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 / GERMANY<br />
44,470 11.2 4,592 4.1 5 81<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 />
914 1.1<br />
63<br />
TOTAL<br />
l Hospital<br />
PC support<br />
teams<br />
7%<br />
l Home PC<br />
teams<br />
31%<br />
283<br />
232<br />
336<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
37%<br />
l Inpatient<br />
hospices<br />
25%<br />
PC SERVICES<br />
PER 100,000<br />
INHABITANTS<br />
Additional PC<br />
Services<br />
for Adults<br />
l PC services<br />
for adults<br />
<strong>in</strong> Germany<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 -<br />
R Volunteer-led hospices 1,300<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 />
German Association for <strong>Palliative</strong> Medic<strong>in</strong>e<br />
Deutsche Gesellschaft für Palliativmediz<strong>in</strong><br />
403.2 1994<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Germany<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
Other associations<br />
YES<br />
German Association for Hospice and <strong>Palliative</strong> <strong>Care</strong><br />
NO<br />
SINCE<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
293<br />
21 0<br />
Morph<strong>in</strong>e Code<strong>in</strong>e Fentanyl<br />
54<br />
35<br />
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 />
Berendt J, et al. Early<br />
palliative care: current<br />
status <strong>of</strong> <strong>in</strong>tegration<br />
with<strong>in</strong> German<br />
comprehensive<br />
cancer centers.<br />
Support <strong>Care</strong> Cancer.<br />
2017;25(8):2577-80.<br />
KEY INFORMANTS<br />
Hess S, et al. Trends<br />
<strong>in</strong> specialized palliative<br />
care for non-cancer<br />
patients <strong>in</strong> Germany--data<br />
from<br />
the national hospice<br />
and palliative care<br />
evaluation (HOPE).<br />
Eur J Intern Med.<br />
2014;25(2):187-92.<br />
Scholten N, et al. The<br />
size <strong>of</strong> the population<br />
potentially <strong>in</strong> need <strong>of</strong><br />
palliative care <strong>in</strong> Germany--an<br />
estimation<br />
based on death registration<br />
data. BMC Palliat<br />
<strong>Care</strong>. 2016;15:29.<br />
Friedmann Nauck, Birgit Jaspers, Boris Zernikow, Lukas Radbruch.<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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