and Implications.
J Hosp Palliat Care
December 2024
Advance care planning (ACP) in palliative care is essential for patient autonomy and quality of dying. This review explores ACP practices in South Korea, Japan, and Taiwan, highlighting how legislation and cultural values shape those practices. In these three sectors, which are influenced by Confucian values, family involvement plays a significant role in decision-making.
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- Explicit end-of-life discussions are rare in Confucian-influenced Asian societies, making culturally sensitive advance care planning challenging, especially with the important role of families in decision-making.
- A Delphi study involving 115 multidisciplinary experts from five Asian regions aimed to create a consensus definition of advance care planning and provide practical recommendations for a patient-centered and family-based approach.
- The proposed definition emphasizes identifying personal values and preferences for future medical care while engaging family and healthcare providers, with high agreement on various recommendations that can inform practices, education, and policies for culturally relevant care in Asia.
Article Synopsis
- The study examines disparities in location, gender, and funding among leadership roles in oncology clinical trials presented at the ASCO22 conference, highlighting the need for policies that promote diversity.
- Data from 239 phase III abstracts revealed a predominance of high-income country (HIC) institutions, with female representation as lead and senior authors at 29% and 23%, respectively.
- The findings indicate significant industry sponsorship, with 62% of trials funded by industry, and reflect an ongoing pattern of underrepresentation of women and low-income country authors in the field.
Advance Care Planning in Indonesia: Current state and future prospects.
Z Evid Fortbild Qual Gesundhwes
August 2023
Indonesia is a low-middle income country in Southeast Asia, as well as the world's fourth most populous and largest archipelagic nation. Indonesia has approximately 1,300 ethnic groups that speak 800 different languages and are typically collectivist and religiously devout. With an aging population and an increasing number of cancer patients, palliative care in the country remains scarcely available, disproportionally distributed, and underfunded.
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