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 />
Italy<br />
Population,<br />
R<br />
60,551,416 301,340 205.9<br />
2015 Surface area (km2),<br />
2018<br />
Population density<br />
(Inh/km2), 2017<br />
B<br />
PC RESOURCES FOR CHILDREN<br />
5<br />
Inpatient<br />
Hospices<br />
(stand-alone<br />
facilities)<br />
7 0<br />
Home<br />
programmes<br />
Hospital<br />
programmes<br />
Fourteen regions are<br />
currently work<strong>in</strong>g on<br />
develop<strong>in</strong>g PPC networks<br />
to improve PPC<br />
provision. Currently<br />
there are two children<br />
hospices <strong>in</strong> Padua/Veneto<br />
and Liguria Region.<br />
A Foundation is build<strong>in</strong>g<br />
one <strong>in</strong> Bologna, and<br />
another one, one <strong>in</strong><br />
Milan. Two other regions<br />
are work<strong>in</strong>g on children<br />
hospices. PPC home care<br />
teams are not frequent.<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 />
0/43 * 98/222<br />
2<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 />
-<br />
<strong>of</strong>fer<strong>in</strong>g specific<br />
mandatory PC<br />
course<br />
16%<br />
<strong>of</strong>fer<strong>in</strong>g specific<br />
mandatory PC<br />
course<br />
2<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 />
28%<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 />
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<br />
Dedicated time to PC<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 />
< 10% 10-50% 50-99% 100%<br />
Denom<strong>in</strong>ation<br />
Master <strong>of</strong> advanced tra<strong>in</strong><strong>in</strong>g<br />
<strong>in</strong> palliative care ad pa<strong>in</strong> therapy<br />
Master di Alta formazione<br />
<strong>in</strong> Cure <strong>Palliative</strong> e Terapia del Dolor<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 />
Inclusion <strong>of</strong> PC <strong>in</strong> the basic package <strong>of</strong> health services<br />
YES<br />
YES<br />
YES<br />
NO<br />
NO<br />
NO<br />
Estimated certified physicians<br />
N/A<br />
* Italy will soon implement PC mandatory teach<strong>in</strong>g hours for medical and nurs<strong>in</strong>g schools<br />
(25 and 50, respectively) to be transversally taught <strong>in</strong> oncology, geriatrics and pediatrics.<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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