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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Updated: Aug 27, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Palliative care in the Eastern Mediterranean: comparative analysis using specific indicators.

Miguel Antonio Sánchez-Cárdenas1,2, Nasim Pourghazian3, Eduardo Garralda4,5

  • 1ATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain.

BMC Palliative Care
|October 2, 2022
PubMed
Summary
This summary is machine-generated.

Palliative care (PC) development varies across the Eastern Mediterranean region, with low specialized service provision and opioid use noted. Policy enhancements are crucial for improving access to essential PC services.

Keywords:
DevelopmentEastern MediterraneanNational-levelPalliative careProvisionPublic healthSpecialized services

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Area of Science:

  • Health Systems Research
  • Palliative Care Development
  • Regional Health Analysis

Background:

  • Palliative care (PC) monitoring reflects health system responsiveness to serious health-related suffering.
  • Assessing PC development is vital for understanding health system capacity.

Purpose of the Study:

  • To conduct a comparative analysis of palliative care (PC) in Eastern Mediterranean region countries.
  • Utilize context-specific indicators to evaluate the state of PC services.

Main Methods:

  • An online survey with 15 context-specific PC indicators was distributed.
  • In-country experts from 17 countries provided data on service provision, medicine use, policy, education, and vitality.
  • Data underwent comparative description and multivariate analysis.

Main Results:

  • Specialized PC services are scarce, with rates as low as 0.09 per 100,000 inhabitants in some countries and zero in others.
  • Average opioid consumption is 2.40 mg/capita/year; national PC strategies exist in nine countries.
  • PC is accredited in six countries, with mandatory courses in 36% of medical and 46% of nursing schools. Higher development observed in Jordan, Kuwait, Saudi Arabia, Oman, Lebanon, and Qatar.

Conclusions:

  • The Eastern Mediterranean region shows very low provision of specialized PC services and limited opioid consumption, despite advancements in the Arabian Peninsula.
  • Policy improvements are essential to enhance access to palliative care across the region.