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Palliative care integration indicators: an European regional analysis
Miguel Antonio Sánchez-Cárdenas1, Eduardo Garralda2, Natalia Sofia Arias-Casais2
1ATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, Pamplona, Spain sanchezcmiguel@unav.es.
BMJ Supportive & Palliative Care
|September 14, 2021
Summary
Most European countries show low integration of palliative care (PC) services across all patient groups and settings. Only four nations demonstrate high capacity, indicating variable progress in PC system integration.
Area of Science:
- Health Services Research
- Palliative Care
- Public Health Policy
Background:
- Palliative care (PC) integration into national health systems is crucial for comprehensive patient support.
- Assessing the current state of PC service provision across diverse European countries is essential for identifying gaps and opportunities.
- Understanding variations in PC integration can inform targeted policy development and resource allocation.
Purpose of the Study:
- To evaluate the capacity of European countries to integrate palliative care (PC) into their health systems.
- To assess PC service provision for all ages, diverse needs, and various care settings.
- To quantify and compare the integration capacity across 51 European countries.
Main Methods:
- Secondary analysis of survey data from 51 countries using 22 indicators.
- Evaluation of PC resource integration for pediatric, all-ages, primary care, oncology, and cardiac patients.
- Measurement of volunteer participation and policies in long-term care, resulting in an 'Integration Capacity Score (ICS)'.
Main Results:
- 39 countries (76%) exhibit low to very low palliative care integration capacity.
- 8 countries (16%) achieved an intermediate integration level.
- 4 countries (Netherlands, UK, Germany, Switzerland) reported high-level palliative care integration.
Conclusions:
- Most European countries are still developing their palliative care integration.
- Significant variations exist in the progress of palliative care system integration across Europe.
- Further efforts are needed to enhance palliative care accessibility and quality nationwide.
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