The Palliative Care Challenge: Analysis of Barriers and Opportunities to Integrate Palliative Care in Europe in the View of National Associations

Journal of Palliative Medicine
Carlos CentenoJeroen Hasselaar

Abstract

Palliative care (PC) development is diverse and lacks an effective integration into European healthcare systems. This article investigates levels of integrated PC in European countries. A qualitative survey was undertaken for the 2013 EAPC Atlas of PC in Europe with boards of national associations, eliciting opinions on opportunities for, and barriers to, PC development. Barriers and opportunities directly related to PC integration were identified and analyzed thematically according (1) to the dimensions of the World Health Organization (WHO) public health model and (2) by the degree of service provision in each country. A frequency analysis of dimensions and level of provision was also conducted. In total, 48/53 (91%) European countries responded to the survey. A total of 43 barriers and 65 opportunities were identified as being related to PC integration. Main barriers were (1) lack of basic PC training, with a particular emphasis on the absence of teaching at the undergraduate level; (2) lack of official certification for professionals; (3) lack of coordination and continuity of care for users and providers; (4) lack of PC integration for noncancer patients; (5) absence of PC from countries' regulatory frameworks; and (6) une...Continue Reading

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Citations

Jan 8, 2019·Journal of Palliative Medicine·Natalia AriasCarlos Centeno
Nov 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Katrine StaatsEllen Karine Grov
May 7, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Daisy Ja JanssenMarieke Hj van den Beuken-van Everdingen
Feb 25, 2020·International Journal of Health Services : Planning, Administration, Evaluation·María Elena Sánchez-GutiérrezRosa María Simó-Martínez
Jul 28, 2020·International Journal of Environmental Research and Public Health·Eliza Lai-Yi WongEng-Kiong Yeoh
Aug 8, 2020·Journal of Pain and Symptom Management·Anke J E de VeerAnneke L Francke
Jun 3, 2021·International Journal of Environmental Research and Public Health·Carla ReigadaMaria Arantzamendi
Jul 18, 2021·BMJ Supportive & Palliative Care·Lotte van der StapYvette M van der Linden
Aug 7, 2021·International Journal of Qualitative Studies on Health and Well-being·Carla ReigadaCarlos Centeno

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