Global development of children’s palliative care: the picture in 2017
Background: The growing interest in tracking the global development of palliative care provision is not matched by research on the development of palliative care services specifically for children. Yet it is estimated that worldwide, 21 million children annually could benefit from the provision of p...
| Autores: | , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/59146 |
| Acceso en línea: | https://hdl.handle.net/10171/59146 |
| Access Level: | acceso abierto |
| Palabra clave: | Palliative care Children's palliative care Global development Mapping Medicina paliativa |
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Global development of children’s palliative care: the picture in 2017Clelland, D. (David)|||/items/e00ebcc0-fb84-45ab-8143-0d554fcf993cSteijn, D. (Danny) van|||/items/68a8ac2a-627d-4b1f-93b4-d91972bd62a7Macdonald, M.E. (Mary Ellen)|||/items/1bce380a-dae7-4715-b8d5-ba48f5a89e00Connor, S. (Stephen)|||/items/16a435f4-80fc-426d-999b-020b801bb58fCenteno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680Clark, D. (David)|||/items/5f3f6591-d152-4315-84ab-74d5cd107580Palliative careChildren's palliative careGlobal developmentMappingMedicina paliativaBackground: The growing interest in tracking the global development of palliative care provision is not matched by research on the development of palliative care services specifically for children. Yet it is estimated that worldwide, 21 million children annually could benefit from the provision of palliative care. We report on a global study of children’s palliative care development and offer suggestions for further improvement in design and method. Methods: Primary data on the level of children’s palliative care development in 2017 was collected from in-country experts through a specific question in an online questionnaire that sought to measure the overall level of palliative care provision globally. Countries were assigned to one of six categories on the basis of the responses obtained. Conflicting responses from the same country were resolved with reference to a hierarchy of preferred respondents. Results: Our data allowed the categorisation of 113 countries, accounting for 65% of the global population aged under 20. Number of countries (% of global child population) in each category were as follows: 1) no known activity, 21 (4%); 2) capacity-building, 16 (24%); 3a) isolated provision, 55 (30%); 3b) generalized provision, 5 (1%); 4a) preliminary integration into mainstream provision, 14 (8%); 4b) advanced integration, 7 (2%). Conclusions: Children’s palliative care at the highest level of provision is available in just 21 countries, accounting for fewer than 10% of the global population aged under 20. It is concentrated in high income settings, whilst the majority of the global need for such care is in low- and middle-income countries. Our study is a useful tool for global advocacy relating to children’s palliative care and a stimulus for the creation of improved indicators to measure it at the country level.F1000ResearchDadun. Depósito Académico Digital Universidad de Navarra20202020-08-0620202020-01-0120202020-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/59146reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/591462026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Global development of children’s palliative care: the picture in 2017 |
| title |
Global development of children’s palliative care: the picture in 2017 |
| spellingShingle |
Global development of children’s palliative care: the picture in 2017 Clelland, D. (David)|||/items/e00ebcc0-fb84-45ab-8143-0d554fcf993c Palliative care Children's palliative care Global development Mapping Medicina paliativa |
| title_short |
Global development of children’s palliative care: the picture in 2017 |
| title_full |
Global development of children’s palliative care: the picture in 2017 |
| title_fullStr |
Global development of children’s palliative care: the picture in 2017 |
| title_full_unstemmed |
Global development of children’s palliative care: the picture in 2017 |
| title_sort |
Global development of children’s palliative care: the picture in 2017 |
| dc.creator.none.fl_str_mv |
Clelland, D. (David)|||/items/e00ebcc0-fb84-45ab-8143-0d554fcf993c Steijn, D. (Danny) van|||/items/68a8ac2a-627d-4b1f-93b4-d91972bd62a7 Macdonald, M.E. (Mary Ellen)|||/items/1bce380a-dae7-4715-b8d5-ba48f5a89e00 Connor, S. (Stephen)|||/items/16a435f4-80fc-426d-999b-020b801bb58f Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Clark, D. (David)|||/items/5f3f6591-d152-4315-84ab-74d5cd107580 |
| author |
Clelland, D. (David)|||/items/e00ebcc0-fb84-45ab-8143-0d554fcf993c |
| author_facet |
Clelland, D. (David)|||/items/e00ebcc0-fb84-45ab-8143-0d554fcf993c Steijn, D. (Danny) van|||/items/68a8ac2a-627d-4b1f-93b4-d91972bd62a7 Macdonald, M.E. (Mary Ellen)|||/items/1bce380a-dae7-4715-b8d5-ba48f5a89e00 Connor, S. (Stephen)|||/items/16a435f4-80fc-426d-999b-020b801bb58f Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Clark, D. (David)|||/items/5f3f6591-d152-4315-84ab-74d5cd107580 |
| author_role |
author |
| author2 |
Steijn, D. (Danny) van|||/items/68a8ac2a-627d-4b1f-93b4-d91972bd62a7 Macdonald, M.E. (Mary Ellen)|||/items/1bce380a-dae7-4715-b8d5-ba48f5a89e00 Connor, S. (Stephen)|||/items/16a435f4-80fc-426d-999b-020b801bb58f Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Clark, D. (David)|||/items/5f3f6591-d152-4315-84ab-74d5cd107580 |
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author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Palliative care Children's palliative care Global development Mapping Medicina paliativa |
| topic |
Palliative care Children's palliative care Global development Mapping Medicina paliativa |
| description |
Background: The growing interest in tracking the global development of palliative care provision is not matched by research on the development of palliative care services specifically for children. Yet it is estimated that worldwide, 21 million children annually could benefit from the provision of palliative care. We report on a global study of children’s palliative care development and offer suggestions for further improvement in design and method. Methods: Primary data on the level of children’s palliative care development in 2017 was collected from in-country experts through a specific question in an online questionnaire that sought to measure the overall level of palliative care provision globally. Countries were assigned to one of six categories on the basis of the responses obtained. Conflicting responses from the same country were resolved with reference to a hierarchy of preferred respondents. Results: Our data allowed the categorisation of 113 countries, accounting for 65% of the global population aged under 20. Number of countries (% of global child population) in each category were as follows: 1) no known activity, 21 (4%); 2) capacity-building, 16 (24%); 3a) isolated provision, 55 (30%); 3b) generalized provision, 5 (1%); 4a) preliminary integration into mainstream provision, 14 (8%); 4b) advanced integration, 7 (2%). Conclusions: Children’s palliative care at the highest level of provision is available in just 21 countries, accounting for fewer than 10% of the global population aged under 20. It is concentrated in high income settings, whilst the majority of the global need for such care is in low- and middle-income countries. Our study is a useful tool for global advocacy relating to children’s palliative care and a stimulus for the creation of improved indicators to measure it at the country level. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2020-08-06 2020 2020-01-01 2020 2020-01-01 |
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journal article http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/10171/59146 |
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https://hdl.handle.net/10171/59146 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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F1000Research |
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F1000Research |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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