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 / FRANCE<br />
38,477 11.1 4,026 3.2 24 82<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 />
PC SERVICES<br />
653<br />
139<br />
TOTAL<br />
1PER 100,000<br />
l Hospital<br />
PC support<br />
teams<br />
65%<br />
424<br />
90<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
21%<br />
l Home PC<br />
teams<br />
14%<br />
INHABITANTS<br />
Additional<br />
PC Services<br />
for Adults<br />
l PC services<br />
for adults<br />
<strong>in</strong> France<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 15 (Data from 2013)<br />
R Volunteer-led hospices -<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 />
National PC association<br />
NAME<br />
French Society for Accompaniment<br />
and <strong>Palliative</strong> <strong>Care</strong><br />
Société Française d’Accompagnement<br />
et de So<strong>in</strong>s Palliatifs<br />
151.8 1990<br />
mg<br />
l Average consumption<br />
<strong>in</strong> France<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
Other associations<br />
YES<br />
YES<br />
NO<br />
SINCE<br />
NO<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
90<br />
29<br />
33<br />
0<br />
1<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 />
Pr<strong>of</strong>essionals allowed to prescribe<br />
YES NO<br />
YES NO<br />
Few weeks<br />
YES NO<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
Fogliar<strong>in</strong>i A, et al.<br />
Evolution <strong>of</strong> palliative<br />
care <strong>in</strong> the<br />
French Cancer Centers-Unicancer.<br />
World<br />
Hosp Health Serv.<br />
2015;51(4):33-4.<br />
KEY INFORMANTS<br />
Poulalhon C, et al.<br />
Use <strong>of</strong> hospital palliative<br />
care accord<strong>in</strong>g<br />
to the place <strong>of</strong> death<br />
and disease one year<br />
before death <strong>in</strong> 2013:<br />
a French national<br />
observational study.<br />
BMC Palliat <strong>Care</strong>.<br />
2018;17(1):75.<br />
Weeks WB, et al. Is the<br />
French palliative care<br />
policy effective everywhere?<br />
Geographic<br />
variation <strong>in</strong> changes<br />
<strong>in</strong> <strong>in</strong>patient death<br />
rates among older<br />
patients <strong>in</strong> France,<br />
2010-2013. Ann Palliat<br />
Med.2016;5(4):242-7.<br />
Sandr<strong>in</strong>e Bretonniere, Marilène Filbet, Lynn Silove.<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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