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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POPULATION AND METHODS<br />
Methods <strong>of</strong> the project<br />
B<br />
Def<strong>in</strong>ition <strong>of</strong> ‘<strong>Palliative</strong> <strong>Care</strong><br />
development’<br />
Development, <strong>in</strong> this context, refers to<br />
the processes, structures, policies and<br />
resources that support the delivery <strong>of</strong><br />
palliative care. <strong>Palliative</strong> care development<br />
was organised accord<strong>in</strong>g to the<br />
WHO public health strategy for palliative<br />
care, which <strong>in</strong>cludes service provision<br />
and implementation, policies, education,<br />
and medic<strong>in</strong>e availability (see<br />
WHO framework). In addition, we provide<br />
<strong>in</strong>formation on a fifth dimension,<br />
palliative care vitality, which reflects the<br />
level <strong>of</strong> pr<strong>of</strong>essional activity with<strong>in</strong> the<br />
country.<br />
Who framework<br />
In order to effectively develop and <strong>in</strong>tegrate<br />
palliative care <strong>in</strong>to health care systems,<br />
the WHO launched a Public Health<br />
Model. This model <strong>in</strong>cludes advice and<br />
guidel<strong>in</strong>es to governments for implement<strong>in</strong>g<br />
national palliative care based on four<br />
components: 1) appropriate policies, 2)<br />
adequate use <strong>of</strong> medic<strong>in</strong>es, 3) education<br />
<strong>of</strong> health care workers and the public and<br />
4) implementation <strong>of</strong> palliative care services<br />
at all levels <strong>of</strong> society. This process<br />
is always applied with<strong>in</strong> the cultural context,<br />
disease demographics, socioeconomics<br />
and the health care system <strong>of</strong> a<br />
country.<br />
Development <strong>of</strong> the project<br />
This project was developed <strong>in</strong> six step or<br />
different phases (see figure).<br />
Methodology Flowchart<br />
Systematic<br />
review<br />
Two rounds Delphi<br />
Consensus Process<br />
Open-ended <strong>in</strong>terviews<br />
with <strong>EAPC</strong> task<br />
force Leaders<br />
Indicators assessment<br />
process<br />
<strong>EAPC</strong> General<br />
Development Survey<br />
Development<br />
<strong>of</strong> general and<br />
specialised networks<br />
<strong>EAPC</strong> Specific<br />
Survey<br />
Complementary<br />
Search <strong>in</strong><br />
Databases<br />
> INBC<br />
> <strong>EAPC</strong><br />
> ESMO<br />
> SLOPUS<br />
> PUBMED<br />
<strong>EAPC</strong> General<br />
Development<br />
Study<br />
Complementary<br />
Studies<br />
> Public Health<br />
> Education<br />
Development and i<br />
ntegration <strong>of</strong> PC <strong>in</strong>to<br />
> Paediatrics<br />
> Primary <strong>Care</strong><br />
> LTCF<br />
> Volunteer<br />
> Cardiology<br />
Complementary<br />
Studies on<br />
> Vitality<br />
> Opioid consumption<br />
> Oncology<br />
<strong>2019</strong> <strong>EAPC</strong> ATLAS OF PC<br />
<strong>Europe</strong>an<br />
Overview<br />
National-Level<br />
PC Development<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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