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Mapping levels of palliative care development: a global update.
Thomas Lynch1, Stephen Connor, David Clark
1International Observatory on End of Life Care, Lancaster University, Lancaster, United Kingdom. t.lynch@lancaster.ac.uk
Journal of Pain and Symptom Management
|September 29, 2012
Summary
Global palliative care access is growing, with 58% of countries offering services in 2011. However, advanced integration remains limited, highlighting the need for further development to ensure worldwide accessibility of palliative care.
Area of Science:
- Global Health
- Palliative Care Medicine
- Health Services Research
Background:
- Palliative care services are crucial for improving quality of life in patients with serious illnesses.
- Previous studies have established a baseline for global palliative care activity.
- Understanding the current landscape of palliative care development is essential for targeted interventions.
Purpose of the Study:
- To categorize the development of hospice and palliative care globally, country by country.
- To track changes in palliative care provision and integration over time.
- To identify disparities in palliative care accessibility worldwide.
Main Methods:
- A multi-method approach was employed to categorize palliative care development.
- A six-part typology was used, including no activity, capacity building, isolated provision, generalized provision, preliminary integration, and advanced integration.
- Data from 2011 were compared with a previous study from 2006 to assess changes.
Main Results:
- In 2011, 136 out of 234 countries (58%) had at least one palliative care service, an increase of 9% since 2006.
- Significant gains in palliative care activity were observed in Africa.
- Advanced integration of palliative care was achieved in only 20 countries (8.5%), with wide variations in service-to-population ratios.
Conclusions:
- While global palliative care provision has increased, widespread accessibility remains a challenge.
- The majority of countries fall into categories with limited or generalized palliative care provision.
- Substantial efforts are required to achieve universal access to comprehensive palliative care services.
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