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Catalonia WHO Demonstration Project on Palliative Care Implementation 1990-1995: results in 1995

X Gómez-Batiste1, M D Fontanals, J Roca

  • 1Palliative Care Service, Catalan Institute of Oncology, Hospital Duran-Reynals, Barcelona, Spain.

Journal of Pain and Symptom Management
|August 1, 1996
PubMed
Summary

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Catalonia

Area of Science:

  • Public Health
  • Health Services Research
  • Palliative Care

Background:

  • A comprehensive palliative care program was developed by the Department of Health of Catalonia in 1989.
  • The program aimed for equitable, high-quality palliative care for various conditions, including cancer and AIDS.

Purpose of the Study:

  • To implement and evaluate a publicly funded palliative care program.
  • To assess the program's impact on patient care, resource utilization, and cost-effectiveness.

Main Methods:

  • A 5-year implementation (1990-1995) of specific services, resource allocation, education, and legislation.
  • Public financing and evaluation of palliative care services across Catalonia.

Main Results:

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  • Established 18 hospital support teams, 19 units (350 beds), and 42 home-care teams.
  • Achieved 40% coverage for cancer and AIDS patients, with 80% of districts having a dedicated team.
  • Demonstrated significant cost savings (80%) through resource use optimization.

    • Conclusions:

    • Publicly financed palliative care is effective, efficient, and cost-beneficial.
    • Palliative care improves the quality of care for advanced illness and enhances overall health system efficiency.
    • Prioritizing and planning palliative care implementation is crucial for health administrations.