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 / TURKEY<br />
10,546 4.1 455 1.7 64 76<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 />
164 0.2<br />
1015<br />
TOTAL<br />
l Home PC<br />
teams<br />
1%<br />
l Inpatient<br />
hospices<br />
6%<br />
148<br />
l Hospital<br />
PC support<br />
teams<br />
3%<br />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
90%<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> Turkey<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 -<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 />
<strong>Palliative</strong> <strong>Care</strong> Association<br />
Palyatif Bakım Derneği<br />
1.3 2014<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Turkey<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
Other associations<br />
YES<br />
NO<br />
SINCE<br />
1. <strong>Palliative</strong> Health Services Association<br />
2. Supportive <strong>Care</strong> Work<strong>in</strong>g Group<br />
<strong>in</strong> Medical Oncology Group Association<br />
1<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
0<br />
0 0 0<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
Morph<strong>in</strong>e<br />
Code<strong>in</strong>e<br />
Fentanyl<br />
Oxycodone<br />
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 />
YES NO<br />
YES NO<br />
Few weeks<br />
YES NO<br />
Hacikamiloglu E, et<br />
al. Community <strong>Palliative</strong><br />
<strong>Care</strong> <strong>in</strong> Turkey: A<br />
Collaborative Promoter<br />
to a New Concept<br />
<strong>in</strong> the Middle East. J<br />
Public Health Manag<br />
Pract. 2016;22(1):81-8.<br />
Hacıkamiloglu E, et.<br />
al. Community <strong>Palliative</strong><br />
<strong>Care</strong> <strong>in</strong> Turkey: A<br />
Collaborative Promoter<br />
to a New Concept<br />
<strong>in</strong> the Middle East. J<br />
Public Health Manag<br />
Pract. 2016;22(1):81-8.<br />
Emuk Y, et.al. The<br />
current situation <strong>of</strong><br />
palliative care <strong>in</strong> Turkey.<br />
Journal <strong>of</strong> Cancer<br />
Policy 13 (2017) 33-37.<br />
Pr<strong>of</strong>essionals allowed to prescribe<br />
KEY INFORMANTS<br />
Confidential , Seref Komurcu.<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 />
191
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