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Integration processes within the Croatian palliative care model in 2014 - 2020
Dorja Vočanec1, Aleksandar Džakula1, Karmen Lončarek2
1Department of Social Medicine and Organization of Health Care, Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Rockefeller St. No. 4, 10000 Zagreb, Croatia.
Health Policy (Amsterdam, Netherlands)
|February 8, 2022
Summary
Palliative care integration in Croatia faces challenges despite progress. Patient-centered approaches and staff education are crucial for sustainable, bottom-up healthcare reforms.
Area of Science:
- Health Services Research
- Public Health Policy
Background:
- Palliative care development in Croatia since 2014 aligns with global integrated care trends.
- Implementation challenges exist within Croatia's evolving healthcare system.
Purpose of the Study:
- To identify positive and negative determinants for palliative care integration in Croatia.
- To analyze policy processes and organizational changes impacting integrated palliative care.
Main Methods:
- Examined three key domains: organizational structures, stakeholder empowerment, and barrier removal.
- Assessed progress and identified barriers to integrated palliative care provision.
Main Results:
- Progress observed in organizational development and stakeholder empowerment suggests model sustainability.
- Barriers hinder the full integration of palliative care services.
- Patient-centered, process-based changes positively influence integration.
Conclusions:
- Staff education and regulated business processes are vital for reform sustainability.
- Bottom-up palliative care models, reflecting process needs, are more effective than top-down mandates.
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