
Should Spiritual Care Be Covered by Health Care Insurance and Health Systems?
2020; Elsevier BV; Volume: 60; Issue: 6 Linguagem: Inglês
10.1016/j.jpainsymman.2020.09.028
ISSN1873-6513
AutoresMarcelo Saad, Roberta de Medeiros,
Tópico(s)Religion, Society, and Development
ResumoWith satisfaction, we found the article of Ferrel et al. 1 Ferrell B.R. Handzo G. Picchi T. Puchalski C. Rosa W.E. The urgency of spiritual care: COVID-19 and the critical need for whole-person palliation. J pain symptom Manage. 2020; 60: e7-e11 Abstract Full Text Full Text PDF PubMed Scopus (48) Google Scholar addressing spiritual care as a critical need for whole-person palliation. We agree that the positive relationship between religiosity-spirituality (RS) and physical and mental health assumes greater importance for patients in great distress. We also acknowledge that health professionals can provide a brief screening of patients' needs, assess issues that could impact treatment, and trigger available specialized resources. However, the technical religious-spiritual care refers to the professional attention to the subjective spiritual and religious worlds of patients, that is, their perceptions, assumptions, feelings, and beliefs about the relationship of the sacred with his and/or her illness and their recovery or possible death. In a previous publication, 2 Saad M. de Medeiros R. Programs of religious/spiritual support in hospitals - five “whies” and five “hows”. Philos Ethics Humanit Med. 2016; 11: 5 Crossref PubMed Scopus (11) Google Scholar we listed some reasons for a health care institution to invest in an RS care program, such as RS well-being has yet higher priority for patients in great distress; RS appreciation is a standard for hospital accreditation; RS care can undo religious-spiritual misunderstandings that would affect treatment; patients want an RS perspective from the institution; and costs of health care could be reduced with RS support. Spiritual Care in the Global SphereJournal of Pain and Symptom ManagementVol. 60Issue 6PreviewWe are grateful to Saad and De Medeiros from Brazil for their critically important comments on increased access to spiritual care.1 They address key issues related to spiritual care delivery, specifically in the global sphere. As Saad and De Medeiros suggest, it is not only spiritual traditions, faiths, and customs that vary significantly by culture and context but also the social dynamics informing how spiritual care is provided in various countries. Coronavirus disease 2019 has called clinicians across specialties and health systems to urgently consider how spiritual care is prioritized, valued, and integrated at generalist and specialist levels to promote whole-person palliation across the life span. Full-Text PDF
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