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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<br />

France<br />

Population,<br />

R<br />

67,118,648 549,087 122.6<br />

2015 Surface area (km2),<br />

2018<br />

Population density<br />

(Inh/km2), 2017<br />

B<br />

0PC RESOURCES FOR CHILDREN<br />

Inpatient<br />

Hospices<br />

(stand-alone<br />

facilities)<br />

22 22<br />

Home Hospital<br />

programmes programmes<br />

The 22 teams are<br />

organised under<br />

the umbrella <strong>of</strong> the<br />

Regional Paediatric<br />

PC Resource Teams<br />

Federation.<br />

These pediatric PC<br />

teams work <strong>in</strong> hospital<br />

support consultations,<br />

<strong>in</strong> home PC programs,<br />

day care, and run additional<br />

programmes<br />

related to social and<br />

spiritual support.<br />

POLICIES<br />

EDUCATION<br />

National legislation to regulate PC provision<br />

National laws specific to PC<br />

YES<br />

NO<br />

Medical schools<br />

teach<strong>in</strong>g pC<br />

nurs<strong>in</strong>g schools<br />

teach<strong>in</strong>g pC<br />

pr<strong>of</strong>essorship<br />

<strong>in</strong> pC at medical<br />

schools<br />

National legislation or decrees relat<strong>in</strong>g PC<br />

YES<br />

NO<br />

National legislation on end <strong>of</strong> life issues<br />

National general law on health care with reference to PC<br />

YES<br />

YES<br />

NO<br />

NO<br />

37/37 326/326<br />

6<br />

National PC plan or strategy<br />

National PC plan or strategy<br />

National cancer plan with a section for PC<br />

National non-communicable diseases plan with a section for PC<br />

YES<br />

YES<br />

YES<br />

NO<br />

NO<br />

NO<br />

1%<br />

<strong>of</strong>fer<strong>in</strong>g specific<br />

mandatory PC<br />

course<br />

1%<br />

<strong>of</strong>fer<strong>in</strong>g specific<br />

mandatory PC<br />

course<br />

-<br />

Full<br />

Pr<strong>of</strong>essors<br />

National HIV plan with a section for PC<br />

The plan was implemented<br />

The plan was audited<br />

YES<br />

YES<br />

YES<br />

NO<br />

NO<br />

NO<br />

%<br />

<strong>of</strong>fer<strong>in</strong>g PC course<br />

<strong>in</strong> comb<strong>in</strong>ation<br />

with other<br />

discipl<strong>in</strong>es<br />

%<br />

<strong>of</strong>fer<strong>in</strong>g PC course<br />

<strong>in</strong> comb<strong>in</strong>ation<br />

with other<br />

discipl<strong>in</strong>es<br />

6<br />

Associate<br />

Pr<strong>of</strong>essors<br />

National standards for PC services<br />

YES<br />

NO<br />

Designated person responsible for PC <strong>in</strong> the M<strong>in</strong>istry <strong>of</strong> Health<br />

YES<br />

NO<br />

Specialisation <strong>in</strong> <strong>Palliative</strong> Medic<strong>in</strong>e<br />

YES<br />

NO<br />

Role Dedicated time to PC N/A<br />

Type <strong>of</strong> tra<strong>in</strong><strong>in</strong>g programme<br />

Special field <strong>of</strong> competence<br />

Scientific<br />

Political/Technical<br />

Allocated funds from the national health budget for PC<br />

Inclusion <strong>of</strong> PC <strong>in</strong> the list <strong>of</strong> health services provided<br />

at the primary care level<br />

< 10% 10-50% 50-99% 100%<br />

YES<br />

YES<br />

NO<br />

NO<br />

Denom<strong>in</strong>ation University diploma <strong>of</strong> specialised tra<strong>in</strong><strong>in</strong>g <strong>in</strong> palliative care<br />

Diplome d’Etudes Specialisées Complementaire (DESC)<br />

Universitaire de So<strong>in</strong>s Palliatifs<br />

Estimated certified physicians<br />

400<br />

Inclusion <strong>of</strong> PC <strong>in</strong> the basic package <strong>of</strong> health services<br />

YES<br />

NO<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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