Volume 83, Issue 7 (October 2025)
Tehran Univ Med J 2025, 83(7): 470-480 |
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Tavakolian A, Badiee S, Mohammadi M, Pourahmadi E, Sabouri S, Kalani N et al . A comparative study on HOSPICE centers for patients with advanced non-curable advanced disease with a life expectancy of less than six months in the world. Tehran Univ Med J 2025; 83 (7) :470-480
URL: http://tumj.tums.ac.ir/article-1-13734-en.html
URL: http://tumj.tums.ac.ir/article-1-13734-en.html
Ayoub Tavakolian1 
, Shapour Badiee2 , Mahdi Mohammadi3 , Elahe Pourahmadi4 , Samaneh Sabouri5 , Navid Kalani6 , Mahdi Foroughian *7
, Shapour Badiee2 , Mahdi Mohammadi3 , Elahe Pourahmadi4 , Samaneh Sabouri5 , Navid Kalani6 , Mahdi Foroughian *7
1- Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Department of Traditional Iranian Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Department of Health Economics, Social Determinants of Health Research Center, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.
5- Department of Epidemiology and Biostatistics, Social Determinants of Health Research Center, Basic Sciences Research Institute, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
6- Research Center for Social Determinants of Health, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
7- Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. ,foroughianmh@mums.ac.ir
2- Department of Traditional Iranian Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4- Department of Health Economics, Social Determinants of Health Research Center, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.
5- Department of Epidemiology and Biostatistics, Social Determinants of Health Research Center, Basic Sciences Research Institute, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
6- Research Center for Social Determinants of Health, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
7- Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. ,
Abstract: (12 Views)
| Background: The present study is a systematic and comparative review of the studies conducted in the field of hospice centers for patients with acute incurable diseases with a life expectancy of less than six months in the world with the aim of examining the need in Iran and the experiences of other countries, identifying candidates to receive these services, type of services provided, costs and resources in these centers. Methods: The present study was conducted as a systematic review by searching the databases: Scopus, PubMed, Elsevier, and Google Scholar search engine between 2010 and 2023. To search these databases, keywords such as hospice care centers, centers providing health services for patients with life expectancy less than six months, allocation of resources, allocation were used. After selecting the articles, the following topics were extracted from each article and compared: costs, sources of funding, candidates for receiving services, families' views, quality of near-death care, quality of life, quality of death, services provided, therapeutic interventions performed, place of death, length of stay. Results: 6 articles referred to the discussion of cost, and in all articles except one case, the use of hospice was associated with reducing the cost of patients. In one study, the source of funding was philanthropic contributions and in another study, the national budget. In all the reviewed articles, the use of hospice was associated with an increase in the quality of care, quality of end of life and quality of death, and a decrease in therapeutic interventions. The care provided by hospice was also introduced in the form of symptom assessment and management, pain relief, psychosocial support and respite care. Conclusion: Based on the findings of the present study, hospices can play an effective role in reducing treatment costs and, on the other hand, improve the quality of care, life and death in eligible people. In addition, hospices improved the end-of-life quality from the perspective of the deceased's family by reducing invasive interventions and providing physical and spiritual care. |
Type of Study: Review Article |
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