CURRENT STATUS OF PALLIATIVE CARE SERVICES IN INDONESIA : A LITERATURE REVIEW
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Aim: To review healthcare literature il relation to the provision of palliative care in Indonesia and to identify factors that may impact on palliative care development. Backgroun* People living with life-limiting illness Lrenelit fiom access to palliative care seryices to optimize quality of life. Palliative care services are being expanded in developing countries but in indonesia such services are in their infancy with many patients with life-limiting illnesses having access to appropriate health care compromised. Methods: Relevant healthcare databases inciuding CINAHL, PubMed, Science Direct and Scopus 'w'ere searched using the cr:mbinations of search terms: palliatir,-e care, terminal care, end-ofJife care, Indonesia 'lnd nursing. A search of grey literature including Internet sites rsas also carried out. Results: Nine articles were included in the review. Facilitating factors supporting the provision of paiLiative care included: a culture of strong famfial support, govemment policy support, volunteering and support fiom regional organiz:tions. Identified barriers to palliative care provision r,r.ere a iimited undersranding of palliative care among healthcare professionals, the challenging geography oflndonesia and Limited access to opioid medications. Conclusions: There are facilitators and barriers that curentiy impact on Lhe development of palliatil'e care in Indonesia" Strategies that can be implemented to improve palliatir.e care include training of nurses and doctors in the primary care sector, integrating palliative care in undergtaduate medicai and nursing curriculum and educating family and cornmunity about basic care. Nurses and doctors who rvork in primary care car potentially play a role in supporting and educating family members providing direct care to patients with paliiative needs.