Access and quality of palliative care in El Salvador

Abstract

Introduction: From the creation of the Divina Providencia Hospital in 1950, which was intended to care for patients at the cancer institute who had difficulty traveling and receiving care, until 1999, when the importance of pain and suffering in patients with terminal illnesses was recognized; finally, in 2002, El Salvador implemented palliative care regulations, with the aim of improving the quality of care for patients and their families. Objective: To inform health authorities that dignified care improves the quality of life of terminally ill patients. Methodology: 30 studies were reviewed, selected by the degree of relevance and content, 2 in English, 1 Portuguese and 27 in Spanish published from 2019 to 2024, Discussion: Currently, MINSAL and ISSS have the program with regular monitoring, through home visits, where medical care and management of supplies and medications are provided. Conclusion: Palliative care is essential to improve the quality of life, comfort and dignity of people, so it must be an ethical responsibility of the health system to alleviate the pain and suffering of patients who suffer from it with the support of a multidisciplinary team. Results: MINSAL, ISSS. They have a palliative care program, however, it is necessary to inform first-level health personnel so that they are familiar with the care of terminal patients.