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 / LUXEMBOURG<br />
104,103 6.0 6,236 2.9 21 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 />
11 1.8<br />
1<br />
2 4<br />
TOTAL<br />
l MIxed<br />
teams<br />
9%<br />
l Hospital<br />
PC support<br />
teams<br />
18%<br />
l Home PC<br />
teams<br />
27%<br />
3<br />
1<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
37%<br />
l Inpatient<br />
hospices<br />
9%<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> Luxembourg<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<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 />
148.2<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Luxembourg<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
National PC association<br />
NAME<br />
Omega 90<br />
Omega 90<br />
Other associations<br />
YES NO<br />
SINCE<br />
1990<br />
Luxembourg Association <strong>of</strong> <strong>Palliative</strong> Medec<strong>in</strong>e<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
8<br />
Morph<strong>in</strong>e<br />
0<br />
Code<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 />
124<br />
Fentanyl<br />
12<br />
Oxycodone<br />
Patient registration as an opioid user<br />
Pr<strong>of</strong>essionals allowed to prescribe<br />
5<br />
Hydromorph<strong>in</strong>e<br />
YES NO<br />
YES NO<br />
Few weeks<br />
YES NO<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
Woitha K, et al. Rank<strong>in</strong>g<br />
<strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
Development <strong>in</strong> the<br />
Countries <strong>of</strong> the <strong>Europe</strong>an<br />
Union. J Pa<strong>in</strong><br />
Symptom Manage.<br />
2016;52(3):370-7.<br />
Gove D, et al. <strong>Palliative</strong><br />
care covers more<br />
than end-<strong>of</strong>-life issues:<br />
why is this not common<br />
practice <strong>in</strong> dementia<br />
care and what are the<br />
implications? Ann Palliat<br />
Med. 2017;6(4):390-<br />
392.<br />
Centeno C, et al. Coverage<br />
and development<br />
<strong>of</strong> specialist palliative<br />
care services across the<br />
World Health Organization<br />
<strong>Europe</strong>an Region<br />
(2005-2012): Results<br />
from a <strong>Europe</strong>an Association<br />
for <strong>Palliative</strong> <strong>Care</strong><br />
Task Force survey <strong>of</strong> 53<br />
Countries. Palliat Med.<br />
2016;30(4):351-62.<br />
KEY INFORMANTS<br />
Only specialists<br />
All physicians<br />
Nurses tra<strong>in</strong>ed <strong>in</strong> PC<br />
Marie-France Liefgen, Frédéric Fogen.<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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