The Berlin Declaration: A Collaborative Roadmap to Advance Global Hospice and Palliative Care
The Berlin Declaration: A Collaborative Roadmap to Advance Global Hospice and Palliative Care
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DOI：
10.1089/jpm.2019.0557
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发表时间：
2019-11-14
影响因子：
2.8
通讯作者：
Radbruch, Lukas
中科院分区：
文献类型：
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作者：
Connor, Stephen R.;De Lima, Liliana;Radbruch, Lukas
2019年5月，我们作为三大全球姑息治疗组织（国际临终关怀和姑息治疗协会[IAHPC]、国际儿童姑息治疗网络[ICPCN]和全球临终关怀姑息治疗联盟[WHPCA]）的代表，在柏林举行会议，讨论如何更紧密地合作，在全球重大卫生政策问题上传达相同的信息。面对不断变化的经济时代和全球姑息治疗有限的资金机会，我们还讨论了未来的可持续性以及如何共同努力提供分享和保护资源的机会。在全球卫生议程上缺席数十年之后，由于三个组织与区域和国家协会以及相关领域的主要伙伴合作，共同努力，姑息治疗现已被纳入一些重要的卫生政策文件，成为一系列基本服务的一部分。这些文件包括《联合国预防和控制非传染性疾病宣言》、1《关于艾滋病毒/艾滋病问题的政治宣言》2和《全民医保问题高级别会议政治宣言》3;世界卫生组织（世卫组织）关于全民医保的报告4;世界卫生大会关于姑息治疗的决议5;关于世界毒品问题的联合国大会特别会议成果文件6;世界卫生大会关于癌症的决议7和世卫组织关于痴呆症的全球行动计划8;世卫组织阿斯塔纳宣言9;和国际麻醉品管制局（麻管局）关于国际管制药物供应情况的补充报告。10、11尽管姑息治疗已被纳入本高级别说明，但姑息治疗服务尚未具体纳入国家卫生战略，也尚未纳入区域和全球卫生战略。我们正处于关键时刻。联合国成员国承诺实现2030年可持续发展议程的17个目标，这意味着他们有10年的时间将姑息治疗作为可持续发展目标3下的一项基本服务纳入全民健康覆盖。
In May 2019, we, as representatives of the three global palliative care organizations (International Association for Hospice and Palliative Care [IAHPC], International Children’s Palliative Care Network [ICPCN], and Worldwide Hospice Palliative Care Alliance [WHPCA]), met in Berlin to discuss how to work more closely together to convey the same messages on major global health policy issues. In the face of changing economic times and limited funding opportunities in global palliative care, we also discussed future sustainability and how working together provides an opportunity to share and conserve resources. After decades of absence from the global health agenda, thanks to joint efforts from the three organizations, in collaboration with regional and national associations as well as with key partners from relevant fields, palliative care is now included in some important health policy documents as part of an essential spectrum of services. These documents include the United Nations Declaration on Prevention and Control of Noncommunicable Diseases, 1 the Political Declaration on HIV/AIDS, 2 and the Political Declaration of the High-level Meeting on Universal Health Coverage (UHC) 3; the World Health Organization (WHO) Report on UHC4; the World Health Assembly (WHA) Resolution on Palliative Care5; the Outcome Document of the UN General Assembly Special Session (UNGASS) on the World Drug Problem6; the WHA Resolution on Cancer7 and the WHO Global Action Plan on Dementia8; the WHO Astana Declaration9; and the Supplemental Reports by the International Narcotics Control Board (INCB) on the availability of internationally controlled drugs. 10, 11Notwithstanding palliative care’s inclusion in this highlevel narrative, palliative care services have yet to be concretely integrated into national health strategies and included in regional and global health strategies. We are at a critical time. UN member states have committed to achieving the 17 goals of the 2030 Agenda for Sustainable Development Goals (SDG), 12 meaning they have 10 years to integrate palliative care into UHC as an essential service under SDG 3.