Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years
Background: Service provision is a key domain to assess national-level palliative care development. Three editions of the European Association for Palliative Care (EAPC) Atlas of Palliative Care monitored the changes in service provision across Europe since 2005. Aim: To study European trends of spe...
| 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:10171/59075 |
| Acceso en línea: | https://hdl.handle.net/10171/59075 |
| Access Level: | acceso abierto |
| Palabra clave: | Palliative care Development Specialized services Provision Public health Trends Europe National-level Medicina paliativa |
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Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 yearsArias-Casais, N. (Natalia)|||/items/a212b81c-bb51-401a-ace1-5f9207117521López-Fidalgo, J.F. (Jesús Fernando)|||/items/169ec035-21e6-475f-be38-215b04163b04Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8deRhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3cRadbruch, L. (Lukas)|||/items/7f7455ca-6c0e-473e-8c28-c0064b8242acLima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627eCenteno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680Palliative careDevelopmentSpecialized servicesProvisionPublic healthTrendsEuropeNational-levelMedicina paliativaBackground: Service provision is a key domain to assess national-level palliative care development. Three editions of the European Association for Palliative Care (EAPC) Atlas of Palliative Care monitored the changes in service provision across Europe since 2005. Aim: To study European trends of specialized service provision at home care teams, hospital support teams, and inpatient palliative care services between 2005 and 2019. Design: Secondary analysis was conducted drawing from databases on the number of specialized services in 2005, 2012, and 2019. Ratios of services per 100,000 inhabitants and increase rates on number of services for three periods were calculated. Analysis of variance (ANOVA) analyses were conducted to determine significant changes and chi-square to identify countries accounting for the variance. Income-level and sub-regional ANOVA analysis were undertaken. Setting: 51 countries. Results: Forty-two countries (82%) increased the number of specialized services between 2005 and 2019 with changes for home care teams (104% increase-rate), inpatient services (82%), and hospital support teams (48%). High-income countries showed significant increase in all types of services (p < 0.001), while low-to-middle-income countries showed significant increase only for inpatient services. Central–Eastern European countries showed significant improvement in home care teams and inpatient services, while Western countries showed significant improvement in hospital support and home care teams. Home care was the most prominent service in Western Europe. Conclusion: Specialized service provision increased throughout Europe, yet ratios per 100,000 inhabitants fell below the EAPC recommendations. Western Europe ratios’ achieved half of the suggested services, while Central–Eastern countries achieved only a fourth. High-income countries and Western European countries account for the major increase. Central–Eastern Europe and low-to-middle-income countries reported little increase on specialized service provision.SAGE PublicationsDadun. Depósito Académico Digital Universidad de Navarra20202020-06-2520202020-01-0120202020-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/59075reponame: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:10171/590752026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| title |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| spellingShingle |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years Arias-Casais, N. (Natalia)|||/items/a212b81c-bb51-401a-ace1-5f9207117521 Palliative care Development Specialized services Provision Public health Trends Europe National-level Medicina paliativa |
| title_short |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| title_full |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| title_fullStr |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| title_full_unstemmed |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| title_sort |
Trends analysis of specialized palliative care services in 51 countries of the WHO European region in the last 14 years |
| dc.creator.none.fl_str_mv |
Arias-Casais, N. (Natalia)|||/items/a212b81c-bb51-401a-ace1-5f9207117521 López-Fidalgo, J.F. (Jesús Fernando)|||/items/169ec035-21e6-475f-be38-215b04163b04 Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3 Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c Radbruch, L. (Lukas)|||/items/7f7455ca-6c0e-473e-8c28-c0064b8242ac Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 |
| author |
Arias-Casais, N. (Natalia)|||/items/a212b81c-bb51-401a-ace1-5f9207117521 |
| author_facet |
Arias-Casais, N. (Natalia)|||/items/a212b81c-bb51-401a-ace1-5f9207117521 López-Fidalgo, J.F. (Jesús Fernando)|||/items/169ec035-21e6-475f-be38-215b04163b04 Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3 Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c Radbruch, L. (Lukas)|||/items/7f7455ca-6c0e-473e-8c28-c0064b8242ac Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 |
| author_role |
author |
| author2 |
López-Fidalgo, J.F. (Jesús Fernando)|||/items/169ec035-21e6-475f-be38-215b04163b04 Garralda-Domezain, E. (Eduardo)|||/items/4889891c-a97b-47ad-841f-f3285703cac3 Pons-Izquierdo, J.J. (Juan José)|||/items/d351a355-e670-4f39-addf-acef083bc8de Rhee, J.Y. (John Y.)|||/items/226e65ec-b384-4820-8ca9-6fb7f2587d3c Radbruch, L. (Lukas)|||/items/7f7455ca-6c0e-473e-8c28-c0064b8242ac Lima, L. (Liliana) de|||/items/17852ed9-dd01-42bf-9b79-29dd51c3627e Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 |
| author2_role |
author author 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 Development Specialized services Provision Public health Trends Europe National-level Medicina paliativa |
| topic |
Palliative care Development Specialized services Provision Public health Trends Europe National-level Medicina paliativa |
| description |
Background: Service provision is a key domain to assess national-level palliative care development. Three editions of the European Association for Palliative Care (EAPC) Atlas of Palliative Care monitored the changes in service provision across Europe since 2005. Aim: To study European trends of specialized service provision at home care teams, hospital support teams, and inpatient palliative care services between 2005 and 2019. Design: Secondary analysis was conducted drawing from databases on the number of specialized services in 2005, 2012, and 2019. Ratios of services per 100,000 inhabitants and increase rates on number of services for three periods were calculated. Analysis of variance (ANOVA) analyses were conducted to determine significant changes and chi-square to identify countries accounting for the variance. Income-level and sub-regional ANOVA analysis were undertaken. Setting: 51 countries. Results: Forty-two countries (82%) increased the number of specialized services between 2005 and 2019 with changes for home care teams (104% increase-rate), inpatient services (82%), and hospital support teams (48%). High-income countries showed significant increase in all types of services (p < 0.001), while low-to-middle-income countries showed significant increase only for inpatient services. Central–Eastern European countries showed significant improvement in home care teams and inpatient services, while Western countries showed significant improvement in hospital support and home care teams. Home care was the most prominent service in Western Europe. Conclusion: Specialized service provision increased throughout Europe, yet ratios per 100,000 inhabitants fell below the EAPC recommendations. Western Europe ratios’ achieved half of the suggested services, while Central–Eastern countries achieved only a fourth. High-income countries and Western European countries account for the major increase. Central–Eastern Europe and low-to-middle-income countries reported little increase on specialized service provision. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2020-06-25 2020 2020-01-01 2020 2020-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/59075 |
| url |
https://hdl.handle.net/10171/59075 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
| language |
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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SAGE Publications |
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SAGE Publications |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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15,298079 |