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Assessing Palliative Care Development in Mexico Through the WHO Actionable Indicators Model.
Jorge Alberto Ramos-Guerrero1, Gregorio Zuniga-Villanueva2, Beatriz Dorsey-Rivera3
1Department of Palliative and Pain Medicine (J.A.R.G., G.A.O.), Hospital General de Occidente, Jalisco, Mexico; Universidad de Guadalajara (J.A.R.G., G.A.O.), Palliative and Pain Specialty, Jalisco, Mexico.
Journal of Pain and Symptom Management
|May 8, 2025
Summary
Mexico
Area of Science:
- Palliative Care Research
- Global Health
- Health Services Research
Background:
- Palliative care (PC) development is crucial for global health advancement.
- The World Health Organization (WHO) provides a model to assess PC development and identify service gaps.
- Previous assessments indicated Mexico had an early stage of PC integration, but a new framework offers deeper insights.
Purpose of the Study:
- To evaluate the current status of palliative care development in Mexico.
- Utilize the WHO's actionable indicators model for a comprehensive assessment.
Main Methods:
- Assessed six key components of PC development: provision, essential medicines, education, research, policies, and community empowerment.
- Utilized fourteen indicators, each ranked across four development levels: emerging, intermediate, established, and advanced.
Main Results:
- Mexico shows progress in physician specialization, awareness campaigns, and policy integration of PC.
- Significant barriers include insufficient PC services, lack of a national PC coordinating body, limited access to essential medicines, and inadequate undergraduate education.
Conclusions:
- The study reveals a decline in Mexico's palliative care development level based on updated analysis.
- Urgent attention is needed to address identified gaps, supporting PC advocacy and implementation in the region.
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