Preparedness and capacity of indian palliative care services to respond to the COVID-19 pandemic: An online rapid assessment survey

Cheng-Pei Lin, Sabah Boufkhed, Asha Pai, Eve Namisango, Emmanuel Luyirika, Katherine Sleeman, Massimo Costantini, Carlo Peruselli, Irene Higginson, Maria Ekstrand, Richard Harding, Naveen Salins, Sushma Bhatnagar*

*此作品的通信作者

研究成果: Review article同行評審

3 引文 斯高帕斯(Scopus)

摘要

Background: COVID-19 has been causing a high burden of suffering for patients and families. There is limited evidence on the preparedness of Indian palliative care services for the pandemic. Aim: This study aimed to assess the preparedness and capacity of Indian palliative care services in response to the COVID-19 pandemic. Methods: A cross-sectional online survey was developed based on prior evidence and international health regulations. It was emailed to the Indian Palliative Care Association members and investigators' professional networks in India. One participant per palliative care service was requested. Descriptive analysis was used. Results: Representatives of 78 palliative care services completed the survey. Three in four services had COVID-19 case definition and adapted their protocols for infection control (75%). About half of the services (55%) reported concerns about achieving appropriate hand hygiene in the community. More than half of the services (59%) had capacity to train nonspecialists for symptom control and psychological support. About half of the services reported that they had plans to redeploy staff (56%) and resources (53%) in the case of outbreaks. Two-fifths of the services used paper records to store an updated contact list of staff (40%) and did not have designated focal contacts for information update (40%). Staff anxiety related to personal infection risk and family care was relatively high (median score = 7 on a 1-10 scale). Conclusion: We recommend the following resource allocation to enable palliative care services to support the Indian health system in delivering essential care in this and future pandemics: (1) infection control, especially in the community; (2) training using existing clinical protocols to strengthen palliative care across the health system; and (3) redeployment plans.

原文English
頁(從 - 到)152-171
頁數20
期刊Indian Journal of Palliative Care
27
發行號1
DOIs
出版狀態Published - 1 1月 2021

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