Worldwide Hospice Palliative Care Alliance, London, United Kingdom.
ATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, Pamplona, Navarra, Spain; IdiSNA, Navarra Institute for Health Research, Pamplona, Navarra, Spain.
J Pain Symptom Manage. 2021 Apr;61(4):812-816. doi: 10.1016/j.jpainsymman.2020.09.036. Epub 2020 Sep 30.
Palliative care is an emerging health-care service essential for every health-care system. Information on the current status of palliative care service delivery is needed to understand the gap between need for palliative care and current capacity to deliver.
To estimate the number of providers delivering palliative care worldwide and the patients they served in 2017.
Estimates were obtained from a sample of countries from each World Bank income group using typical case purposive sampling methods. Reliable data from the United States and eight additional countries were used for the high-income group. For low- and middle-income countries (LMICs), to determine an estimate of the number of patients served, 30 countries representative of palliative care service delivery in each region and income group were surveyed.
Results from the mapping levels of palliative care development survey identified a total of approximately 25,000 palliative care service delivery teams globally. The total estimate of patients served in 2017 was approximately seven million.
Significant disparities in palliative care access exist both by region and income group. The European and Pan-American regions had most while the Eastern Mediterranean, Southeast Asian, and African regions had least. Much more needs to be done to develop and deliver palliative care in LMICs where 80% of the need for palliative care exists. With about 70% of operating palliative care services in high-income countries and only 30% in LMICs, a major effort to develop palliative care in these settings is urgently needed.
姑息治疗是每个医疗体系都必不可少的新兴医疗保健服务。了解姑息治疗服务提供的现状对于了解姑息治疗的需求与当前提供能力之间的差距至关重要。
估计 2017 年全球提供姑息治疗的服务提供者数量以及他们所服务的患者人数。
使用典型病例的目的抽样方法，从世界银行每个收入组中抽取了一些国家进行抽样调查，以获取估计数。高收入组使用了来自美国和其他八个国家的可靠数据。对于低收入和中等收入国家（LMICs），为了确定服务的患者人数估计数，对每个区域和收入组中具有代表性的 30 个国家进行了调查。
姑息治疗发展水平绘图调查的结果共确定了全球约 25000 个姑息治疗服务提供团队。2017 年服务的患者总数约为 700 万。
姑息治疗的可及性在区域和收入组之间存在显著差异。欧洲和泛美地区的情况最好，而东地中海、东南亚和非洲地区的情况最差。在姑息治疗需求占 80%的中低收入国家，需要做更多的工作来发展和提供姑息治疗。在高收入国家中，约有 70%的姑息治疗服务正在运营，而在中低收入国家中只有 30%，因此迫切需要在这些地区大力发展姑息治疗。
