Authors
Gatsaev S.S.1, Shalyganova Е.А.2, Zheglataia Т.P.3, Romanenkova А.S.3, Surovtseva V.N.3
1 I.M. Sechenov First Moscow State Medical University, Moscow
2 V.I. Razumovsky Saratov State Medical University, Saratov
3 Pirogov Russian National Research Medical University, Moscow
Abstract
Rationale: Palliative care (PC) is an essential component of the healthcare system aimed at improving the quality of life for patients with incurable diseases and their families. In modern conditions, the integration of PC into multidisciplinary healthcare facilities faces various organizational and resource limitations. The multidisciplinary team (MDT) plays a critical role in enhancing the effectiveness of PC.
Objective: To analyze the features of PC organization in multidisciplinary healthcare facilities with a focus on the role of MDTs and to evaluate prospective directions for the development of this system.
Methods: The study was conducted using an analytical review of peer-reviewed scientific publications, international guidelines, and official statistical reports. Data on PC integration models (embedded palliative care departments, consultative services, and outpatient programs) and studies on the effectiveness of the multidisciplinary approach were considered.
Results: The analysis demonstrated the high effectiveness of the multidisciplinary approach, as evidenced by reduced hospitalization rates, improved symptom control, and enhanced quality of life for patients. Key limitations were identified, including a shortage of qualified personnel, insufficient funding, legal and cultural barriers. Particular attention was paid to the need for the implementation of educational programs, optimization of funding, and integration of various PC models to improve service accessibility.
Conclusion: The integration of PC into multidisciplinary healthcare facilities requires a comprehensive approach involving MDTs. Further research in pediatric PC and the development of specialized programs to overcome organizational and cultural barriers are necessary. Implementing these measures will improve the accessibility and efficiency of PC, reduce the burden on the healthcare system, and enhance the quality of life for patients and their families.
Keywords: palliative care, multidisciplinary team, quality of life, limitations, funding, educational programs, healthcare organization.
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