Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, Rome, Italy.
Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Clin Ter. 2024 Jul-Aug;175(4):252-258. doi: 10.7417/CT.2024.5072.
The right to live with dignity during the final stages of existence, enshrined in national and supranational Charters of Rights, represents a significant step towards humanizing medicine and is integral to the right to health. Palliative Care, rooted in health, dignity, and therapeutic self-determination, has emerged as a fundamental human right and a moral imperative within health systems. It seeks to alleviate suffering, emphasizing the holistic well-being of patients with life-limiting illnes-ses. This paper provides an analysis of the current situation of Palliative Care in Italy and examines its critical aspects, also in relation to the issues found in other European and non-European countries. In Italy, although laws have been enacted to ensure the provision of Palliative Care, its availability remains inconsistent across different regions. Financial constraints and insufficient support hinder the comprehensive dissemination of these services. Recognizing the significance of Palliative Care, the Catholic Church also endorses its implementation as a response to human suffering and an approach to end-of-life care. Efforts to strengthen Palliative Care are critical to meeting the rising demand and ensuring access to compassionate and dignified care for all individuals in need. Through legislative advancements and adequate resources, Italy can make significant strides in advancing the provision of Palliative Care.
在生命末期享有有尊严地生活的权利，被庄严载入国家和超国家的权利宪章，这是朝着医学人性化迈出的重要一步，也是健康权的重要组成部分。姑息治疗根植于健康、尊严和治疗自我决定，已成为卫生系统中一项基本人权和道德义务。它旨在减轻痛苦，强调关注患有绝症的患者的整体福祉。本文分析了意大利姑息治疗的现状，并探讨了其关键方面，也涉及其他欧洲和非欧洲国家发现的问题。在意大利，尽管已经制定了法律来确保姑息治疗的提供，但不同地区的可用性仍然不一致。财政限制和支持不足阻碍了这些服务的全面推广。鉴于姑息治疗的重要性，天主教会也认可将其实施作为对人类痛苦的回应，以及一种临终关怀方法。加强姑息治疗的努力对于满足不断增长的需求以及确保所有有需要的人都能获得同情和有尊严的护理至关重要。通过立法进展和充足的资源，意大利可以在推进姑息治疗的提供方面取得重大进展。
