EAPC Atlas of Palliative Care in Europe 2019
Conclusion: PC health policies developed in recent years have promoted vigorous development across Europe. Preliminary data on the integration of PC into different fields are encouraging though inequalities between countries and sub-regions persist. Further comparative analysis exploring factors leading to uneven progress may inform strategies to provide PC for all people in need. Per land is de stand van zaken van de (kinder)palliatieve zorg weergegeven.
Conclusion: PC health policies developed in recent years have promoted vigorous development across Europe. Preliminary data on the integration of PC into different fields are encouraging though inequalities between countries and sub-regions persist. Further comparative analysis exploring factors leading to uneven progress may inform strategies to provide PC for all people in need.
Per land is de stand van zaken van de (kinder)palliatieve zorg weergegeven.
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COUNTRY INFORMATION / CROATIA<br />
13,383 7.4 852 3.1 46 78<br />
Gross Domestic Product<br />
per capita (US$), 2017<br />
Health expenditure<br />
(% <strong>of</strong> GDP), 2015<br />
Health expenditure<br />
per capita, PPP (US$)<br />
Physicians per 1,000<br />
<strong>in</strong>habitants, 2014<br />
Human Development<br />
Index Rank<strong>in</strong>g, <strong>2019</strong><br />
Life expectancy at birth,<br />
total (years), 2016<br />
B<br />
PC SERVICES FOR ADULTS<br />
32 0.8<br />
5 1<br />
TOTAL<br />
l Hospital<br />
PC support<br />
teams<br />
50%<br />
16<br />
10<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
16%<br />
l Inpatient<br />
hospices<br />
3%<br />
l Home PC<br />
teams<br />
31%<br />
PC SERVICES<br />
PER 100,000<br />
INHABITANTS<br />
Additional<br />
PC Services<br />
for Adults<br />
l PC services<br />
for adults<br />
<strong>in</strong> Croatia<br />
PC services<br />
for adults <strong>in</strong><br />
<strong>Europe</strong> (median)<br />
[0.8/100,000<br />
<strong>in</strong>hab.]<br />
R Day care services 1 (Data from 2013)<br />
R Volunteer-led hospices 4 (Data from 2013)<br />
MEDICINES<br />
PROFESSIONAL ACTIVITY<br />
Opioid consumption per capita <strong>in</strong> morph<strong>in</strong>e equivalent,<br />
exclud<strong>in</strong>g methadone, 2017<br />
35.2 mg<br />
l Average consumption<br />
<strong>in</strong> Croatia<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
National PC association<br />
NAME<br />
Croatian Society for Hospice / <strong>Palliative</strong> <strong>Care</strong><br />
<strong>of</strong> the Croatian Medical Associatio<br />
Other associations<br />
YES NO<br />
SINCE<br />
1994<br />
N/A<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
30<br />
2<br />
3<br />
0<br />
0<br />
Morph<strong>in</strong>e Code<strong>in</strong>e Fentanyl Oxycodone Hydromorph<strong>in</strong>e<br />
General availability <strong>of</strong> oral morph<strong>in</strong>e (<strong>in</strong>mediate release)<br />
Opioid prescription requirements<br />
Special prescription form<br />
Prescription limits<br />
Patient registration as an opioid user<br />
YES<br />
YES<br />
NO<br />
NO<br />
N/A<br />
N/A<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
Loncarek K, et al.<br />
Orig<strong>in</strong>s and effects<br />
<strong>of</strong> the 2014-2016<br />
national strategy for<br />
palliative care <strong>in</strong> Croatia.<br />
Health Policy.<br />
2018;122(8):808-14.<br />
Golčić M, et al. Do<br />
Physicians Underestimate<br />
Pa<strong>in</strong> <strong>in</strong> Term<strong>in</strong>al<br />
Cancer Patients?<br />
A Prospective Study<br />
<strong>in</strong> a Hospice Sett<strong>in</strong>g.<br />
Cl<strong>in</strong> J Pa<strong>in</strong>.<br />
2018;34(12):1159-<br />
1163.<br />
Centeno C, et al. The<br />
<strong>Palliative</strong> <strong>Care</strong> Challenge:<br />
Analysis <strong>of</strong><br />
Barriers and Opportunities<br />
to Integrate<br />
<strong>Palliative</strong> <strong>Care</strong> <strong>in</strong><br />
<strong>Europe</strong> <strong>in</strong> the View <strong>of</strong><br />
National Associations.<br />
J Palliat Med. 2017<br />
Nov;20(11):1195-1204.<br />
Pr<strong>of</strong>essionals allowed to prescribe<br />
KEY INFORMANTS<br />
Bibliographic revision, Confidential.<br />
Only specialists<br />
All physicians<br />
Nurses tra<strong>in</strong>ed <strong>in</strong> PC<br />
See more <strong>in</strong>formation<br />
<strong>in</strong> onl<strong>in</strong>e version<br />
<strong>EAPC</strong> <strong>Atlas</strong> <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong> <strong>in</strong> <strong>Europe</strong><br />
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