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Mapping levels of palliative care development: a global view
Michael Wright1, Justin Wood, Thomas Lynch
1International Observatory on End of Life Care, Institute for Health Research, Lancaster University, Lancaster, United Kingdom. m.c.wright@lancaster.ac.uk
Journal of Pain and Symptom Management
|February 5, 2008
Summary
Globally, palliative care services are available in 115 countries, but development is uneven. Further expansion is crucial to ensure worldwide accessibility of this essential human right.
Area of Science:
- Global Health
- Palliative Care Research
- Healthcare Access
Background:
- Palliative care is increasingly recognized as a fundamental human right.
- Significant disparities exist in global palliative care development and service availability.
- Comparative data on palliative care distribution remains scarce.
Purpose of the Study:
- To systematically categorize hospice-palliative care development worldwide.
- To map the global and regional distribution of palliative care services.
- To assess the varying levels of palliative care integration into mainstream healthcare systems.
Main Methods:
- A multimethod approach synthesizing published and grey literature.
- Consultation with regional palliative care experts.
- Utilizing a four-part typology for categorizing development levels (no activity, capacity building, localized provision, approaching integration).
Main Results:
- Palliative care services are present in 115 out of 234 countries (49%).
- Categorization revealed: 33% with no activity, 18% in capacity building, 34% with localized provision, and 15% approaching integration.
- Significant variations in service-to-population ratios were observed, even within developed categories.
Conclusions:
- Palliative care services are accessible in approximately half the world's countries.
- Substantial global inequities in palliative care provision persist.
- Widespread expansion and integration efforts are necessary to achieve universal access to palliative care.
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