Publications by authors named "E L Krakauer"
Article Synopsis
- Estimates show a significant need for palliative care in low- and middle-income countries, particularly regarding access to essential opioids for pain relief.
- The DOME (Distributed Opioids in Morphine Equivalents) methodology quantifies this need by converting procured opioid quantities into morphine equivalents, allowing for a clearer assessment of unmet pain relief requirements.
- By using DOME and its metrics, countries can evaluate their health systems' capacity for palliative care and address gaps, ultimately improving health coverage and access to necessary treatments.
"OpenWHO" SEARO NCD PEN-HEARTS Courses: Training 10000 Health Care Providers in 100 Countries in 100 Days.
WHO South East Asia J Public Health
January 2024
Article Synopsis
- Enhancing primary care capacity is essential for quality care of noncommunicable diseases (NCDs), addressing issues like inadequate training resources and standards.
- The WHO South-East Asia Region utilized the OpenWHO platform to create four online courses tailored for low- or middle-income countries, focusing on NCD service planning, interventions, diabetic foot care, and palliative care for primary health-care managers.
- Launched on October 26, 2023, these courses gained significant interest, with 18,250 enrollments in 100 days, primarily from young health professionals, leading to over 7,000 certificates awarded through assessments.
Background: Caring for patients with advanced cancer is complex and challenging, requiring varied expertise, including symptom management, communication skills, care coordination and emotional resilience. Within existing literature, the lived experiences of oncology nurses are poorly articulated in countries with a lower income where formal palliative care (PC) is absent.
Aim: To explore the lived experiences of Gazan oncology nurses who provide care to patients with advanced cancer in healthcare systems, without formal palliative care infrastructure.
Purpose: We aimed to assess knowledge, attitudes, and perceived barriers among health care professionals (HCPs), policymakers, and regulators in Vietnam related to opioid therapy for cancer pain.
Methods: We conducted a cross-sectional study in Vietnam from June to August 2022. Participants completed a questionnaire on their demographic characteristics, knowledge and attitudes toward opioid therapy, and barriers to accessing opioids for cancer pain.
Context: Inequities and gaps in palliative care access are a serious impediment to health systems especially in low- and middle-income countries and the accurate measurement of need across health conditions is a critical step to understanding and addressing the issue. Serious Health-related Suffering (SHS) is a novel methodology to measure the palliative care need and was originally developed by The Lancet Commission on Global Access to Palliative Care and Pain Relief. In 2015, the first iteration - SHS 1.
View Article and Find Full Text PDF