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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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PAEDIATRICS<br />

B<br />

Policies regulat<strong>in</strong>g PPC provision<br />

Existence <strong>of</strong> specific PPC standards and norms guid<strong>in</strong>g the provision <strong>of</strong><br />

PPC were reported <strong>in</strong> 19/34 countries. Three countries reported that<br />

they are <strong>in</strong> the process <strong>of</strong> develop<strong>in</strong>g standards and norms (Kazakhstan,<br />

Slovakia and Sweden).<br />

Paediatric <strong>Palliative</strong> <strong>Care</strong> Vitality<br />

The existence <strong>of</strong> a PPC association is used as an <strong>in</strong>dication <strong>of</strong> the level<br />

<strong>of</strong> pr<strong>of</strong>essional activity (vitality) <strong>of</strong> PPC pr<strong>of</strong>essionals <strong>in</strong> a country.<br />

This <strong>in</strong>dicator shows that <strong>in</strong> 22/34 countries pr<strong>of</strong>essionals with specific<br />

<strong>in</strong>terest <strong>in</strong> PPC have established an association to promote PPC,<br />

enabl<strong>in</strong>g new networks to develop spaces. Pr<strong>of</strong>essional activity <strong>in</strong> PPC<br />

is higher <strong>in</strong> Western <strong>Europe</strong>an countries.<br />

PPC CONSULTANTS AND PERINATAL<br />

PC REFERENCE CENTRES<br />

Country C P<br />

20<br />

Albania<br />

Armenia<br />

Austria<br />

Belarus<br />

Belgium<br />

Cyprus<br />

Czech Republic<br />

France<br />

Georgia<br />

Germany<br />

Greece<br />

Hungary<br />

Ireland<br />

Italy<br />

Latvia<br />

Netherlands<br />

Norway<br />

Russian Federation<br />

Slovakia<br />

Spa<strong>in</strong><br />

Ukra<strong>in</strong>e<br />

United K<strong>in</strong>gdom<br />

l C: Specialised PPC consultants<br />

l P: Per<strong>in</strong>atal PC reference centre<br />

Countries<br />

with specialised<br />

PPC consultants<br />

7<br />

Countries with<br />

per<strong>in</strong>atal<br />

PC reference<br />

centres<br />

PPC COMPONENTS<br />

IN PAEDIATRICS TRAINING<br />

Country D N<br />

Albania<br />

Armenia<br />

Austria<br />

Belarus<br />

Czech Republic<br />

Georgia<br />

Germany<br />

Hungary<br />

Ireland<br />

Italy<br />

Latvia<br />

Netherlands<br />

Norway<br />

Portugal<br />

Serbia<br />

Spa<strong>in</strong><br />

Ukra<strong>in</strong>e<br />

United K<strong>in</strong>gdom<br />

l D: for medical doctors<br />

l N: for nurses<br />

DAY CARE<br />

PROGRAMMES<br />

14<br />

Countries with<br />

PPC components<br />

for doctors<br />

16<br />

Countries<br />

with PPC<br />

components<br />

for nurses<br />

REPRESENTATIVE IN NATIONAL<br />

ASSOCIATION FOR PPC<br />

Country P PC<br />

7<br />

Austria<br />

Belgium<br />

Czech Republic<br />

Denmark<br />

Germany<br />

Hungary<br />

Ireland<br />

Israel<br />

Italy<br />

Netherlands<br />

Portugal<br />

Russian Federation<br />

Slovakia<br />

Spa<strong>in</strong><br />

Ukra<strong>in</strong>e<br />

United K<strong>in</strong>gdom<br />

l P: PC representative <strong>in</strong> the national<br />

paediatrics association.<br />

l PC: Paediatrics representative <strong>in</strong><br />

the national PC.<br />

1<br />

1<br />

1<br />

1<br />

Austria Czech<br />

Republic<br />

Hungary Israel<br />

PC<br />

representative<br />

<strong>in</strong> the national<br />

paediatrics<br />

association<br />

12<br />

Paediatrics<br />

representative<br />

<strong>in</strong> the national<br />

PC association<br />

45<br />

1 1 2 2<br />

3 6<br />

Spa<strong>in</strong> Turkey Latvia Lithuania Romania Belarus<br />

Netherlands<br />

PPC TRAINING FOR<br />

NEONATOLOGISTS<br />

NATIONAL STANDARDS<br />

AND NORMS FOR PPC PROVISION<br />

NATIONAL PPC<br />

ASSOCIATION<br />

19/34 8/34 22/34<br />

Armenia, Austria,<br />

Belgium, Bulgaria,<br />

Czech Republic,<br />

Denmark, Germany,<br />

France, Georgia,<br />

Greece, Ireland, Israel,<br />

Italy, Kyrgyzstan,<br />

Latvia, Netherlands,<br />

Norway, Portugal,<br />

Spa<strong>in</strong>, Sweden,<br />

<strong>EAPC</strong> <strong>Atlas</strong> <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong> <strong>in</strong> <strong>Europe</strong><br />

53<br />

Ukra<strong>in</strong>e, United<br />

K<strong>in</strong>gdom

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