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Palliative care development in Latin America: an analysis using macro indicators
Tania Pastrana1, Isabel Torres-Vigil2, Liliana De Lima3
1Department of Palliative Medicine, University Hospital RWTH Aachen, Aachen, Germany tpastrana@ukaachen.de.
Palliative Medicine
|June 14, 2014
Summary
The Latin American Association for Palliative Care developed 10 indicators to assess palliative care. Costa Rica ranked highest, while Bolivia and Honduras ranked lowest in palliative care development across Latin America.
Area of Science:
- Palliative Care Research
- Health Services Research
- Global Health
Background:
- The Latin American Association for Palliative Care (LAAPC) developed 10 indicators to monitor palliative care advancement.
- These indicators aim to enhance regional and national palliative care strategies.
Purpose of the Study:
- To evaluate and compare palliative care development across Latin American countries.
- To classify nations into distinct levels of palliative care advancement using LAAPC indicators.
Main Methods:
- Secondary analysis of 10 LAAPC indicators across Policy, Education, Service Provision, and Opioids categories.
- Construction of a LAAPC Index using z-scores to rank palliative care development.
Main Results:
- Medical school curriculum, physician accreditation, and per capita opioid consumption correlated with palliative care services.
- Costa Rica achieved the highest LAAPC Index score; high-ranking countries included Costa Rica, Chile, Mexico, and Argentina.
- Bolivia, Honduras, Dominican Republic, and Guatemala were identified in the lowest development group.
Conclusions:
- The LAAPC indicators are effective tools for assessing national palliative care development.
- These indicators show potential applicability beyond Latin America, warranting further validation studies.
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