Palliative care and pain treatment in the global health agenda

Pain
Liliana De Lima

Abstract

The Global Atlas of Palliative Care at the End of Life, published by the Worldwide Palliative Care Alliance (WPCA) jointly with the World Health Organization (WHO) estimated that every year >20 million patients need palliative care (PC) at the end of life. Six percent of these are children. According to the Atlas, in 2011, approximately 3 million patients received PC and only 1 in 10 people in need is currently receiving it. Although most PC is provided in high-income countries (HIC), almost 80% of the global need is in low- and middle-income countries (LMIC). Only 20 countries have PC well integrated into their health-care systems. In regards to opioids, >5 billion people (83% of the world's population) live in countries with low to nonexistent access, 250 million (4%) have moderate access, and only 460 million (7%) have adequate access. In order for PC and pain treatment strategies to be effective, they must be incorporated by governments into all levels of their health care systems. In 1990, the WHO pioneered a public health strategy to integrate PC into existing health care systems which includes four components: (1) appropriate policies, (2) adequate availability of medications, (3) education of health care workers and the...Continue Reading

References

Mar 24, 2011·Journal of Pain & Palliative Care Pharmacotherapy·Marie-Josephine SeyaWillem Karel Scholten
Oct 23, 2013·Current Opinion in Supportive and Palliative Care·Tania PastranaLiliana De Lima

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Citations

Feb 3, 2016·Life Sciences·Takashi KawanoMasataka Yokoyama
May 3, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Samuel T Matula
Sep 22, 2020·Journal of Palliative Medicine·Jonathon JudkinsTania Pastrana
Oct 14, 2021·BMC Palliative Care·Rebecca L EdwardsAdelais Markaki

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