Facts and indicators on palliative care development in 52 countries of the WHO European region: results of an EAPC task force

2007 ◽  
Vol 21 (6) ◽  
pp. 463-471 ◽  
Author(s):  
Carlos Centeno ◽  
David Clark ◽  
Thomas Lynch ◽  
Javier Racafort ◽  
David Praill ◽  
...  
Keyword(s):  
Palliative Care ◽  
Task Force ◽  
European Region ◽  
Care Development

scholarly journals Evaluating the integration of palliative care in national health systems: an indicator rating process with EAPC task force members to measure advanced palliative care development

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Natalia Arias-Casais ◽  
Eduardo Garralda ◽  
Miguel Antonio Sánchez-Cárdenas ◽  
John Y. Rhee ◽  
Carlos Centeno
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Long Term Care ◽  
Task Force ◽  
National Level ◽  
Structured Interviews ◽  
Term Care ◽  
Care Facilities ◽  
Rating Process

Abstract Background Palliative care (PC) development cannot only be assessed from a specialized provision perspective. Recently, PC integration into other health systems has been identified as a component of specialized development. Yet, there is a lack of indicators to assess PC integration for pediatrics, long-term care facilities, primary care, volunteering and cardiology. Aim To identify and design indicators capable of exploring national-level integration of PC into the areas mentioned above. Methods A process composed of a desk literature review, consultation and semi-structured interviews with EAPC task force members and a rating process was performed to create a list of indicators for the assessment of PC integration into pediatrics, long-term care facilities, primary care, cardiology, and volunteering. The new indicators were mapped onto the four domains of the WHO Public Health Strategy. Results The literature review identified experts with whom 11 semi-structured interviews were conducted. A total of 34 new indicators were identified for national-level monitoring of palliative care integration. Ten were for pediatrics, five for primary care, six for long-term care facilities, seven for volunteering, and six for cardiology. All indicators mapped onto the WHO domains of policy and education while only pediatrics had an indicator that mapped onto the domain of services. No indicators mapped onto the domain of use of medicines. Conclusion Meaningful contributions are being made in Europe towards the integration of PC into the explored fields. These efforts should be assessed in future regional mapping studies using indicators to deliver a more complete picture of PC development.

scholarly journals Palliative Care Development: The Nepal Model

2007 ◽  
Vol 33 (5) ◽  
pp. 573-577 ◽  
Author(s):  
Stuart Brown ◽  
Fraser Black ◽  
Pradeep Vaidya ◽  
Sudip Shrestha ◽  
Doug Ennals ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Development

Palliative care development in Asia Pacific region: A review of assessment indicators

2021 ◽  
Author(s):  
Associate Professor and Director Megan F. Liu ◽  
Mu-Hsing Ho ◽  
Senior Lecturer Jed Montayre ◽  
Director-General Ying-Wei Wang ◽  
Head and Professor Chia-Chin Lin
Keyword(s):  
Palliative Care ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Care Development

scholarly journals Palliative Care Development in Kyrgyzstan

2018 ◽  
Vol 55 (2) ◽  
pp. S41-S45
Author(s):  
Aibek Mukambetov ◽  
Taalaigul Sabyrbekova ◽  
Lola Asanalieva ◽  
Ilim Sadykov ◽  
Stephen R. Connor
Keyword(s):  
Palliative Care ◽  
Care Development

scholarly journals Recalibrating the ‘world map’ of palliative care development

2019 ◽  
Vol 4 ◽  
pp. 77
Author(s):  
Nicole Baur ◽  
Carlos Centeno ◽  
Eduardo Garralda ◽  
Stephen Connor ◽  
David Clark
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Grey Literature ◽  
Primary Data ◽  
Online Questionnaire ◽  
Documentary Sources ◽  
European Languages ◽  
Data Limitations ◽  
The University ◽  
Care Development

Background: Despite growing interest from policy makers, researchers and activists in the global development of palliative care, there is still little science to underpin it. This study presents the methods deployed in the creation of a ‘world map’ of palliative care development. Building on two previous iterations, with improved rigour and taking into account reviewers’ feedback, the aim of this recalibrated version of the study is to determine the level of palliative care development in 198 United Nations recognised countries in 2017, whilst ensuring comparability with previous versions. We present methods of data collection and analysis. Methods and analysis: Primary data on the level of palliative care development in 2017 was collected from in-country experts through an online questionnaire and, where required, supplemented by published documentary sources and grey literature. Data relating to the total population of each country as well as per capita opioid consumption were derived from independent sources. Data analysis was conducted according to a new scoring system and algorithm developed by the research team.   Ethics and dissemination: The study was approved by the University of Glasgow College of Social Sciences Research Ethics Committee. Findings of the study will be disseminated in peer-reviewed journals, as a contribution to the second edition of the Global Atlas of Palliative Care at the End-of-Life, and via social media, including the Glasgow End of Life Studies Group blog and the project website. Limitations of the study: There are potential biases associated with self-reporting by key in-country experts. In some countries, the identified key expert failed to complete the questionnaire in whole or part and data limitations were potentially compounded by language restrictions, as questionnaires were available only in three European languages. The study relied in part on data from independent sources, the accuracy of these data could not be verified.

scholarly journals National surveillance capacity of water-related diseases in the WHO European Region

2011 ◽  
Vol 9 (4) ◽  
pp. 752-762
Author(s):  
M. Blasi ◽  
M. Carere ◽  
E. Funari
Keyword(s):  
Disease Surveillance ◽  
Task Force ◽  
Sustainable Use ◽  
Outbreak Detection ◽  
European Region ◽  
Contingency Planning ◽  
Surveillance Systems ◽  
Remedial Action ◽  
Mortality And Morbidity ◽  
Related Disease

Water-related diseases continue to cause a high burden of mortality and morbidity in the countries of the European Region. Parties to the Protocol on Water and Health are committed to the sustainable use of water resources, the provision of safe drinking water and adequate sanitation to all people of the European Region, and to the reduction of the burden of water-related diseases. A specialized Task Force is implementing a work plan aimed at strengthening the capacity for water-related disease surveillance, outbreak detection and contingency planning. Parties to the Protocol are obliged to set targets, and report on progress on water-related disease surveillance. The present paper aims to provide a baseline assessment of national capacities for water-related disease surveillance on the basis of the replies to a questionnaire. This was prepared in English and Russian and administered to 53 countries, 15 of which replied. The results confirm the heterogeneity in surveillance systems, the weakness of many countries to adequately survey emerging water-related diseases, and the need for specific remedial action. The findings of the exercise will form the basis for future action under the Protocol on Water and Health.

scholarly journals Chronic Non-Malignant Pain in Patients with Cancer Seen at a Timely Outpatient Palliative Care Clinic

Cancers ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 214
Author(s):  
David Hui ◽  
Eman Abdelghani ◽  
Joseph Chen ◽  
Shiva Dibaj ◽  
Donna Zhukovsky ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cancer Patients ◽  
Task Force ◽  
International Association ◽  
Brief Pain Inventory ◽  
Median Number ◽  
Care Clinic ◽  
Disease Trajectory ◽  
Palliative Care Setting ◽  
Attending Physician

Palliative care is seeing cancer patients earlier in the disease trajectory with a multitude of chronic issues. Chronic non-malignant pain (CNMP) in cancer patients is under-studied. In this prospective study, we examined the prevalence and management of CNMP in cancer patients seen at our supportive care clinic for consultation. We systematically characterized each pain type with the Brief Pain Inventory (BPI) and documented current treatments. The attending physician made the pain diagnoses according to the International Association for the Study of Pain (IASP) task force classification. Among 200 patients (mean age 60 years, 69% metastatic disease, 1-year survival of 77%), the median number of pain diagnosis was 2 (IQR 1–2); 67 (34%, 95% CI 28–41%) had a diagnosis of CNMP; 133 (67%) had cancer-related pain; and 52 (26%) had treatment-related pain. In total, 12/31 (39%) patients with only CNMP and 21/36 (58%) patients with CNMP and other pain diagnoses were on opioids. There was a total of 94 CNMP diagnoses among 67 patients, including 37 (39%) osteoarthritis and 20 (21%) lower back pain; 30 (32%) were treated with opioids. In summary, CNMP was common in the timely palliative care setting and many patients were on opioids. Our findings highlight the need to develop clinical guidelines for CNMP in cancer patients to standardize its management.

Social work in hospice and palliative care in Europe: Findings from an EAPC survey

2020 ◽  
Vol 18 (6) ◽  
pp. 662-669
Author(s):  
Karl W. Bitschnau ◽  
Pam Firth ◽  
Maria Wasner
Keyword(s):  
Palliative Care ◽  
Social Work ◽  
Online Survey ◽  
Task Force ◽  
Basic Data ◽  
Online Questionnaire ◽  
The Social ◽  
Significant Patterns ◽  
Hospice And Palliative Care ◽  
Further Development

AbstractObjectivesSocial work is considered to be a key player in Hospice and Palliative Care. To prove this claim, the Social Worker Task Force within the European Association for Palliative Care (EAPC) decided to carry out a survey. The aim of this survey was to generate basic data and thus to create a basis for further development of Palliative Care Social Work (PCSW) in Europe.MethodThe online survey consisted of two parts: in Part 1, the 57 collective members of the EAPC were asked to fill in an online questionnaire containing questions about basic data. In Part 2, individual Palliative Care Social Workers (SWs) from all over Europe were asked to fill in another questionnaire with a focus on the basic conditions concerning their jobs as well, as on their tasks and roles.ResultsThirty-two collective members of the EAPC completed the online questionnaire. SWs can be found in all of the Palliative Care settings, but there are considerable differences between the countries concerning the prevalence of SWs. Only five countries (20%) reported specialized qualification training in PCSW and just around half of the responding SWs had such a specialized training. The responding SWs (n = 360) were quite content with their working conditions. Tasks concerning patient and family and tasks concerning the interprofessional team were most prominent. There is a significant role overlap with other professions.Significance of resultsThe study reveals a very mixed picture of PCSW in Europe. This could be due to the high adaptability of social work, which is to be as flexible as possible to the needs of its clients. However, significant patterns, similarities, and differences emerge. The present study may, therefore, serve as a basis for further in-depth studies.

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