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 / UKRAINE<br />
2,640 6.1 125 3.0 88 71<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 />
66 0.1<br />
TOTAL 7 6 3<br />
l Home PC<br />
teams<br />
9%<br />
l Inpatient<br />
hospices<br />
11%<br />
50<br />
l MIxed<br />
teams<br />
4%<br />
PC SERVICES<br />
PER 100,000<br />
INHABITANTS<br />
l PC services<br />
for adults<br />
<strong>in</strong> Ukra<strong>in</strong>e<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 />
l Inpatient<br />
PC units<br />
<strong>in</strong> hospitals<br />
76%<br />
Additional PC<br />
Services<br />
for Adults<br />
R Day care services 1<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 />
National PC association<br />
NAME<br />
All-Ukra<strong>in</strong>ian Association <strong>of</strong> palliative<br />
and hospice care (http://uacph.org/)<br />
БО “Асоціація паліативної та хоспісної допомоги”<br />
0.8 2011<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Ucra<strong>in</strong>e<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
Other associations<br />
YES<br />
All Ukra<strong>in</strong>ian Children <strong>Palliative</strong> <strong>Care</strong> Association<br />
NO<br />
SINCE<br />
Directory <strong>of</strong> services<br />
YES<br />
NO<br />
1<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 />
0 0 0<br />
Fentanyl<br />
Oxycodone<br />
Patient registration as an opioid user<br />
Pr<strong>of</strong>essionals allowed to prescribe<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 />
Tymoshevska V. et al.<br />
<strong>Palliative</strong> <strong>Care</strong> Development<br />
<strong>in</strong> Ukra<strong>in</strong>e. J<br />
Pa<strong>in</strong> Symptom Manage.<br />
2018 ;55(2S):S85-S91.<br />
Lohman D, et al.<br />
Evaluat<strong>in</strong>g a Human<br />
Rights-Based Advocacy<br />
Approach to Expand<strong>in</strong>g<br />
Access to Pa<strong>in</strong> Medic<strong>in</strong>es<br />
and <strong>Palliative</strong> <strong>Care</strong>:<br />
Global Advocacy and<br />
Case Studies from India,<br />
Kenya, and Ukra<strong>in</strong>e.<br />
Health Hum Rights. 2015<br />
10;17(2):149-65.<br />
Wolf A. How <strong>Palliative</strong><br />
and Hospice <strong>Care</strong> are<br />
Organized <strong>in</strong> Ukra<strong>in</strong>e<br />
(Review). Cl<strong>in</strong>ical<br />
Social Work and Health<br />
Intervention. 2017;<br />
8(4): 99 – 106.<br />
KEY INFORMANTS<br />
Only specialists<br />
All physicians<br />
Nurses tra<strong>in</strong>ed <strong>in</strong> PC<br />
Lyudmyla-Oksana Andriyishyn, Kseniya Shapoval, Confidential.<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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