Transcript ws9_Mosoiu_final

Palliative care in
accessing and new EU
member states
Daniela Mosoiu MD.
Hospice Casa Sperantei
Romania
ROMANIA:
22.408.393
INHABITANTS
238.391 KMP
Joining EU
• 2004 Czech Republic,
Cyprus, Estonia, Hungary,
Latvia, Lithuania, Malta,
Poland Slovakia, Slovenia
• 2007 Bulgaria, Romania
GDP/capita Int$
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Slovenia
Czech Republic
Hungary
Slovakia
Estonia
Lithuania
Poland
Latvia
Bulgaria
Romania
19 600
16 800
14 900
14 500
14 300
12 500
12 000
11 500
8 200
7 700
The World Fact Book
www.cia.gov/cia/publications/factbook/rankorder/20
04rank.html
Human Development Index
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Slovenia
Cyprus
Czech Republic
Hungary
Slovakia
Poland
Estonia
Lithuania
Latvia
Bulgaria
Romania
0.879 (29)
0.873 (30)
0.849 (33)
0.835 (35)
0.835 (36)
0.833 (37)
0.826 (42)
0.808 (49)
0.800 (53)
0.779 (62)
0.775 (63)
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UNDP Report 2002
Ratio of palliative care services/million
population, (2002)
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Estonia1: 0.14m
Slovenia1: 0.32m
Hungary1: 0.37m
Lithuania1: 0.62m
Romania1: 1.07m
Poland1: 0.15m
Bulgaria1: 0.36m
Latvia1: 0.48m
Czech R1: 1.02m
Slovakia1: 1.33m
Source: Clark D, Wright M (2002) Transitions in End of Life Care:
Hospice and Related Developments in Eastern Europe and Central
WHO Recommendations
Education of professionals
• Palliative care recognized as
a medical specialty
/subspecialty:
Poland
Czeck Republic
Romania
Lithuania
Doctors
650
Nurse and nurse assistants
1560
Social workers
66
Home care assistans
143
Psychologists
21
Pharmacists
136
Volunteers
82
Clerics
6
Fundraisers
10
Managers
8
Students
295
International participants
56
Public awareness
Hungary
2000 public campaign raised
awareness with 36%
free TV air time for spots for 2
months
100 billboards across Budapest
Adverts in media
Interviews , charity events
Poland Warsaw-children’s hospice
Funding
• Palliative care free of charge for
the patients
• International grants, fundraising
in the communities
• Through the Insurance system,
government (Poland, Hungary,
Lithuania, Romania, Slovenia,
Bulgaria)
National Policy
• national committees in the
government to address the
issue of palliative care
Poland
Slovenia
Lithuania
Hungary
+/-Romania
Conclusion
• Initiatives and models of good
practice in all the countries
• Services offered mainly for adult
cancer patients, few services for
children
• Development of services not
directly coordonated with
economic indicators
• Low coverage under 5-10%
except Poland
• Funding coming mainly from the
voluntary sector
I will just once pass through
this life. Thus, if I can offer a
little kindness, or do good
even in a small way to a
fellow human being, I
promise to do it now,
without hesitation, because
there will be no second
chance.
William Penn