Detalle Publicación


The palliative care challenge: analysis of barriers and opportunities to Integrate palliative care in Europe in the View of National Associations

Autores: Centeno Cortés, Carlos; Garralda Domezain, Eduardo; Carrasco Gimeno, Jose Miguel; van der Eerden, Marlieke; Aldridge, Melissa; Stevenson, David; Meier E, Diane; Hasselaar, Jeroen
ISSN: 1096-6218
Volumen: 22
Número: 11
Páginas: 1195-1204
Fecha de publicación: 2017
Results: 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) unequal laws or regulations pertaining to PC within countries. Innovations in education and new regulatory frameworks were identified as main opportunities in some European countries, in addition to opportunities around the implementation of PC in home care, nursing home settings, and the earlier integration of PC into patients¿ continuum of care. With increasing provision of services, more challenges for the integration are detected ( p < 0.005).