ATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31001 Pamplona, Spain.
IdiSNA-Instituto de Investigacion Sanitaria de Navarra, 31001 Pamplona, Spain.
Int J Environ Res Public Health. 2021 Oct 13;18(20):10753. doi: 10.3390/ijerph182010753.
The coverage of palliative care (PC) may be understood as a country's capacity to offer prevention and relief from serious health-related suffering in relation to an existing need. The aim of this study is to estimate European countries´ coverage capacities.
Secondary analysis of three indicators, including the number of specialized services (SSPC), integration capacity scores (ICS) and the PC needs. By means of a K-medians clustering supervised algorithm, three coverage profiles were obtained: (1) Advanced: countries with high ICS and SSPC, and low PC needs; (2) Limited: countries with low ICS and SSPC, and low PC needs; and (3) Low: countries with low ICS and SSPC and high PC needs.
On average, the ratio of specialized services per population was 0.79 per 100,000 inhabitants, the average ICS was 19.62 and the average number of deceased patients with SHS per 100,000 inhabitants was 5.69. Twenty countries (41%) reached an advanced coverage profile. Nine countries (18%) demonstrated a limited coverage profile; and 20 countries (41%) fell under a low-coverage capacity.
The level of palliative care coverage across Europe shows that 59% of European countries have either limited or very low availability of PC resources as regards their palliative care needs.
缓和医疗（PC）的覆盖范围可以理解为一个国家提供预防和缓解与现有需求相关的严重健康相关痛苦的能力。本研究的目的是估计欧洲国家的覆盖能力。
对三个指标进行二次分析，包括专门服务（SSPC）的数量、整合能力评分（ICS）和 PC 需求。通过 K-均值聚类监督算法，获得了三种覆盖概况：（1）先进：ICS 和 SSPC 高，PC 需求低的国家；（2）有限：ICS 和 SSPC 低，PC 需求低的国家；和（3）低：ICS 和 SSPC 低，PC 需求高的国家。
平均而言，每百万人口的专业服务比例为 0.79，平均 ICS 为 19.62，每 10 万居民中患有 SHS 的死亡患者平均为 5.69。20 个国家（41%）达到了先进的覆盖水平。9 个国家（18%）表现出有限的覆盖概况；20 个国家（41%）属于低覆盖能力。
欧洲缓和医疗覆盖水平表明，59%的欧洲国家在缓和医疗资源方面存在有限或非常低的可用性，以满足其缓和医疗需求。
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