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 / BELARUS<br />
5,728 6.1 352 4.1 53 74<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 />
20 0.2<br />
TOTAL<br />
l Home PC<br />
teams<br />
55%<br />
11<br />
9<br />
l Inpatient<br />
hospices<br />
45%<br />
PC SERVICES<br />
PER 100,000<br />
INHABITANTS<br />
l PC services<br />
for adults<br />
<strong>in</strong> Belarus<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 />
Additional<br />
PC Services<br />
for Adults<br />
R Day care services 18<br />
R Volunteer-led hospices 7 (Data from 2013)<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 />
Other associations<br />
YES<br />
YES<br />
NO<br />
NO<br />
10.4<br />
mg<br />
l Average consumption<br />
<strong>in</strong> Belarus<br />
Average consumption<br />
<strong>in</strong> <strong>Europe</strong> [107 mg]<br />
Directory <strong>of</strong> services<br />
RELEVANT REFERENCES ON PC DEVELOPMENT<br />
YES<br />
NO<br />
5<br />
4<br />
1<br />
Morph<strong>in</strong>e Code<strong>in</strong>e Fentanyl<br />
0 1<br />
Oxycodone Hydromorph<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 />
YES NO<br />
YES NO<br />
Few days<br />
Down<strong>in</strong>g J, et al.<br />
Children’s palliative<br />
care <strong>in</strong> low- and middle-<strong>in</strong>come<br />
countries.<br />
Arch Dis Child.<br />
2016;101:85-90.<br />
Centeno C, et al. The<br />
<strong>Palliative</strong> <strong>Care</strong> Challenge:<br />
Analysis <strong>of</strong> Barriers<br />
and Opportunities<br />
to Integrate <strong>Palliative</strong><br />
<strong>Care</strong> <strong>in</strong> <strong>Europe</strong> <strong>in</strong> the<br />
View <strong>of</strong> National Associations.<br />
J Palliat Med.<br />
2017;20(11):1195-1204.<br />
Centeno C, et al.<br />
Coverage and development<br />
<strong>of</strong> specialist<br />
palliative care services<br />
across the World<br />
Health Organization<br />
<strong>Europe</strong>an Region<br />
(2005-2012): Results<br />
from a <strong>Europe</strong>an Association<br />
for <strong>Palliative</strong><br />
<strong>Care</strong> Task Force survey<br />
<strong>of</strong> 53 Countries. Palliat<br />
Med. 2016;30(4):351-62.<br />
Patient registration as an opioid user<br />
YES<br />
NO<br />
Pr<strong>of</strong>essionals allowed to prescribe<br />
KEY INFORMANTS<br />
Confidential.<br />
See more <strong>in</strong>formation<br />
<strong>in</strong> onl<strong>in</strong>e version<br />
Only specialists<br />
All physicians<br />
Nurses tra<strong>in</strong>ed <strong>in</strong> PC<br />
<strong>EAPC</strong> <strong>Atlas</strong> <strong>of</strong> <strong>Palliative</strong> <strong>Care</strong> <strong>in</strong> <strong>Europe</strong><br />
105
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