Coverage and development of specialist palliative care services across the World Health Organization European Region (2005-2012): Results from a European Association for Palliative Care Task Force survey of 53 Countries
Coverage and development of specialist palliative care services across the World Health Organization European Region (2005-2012): Results from a European Association for Palliative Care Task Force survey of 53 Countries
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DOI：
10.1177/0269216315598671
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发表时间：
2016-04-01
影响因子：
4.4
通讯作者：
Clark, David
中科院分区：
文献类型：
--
作者：
Centeno, Carlos;Lynch, Thomas;Clark, David
背景资料：提供姑息治疗专业服务的演变对于规划和评估非常重要。目的：研究2005年至2012年期间世界卫生组织欧洲地区三种专业姑息治疗服务的发展-家庭护理团队、医院支持团队和住院姑息治疗服务。设计和设置：数据提取和分析，从两个版本的欧洲姑息治疗协会地图集姑息治疗在欧洲。调整后的残差分析、每一人口的服务比率和2012年的覆盖率（现有服务的提供与估计可满足人口姑息治疗需求的服务需求之间的关系）表明，每一类型的服务都取得了重大发展。为了衡量姑息治疗的覆盖率，我们使用了欧洲姑息治疗协会白色文件的建议：每10万居民有一个家庭护理团队，每20万居民有一个医院支持团队，每20万居民有一个住院姑息治疗服务。估计在超国家的水平上的演变，平均年和欧洲次区域之间的比较presented.Results：在53个国家，46（87%）提供的数据。2005-2012年，欧洲发展了重要的家庭护理团队、住院姑息治疗服务和医院支持团队。西欧国家的改善在统计上是显著的，但中欧和东欧国家的改善不显著。46个国家中有21个国家（46%）至少在一种服务方面取得了重大发展。2012年住院姑息治疗服务、家庭护理团队和医院支持团队的覆盖率估计在西欧分别为62%、52%和31%，在中欧和东欧分别为20%、14%和3%。虽然2005年至2012年期间欧洲姑息治疗的总体覆盖率有了积极的发展，大多数国家提供的服务仍然不足以满足人口的姑息治疗需求。
Background: The evolution of the provision of palliative care specialised services is important for planning and evaluation.Aim: To examine the development between 2005 and 2012 of three specialised palliative care services across the World Health Organization European Region - home care teams, hospital support teams and inpatient palliative care services.Design and setting: Data were extracted and analysed from two editions of the European Association for Palliative Care Atlas of Palliative Care in Europe. Significant development of each type of services was demonstrated by adjusted residual analysis, ratio of services per population and 2012 coverage (relationship between provision of available services and demand services estimated to meet the palliative care needs of a population). For the measurement of palliative care coverage, we used European Association for Palliative Care White Paper recommendations: one home care team per 100,000 inhabitants, one hospital support team per 200,000 inhabitants and one inpatient palliative care service per 200,000 inhabitants. To estimate evolution at the supranational level, mean comparison between years and European sub-regions is presented.Results: Of 53 countries, 46 (87%) provided data. Europe has developed significant home care team, inpatient palliative care service and hospital support team in 2005-2012. The improvement was statistically significant for Western European countries, but not for Central and Eastern countries. Significant development in at least a type of services was in 21 of 46 (46%) countries. The estimations of 2012 coverage for inpatient palliative care service, home care team and hospital support team are 62%, 52% and 31% for Western European and 20%, 14% and 3% for Central and Eastern, respectively.Conclusion: Although there has been a positive development in overall palliative care coverage in Europe between 2005 and 2012, the services available in most countries are still insufficient to meet the palliative care needs of the population.