Woitha Kathrin, Carrasco Jose Miguel, Clark David, Lynch Tom, Garralda Eduardo, Martin-Moreno Jose Maria, Centeno Carlos
1 Institute for Culture and Society, University of Navarra, Pamplona, Spain 2 Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.
3 School of Interdisciplinary Studies, University of Glasgow, Glasgow, Scotland, UK.
Eur J Public Health. 2016 Apr;26(2):230-5. doi: 10.1093/eurpub/ckv201. Epub 2015 Nov 6.
With the goal of achieving greater unity and coherence, the Council of Europe developed a national palliative care (PC) policy framework-Recommendation (2003) 24. Although directed at member states, the policy spread to the wider World Health Organisation (WHO) European Region. This article aims to present the current situation relating to national PC health policies in European countries.
A cross-sectional survey was conducted in 53 European countries of the WHO European Region. Relevant data reported (i) the existence of official documents concerning the provision of PC; (ii) the role of health departments and policymakers in the evaluation of PC provision and (iii) the availability of financial resources for PC provision.
In total, 46/53 (87%) EU and non-EU countries responded. PC legislation is established in 20 (71%) EU and nine (50%) non-EU countries. A total of 12 (43%) EU countries possess a PC plan or strategy in comparison with six (33%) non-EU countries. Individuals from Departments of Health and designated policymakers have established collaborative PC efforts. Quality systems have been initiated in 15 (54%) EU and four (22%) non-EU countries. Significant differences were not found in the reporting of payments for PC services between European regions.
An improvement in national PC policy in both EU and non-EU countries was observed. Future priorities include potential initiatives to improve relationships with policymakers, establish quality control programmes and ensure financial support for PC.
为实现更大程度的统一与连贯，欧洲委员会制定了一项国家姑息治疗（PC）政策框架——《建议（2003）24》。尽管该政策是针对成员国制定的，但却传播到了更广泛的世界卫生组织（WHO）欧洲区域。本文旨在介绍欧洲国家国家PC卫生政策的现状。
对WHO欧洲区域的53个欧洲国家进行了横断面调查。报告的相关数据包括：（i）关于提供PC的官方文件的存在情况；（ii）卫生部门和政策制定者在评估PC服务提供方面的作用；（iii）用于提供PC的财政资源的可用性。
总共46/53（87%）个欧盟和非欧盟国家做出了回应。20个（71%）欧盟国家和9个（50%）非欧盟国家制定了PC立法。共有12个（43%）欧盟国家拥有PC计划或战略，相比之下，有6个（33%）非欧盟国家拥有。卫生部门和指定的政策制定者个人已经开展了合作性的PC工作。15个（54%）欧盟国家和4个（22%）非欧盟国家启动了质量体系。欧洲各区域在PC服务支付报告方面未发现显著差异。
观察到欧盟和非欧盟国家的国家PC政策都有所改善。未来的优先事项包括改善与政策制定者关系的潜在举措、建立质量控制计划以及确保对PC的财政支持。
