09.07.2019 Views

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.

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

EUROPEAN CONTEXT<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<br />

B<br />

TechnicaL data<br />

ON THE <strong>2019</strong> <strong>EAPC</strong><br />

SURVEY ON<br />

VOLUNTEERING<br />

Population: 54 countries <strong>of</strong> the<br />

<strong>Europe</strong> WHO region and Lichtenste<strong>in</strong>.<br />

Survey Details<br />

Areas explored: 7 ma<strong>in</strong> <strong>in</strong>dicators<br />

on Volunteer<strong>in</strong>g: number<br />

<strong>of</strong> volunteer hospices, people<br />

<strong>in</strong>volved as volunteers <strong>in</strong> hospices<br />

and <strong>Palliative</strong> <strong>Care</strong> services,<br />

systems to track PC volunteers,<br />

tra<strong>in</strong><strong>in</strong>g programmes for volunteers,<br />

funds, compassionate<br />

communities, and formal representation<br />

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

association.<br />

Questionnaire: on l<strong>in</strong>e survey, 17<br />

questions, answered <strong>in</strong> (average):<br />

26 m<strong>in</strong>utes.<br />

Participants: 28 national experts<br />

on PC volunteer<strong>in</strong>g: 10 belong<strong>in</strong>g<br />

to the <strong>EAPC</strong> TF on PC volunteer<strong>in</strong>g,<br />

4 from National/local PC<br />

Volunteer Associations, 4 with<br />

PC volunteer<strong>in</strong>g publications.<br />

Rema<strong>in</strong><strong>in</strong>g 10 are PC pr<strong>of</strong>essionals,<br />

representatives <strong>of</strong> PC Associations<br />

and Academicians.<br />

Coverage: 15/54 countries<br />

(28%): with two respondents<br />

or more 6/15 countries (40%),<br />

with one respondent 9/15 countries(60%).<br />

Data collection: 12/2018 to<br />

3/<strong>2019</strong> (4 months).<br />

Project Management: ATLANTES<br />

Research Group, Institute for Culture<br />

and Society, University <strong>of</strong> Navarra,<br />

Pamplona (Navarra), Spa<strong>in</strong> .<br />

Scientific Advice: Leena Pelttari<br />

(Austria), Lukas Radbruch<br />

(Germany) and Ros Scott (United<br />

K<strong>in</strong>gdom).<br />

Promotor: <strong>Europe</strong>an Association<br />

for <strong>Palliative</strong> <strong>Care</strong> (<strong>EAPC</strong>).<br />

VOLUNTEERING Hospice IS a MAJOR<br />

social and societal change agent.<br />

The <strong>Europe</strong>an Association for Pal-<br />

LIATIVE <strong>Care</strong> (<strong>EAPC</strong>) along with other<br />

global organisations have<br />

been work<strong>in</strong>g together TO ADVO-<br />

CATE for the support, recognition,<br />

PROMOTION and development <strong>of</strong><br />

VOLUNTEERING <strong>in</strong> hospice and pal-<br />

LIATIVE care 1 .<br />

In recognition <strong>of</strong> the crucial role <strong>of</strong> volunteers<br />

<strong>in</strong> the care <strong>of</strong> PC patients and their families,<br />

and <strong>in</strong> susta<strong>in</strong><strong>in</strong>g hospice and palliative<br />

care services, this chapter aims to assess<br />

the current state <strong>of</strong> Hospice and <strong>Palliative</strong> <strong>Care</strong><br />

(HPC) volunteer<strong>in</strong>g <strong>in</strong> countries <strong>in</strong> the WHO <strong>Europe</strong>an<br />

region.<br />

Volunteers provid<strong>in</strong>g <strong>Palliative</strong> <strong>Care</strong><br />

The majority <strong>of</strong> the countries reported not hav<strong>in</strong>g<br />

an accurate estimation <strong>of</strong> the number <strong>of</strong> people<br />

<strong>in</strong>volved as volunteers <strong>in</strong> hospice or PC services.<br />

However, it is estimated that <strong>in</strong> Austria, Belgium,<br />

France, Germany, Italy, the Netherlands, Poland<br />

and UK there are over 1000 volunteers <strong>in</strong>volved <strong>in</strong><br />

hospice or PC provision. The Czech Republic, Hungary,<br />

Portugal, Serbia and Armenia register lower<br />

numbers <strong>of</strong> PC volunteers (less than 500/country).<br />

In some countries, certa<strong>in</strong> hospices and organizations<br />

are only run by volunteers. In Germany for<br />

example, the volunteer sector has over 1300 volunteer<br />

organizations called Ambulanter Hospizdienst<br />

(hospice home services or volunteer hospices<br />

–Box 1). Other countries like Switzerland,<br />

Poland and the Czech Republic also report hav<strong>in</strong>g<br />

around 30 volunteer hospices <strong>in</strong> their countries.<br />

Volunteer´ activity is <strong>in</strong>creas<strong>in</strong>gly recognised as an<br />

important part <strong>of</strong> care, and therefore few countries<br />

report the existence <strong>of</strong> a system for record<strong>in</strong>g the<br />

volunteer’s activities <strong>of</strong> Hospices and palliative<br />

care services. Specifically six countries (Austria,<br />

Czech Republic, France, The Netherlands, Romania<br />

and Serbia) report track<strong>in</strong>g volunteers´ activity<br />

<strong>in</strong> different ways. Austria, the Netherlands and<br />

Romania report national-level registries, whereas<br />

Carla Reigada, Leena Pelttari, Lukas Radbruch , Ros Scott.<br />

three countries report rather regional or local level<br />

ones. Additionally, six countries have <strong>in</strong>dividual<br />

registries namely: the Czech Republic, France,<br />

The Netherlands, Romania, Serbia, and the United<br />

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

Tra<strong>in</strong><strong>in</strong>g programmes<br />

for volunteers<br />

Tra<strong>in</strong><strong>in</strong>g for HPC volunteers is widely provided <strong>in</strong><br />

<strong>Europe</strong> but may differ between countries with<br />

regard to the context/level <strong>of</strong> tra<strong>in</strong><strong>in</strong>g. Except for<br />

Armenia that does not refer any type <strong>of</strong> tra<strong>in</strong><strong>in</strong>g<br />

programme for volunteers <strong>in</strong> HPC, all <strong>Europe</strong>an<br />

countries report some sort <strong>of</strong> tra<strong>in</strong><strong>in</strong>g for volunteers.<br />

Austria, The Netherlands and Switzerland<br />

report the existence <strong>of</strong> tra<strong>in</strong><strong>in</strong>g programmes for<br />

volunteers at the national, regional, local and specific<br />

(care sett<strong>in</strong>g) levels. Eight countries report<br />

tra<strong>in</strong><strong>in</strong>g at the national level, five at the regional<br />

level, seven at the local level and eight at the<br />

team or palliative care sett<strong>in</strong>g´ level.<br />

Funds for Hospices and <strong>Palliative</strong><br />

<strong>Care</strong> Volunteers activities<br />

Fund<strong>in</strong>g to support the activities <strong>of</strong> volunteers<br />

<strong>in</strong> PC varies overall <strong>in</strong> its very existence, as well<br />

as <strong>in</strong> which <strong>in</strong>stitution is responsible. <strong>Europe</strong>an<br />

countries get funds mostly from donations (12<br />

countries) or grants (9 countries). While Portugal<br />

and Belgium do not report receiv<strong>in</strong>g any<br />

type <strong>of</strong> fund<strong>in</strong>g to support volunteers´ activities<br />

<strong>in</strong> HPC, countries like Austria, France, Germany,<br />

The Netherlands, the United K<strong>in</strong>gdom, Switzerland,<br />

and Czech Republic report that their respective<br />

government sponsors some <strong>of</strong> the volunteer<strong>in</strong>g<br />

activities <strong>in</strong> HPC. Still differences are reported<br />

with funded activities (sometimes only tra<strong>in</strong><strong>in</strong>g),<br />

with responsible bodies for adm<strong>in</strong>ister<strong>in</strong>g funds<br />

(sometimes the very service allocates some fund<strong>in</strong>g),<br />

and even with regard to <strong>in</strong>-country fund<strong>in</strong>g<br />

homogeneity (differences by <strong>in</strong>-country regions).<br />

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

77

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!