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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Table <strong>of</strong> contents<br />
INDEX<br />
B<br />
1. Presentation .................................................................................................11<br />
Foreword .......................................................................................................13<br />
Note from the authors .............................................................................14<br />
Net <strong>of</strong> collaborators <strong>of</strong> the <strong>2019</strong> <strong>EAPC</strong> ATLAS ............................... 15<br />
International Committee <strong>of</strong> Experts on Indicators .............. 15<br />
Key Informants <strong>of</strong> each participat<strong>in</strong>g countries ...................16<br />
Collaborators <strong>of</strong> the <strong>EAPC</strong> specific studies .............................18<br />
The <strong>Atlas</strong> project group ..........................................................................19<br />
The <strong>in</strong>stitutions <strong>in</strong>volved ........................................................................21<br />
2. Aims and objectives ...............................................................................23<br />
3. Population and methods .................................................................... 27<br />
Geopolitical map <strong>of</strong> the WHO <strong>Europe</strong>an Region......................... 28<br />
Socio-economic context ...................................................................... 30<br />
<strong>Palliative</strong> <strong>Care</strong> needs across <strong>Europe</strong> .................................................33<br />
Methods <strong>of</strong> the project .......................................................................... 36<br />
The cartography ........................................................................................ 42<br />
Limitations and constra<strong>in</strong>ts ................................................................. 42<br />
Abbreviations ............................................................................................. 42<br />
4. Development and Integration<br />
<strong>of</strong> <strong>Palliative</strong> <strong>Care</strong> across <strong>Europe</strong> .....................................................43<br />
Chapter 1. Specialised <strong>Palliative</strong> <strong>Care</strong><br />
Services for Adults ................................................................................... 45<br />
Chapter 2. Integration <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
and Paediatrics .......................................................................................... 51<br />
Chapter 3. <strong>Palliative</strong> <strong>Care</strong> <strong>in</strong>tegration<br />
<strong>in</strong> national health systems <strong>in</strong> <strong>Europe</strong> ................................................57<br />
Chapter 4. <strong>Palliative</strong> <strong>Care</strong> education across <strong>Europe</strong> ................61<br />
Chapter 5. Use <strong>of</strong> medic<strong>in</strong>es for <strong>Palliative</strong> <strong>Care</strong> ........................ 65<br />
Chapter 6. <strong>Palliative</strong> <strong>Care</strong> vitality<br />
and pr<strong>of</strong>esssional activity .....................................................................69<br />
Chapter 7. Integration <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
<strong>in</strong> Long-Term <strong>Care</strong> Facilities <strong>in</strong> 18 <strong>Europe</strong>an countries ..............73<br />
Chapter 8. Development <strong>of</strong> Volunteer<strong>in</strong>g <strong>in</strong> Hospice<br />
and <strong>Palliative</strong> <strong>Care</strong> <strong>in</strong> 15 <strong>Europe</strong>an Countries ................................77<br />
Chapter 9. Integration <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
at the Primary <strong>Care</strong> level .......................................................................81<br />
Chapter 10. Integration <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
<strong>in</strong>to Cardiology .......................................................................................... 85<br />
Chapter 11. Integration <strong>of</strong> Oncology<br />
and <strong>Palliative</strong> <strong>Care</strong> ...................................................................................89<br />
5. Development <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong><br />
at the Country-Level .....................................................................93<br />
How to read de country <strong>in</strong>formation................................................ 95<br />
Albania ..........................................................................................................96<br />
Armenia ........................................................................................................98<br />
Austria ........................................................................................................ 100<br />
Azerbaijan ..................................................................................................102<br />
Belarus ........................................................................................................104<br />
Belgium .......................................................................................................106<br />
Bosnia and Herzegov<strong>in</strong>a ......................................................................108<br />
Bulgaria ........................................................................................................110<br />
Croatia .......................................................................................................... 112<br />
Cyprus ..........................................................................................................114<br />
Czech Republic ........................................................................................116<br />
Denmark ......................................................................................................118<br />
Estonia ........................................................................................................120<br />
F<strong>in</strong>land .........................................................................................................122<br />
France ...........................................................................................................124<br />
Georgia ........................................................................................................ 126<br />
Germany ......................................................................................................128<br />
Greece .........................................................................................................130<br />
Hungary .......................................................................................................132<br />
Iceland .........................................................................................................134<br />
Ireland ..........................................................................................................136<br />
Israel .............................................................................................................138<br />
Italy ...............................................................................................................140<br />
Kazakhstan ................................................................................................142<br />
Kyrgyzstan ................................................................................................. 144<br />
Latvia ...........................................................................................................146<br />
Liechtenste<strong>in</strong> ............................................................................................ 148<br />
Lithuania ....................................................................................................150<br />
Luxembourg ...............................................................................................152<br />
Macedonia ..................................................................................................154<br />
Malta ............................................................................................................ 156<br />
Moldova .......................................................................................................158<br />
Monaco .......................................................................................................160<br />
Montenegro ............................................................................................... 162<br />
Netherlands ..............................................................................................164<br />
Norway ........................................................................................................166<br />
Poland .........................................................................................................168<br />
Portugal ......................................................................................................170<br />
Romania ......................................................................................................172<br />
Russian Federation .................................................................................174<br />
Serbia ........................................................................................................... 176<br />
Slovakia ........................................................................................................178<br />
Slovenia ......................................................................................................180<br />
Spa<strong>in</strong> .............................................................................................................182<br />
Sweden ....................................................................................................... 184<br />
Switzerland ................................................................................................186<br />
Tajikistan .................................................................................................... 188<br />
Turkey ..........................................................................................................190<br />
Ukra<strong>in</strong>e ........................................................................................................ 192<br />
United K<strong>in</strong>gdom ......................................................................................194<br />
Uzbekistan .................................................................................................196<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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