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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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 />
COUNTRY INFORMATION / SWEDEN<br />
53,442 11.0 5,600 4.2 7 82<br />
Life expectancy at birth,<br />
total (years), 2016<br />
B<br />
PC SERVICES FOR ADULTS<br />
165 1.6<br />
10 10 25<br />
TOTAL<br />
l Hospital<br />
PC support<br />
teams<br />
6%<br />
l Home PC<br />
teams<br />
73%<br />
120<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
6%<br />
l Inpatient<br />
hospices<br />
15%<br />
PC SERVICES<br />
PER 100,000<br />
INHABITANTS<br />
Additional<br />
PC Services<br />
for Adults<br />
l PC services<br />
for adults<br />
<strong>in</strong> Sweden<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 19 (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 />
Swedish Association for <strong>Palliative</strong> Medic<strong>in</strong>e<br />
Svensk Fören<strong>in</strong>g för Palliativ Medic<strong>in</strong><br />
204,4 1997<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Sweden<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 />
94 82<br />
24<br />
0<br />
4<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 />
No limit<br />
YES NO<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
Henoch I, Carlander<br />
I, Holm M, James<br />
I, Sarenmalm EK,<br />
Hagel<strong>in</strong> CL, et al. <strong>Palliative</strong><br />
<strong>Care</strong> Research-<br />
-A Systematic Review<br />
<strong>of</strong> foci, designs and<br />
methods <strong>of</strong> research<br />
conducted <strong>in</strong> Sweden<br />
between 2007 and<br />
2012. Scand J Car<strong>in</strong>g<br />
Sci. 2016;30(1):5-25.<br />
L<strong>in</strong>d S, Wall<strong>in</strong> L, Brytt<strong>in</strong>g<br />
T, Furst CJ, Sandberg<br />
J. Implementation<br />
<strong>of</strong> national palliative<br />
care guidel<strong>in</strong>es<br />
<strong>in</strong> Swedish acute care<br />
hospitals: A qualitative<br />
content analysis <strong>of</strong><br />
stakeholders’ perceptions.<br />
Health Policy.<br />
2017;121(11):1194-201.<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 />
Carl Johan Fürst, Carl-Magnus Edenbrandt.<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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