2019
DOI: 10.1016/j.jpainsymman.2018.12.007
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A Life or “Good Death” Situation? A Worldwide Ecological Study of the National Contexts of Countries That Have and Have Not Implemented Palliative Care

Abstract: Context: Palliative Care advocates argue that service implementation is feasible in all settings. Yet, services have developed patchily in low and middle-income settings. Beyond Human Development Index indicators, there has been limited engagement with the broader development challenges facing nations tasked with implementing palliative care. Objective: To describe how indicators of national development relate to levels of palliative care services in 207 countries around the world. Methods: Ecological study to… Show more

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Cited by 13 publications
(12 citation statements)
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References 17 publications
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“…With a few exceptions, views about optimal palliative care provision originate in the Global North, where they are frequently seen as a ''gold standard'' which can somehow be ''rolled out'' to the Global South, subject only to appropriate resources being made available for implementation. 30,31 The veracity of this assumption has to be brought into question by the evidence shown here of slow progress in palliative care development in the poorer countries of the world. Although we continue to applaud efforts to ensure that no one should be left behind in the development of robust palliative care systems, our data might also provoke a debate on whether current global health strategies for palliative care are working.…”
Section: Discussionmentioning
confidence: 99%
“…With a few exceptions, views about optimal palliative care provision originate in the Global North, where they are frequently seen as a ''gold standard'' which can somehow be ''rolled out'' to the Global South, subject only to appropriate resources being made available for implementation. 30,31 The veracity of this assumption has to be brought into question by the evidence shown here of slow progress in palliative care development in the poorer countries of the world. Although we continue to applaud efforts to ensure that no one should be left behind in the development of robust palliative care systems, our data might also provoke a debate on whether current global health strategies for palliative care are working.…”
Section: Discussionmentioning
confidence: 99%
“…Palliative care advocates argue that service implementation is feasible in all settings. Yet, services have developed patchily in lowand middle-income settings (Clark, Barnes, Campbell, & Gardiner, 2019). Taiwan as a part of China first developed hospice and palliative care and has been actively promoting it through legislation and various initiatives since 2000 (Chen, Hu, Two, & Chiu, 2019).…”
mentioning
confidence: 99%
“…Un artículo fue publicado previo al modelo de salud pública de la OMS (16). Los 19 restantes incluyen elementos del modelo de salud pública de la OMS y este es mencionado de modo explícito como una plataforma para la creación de la estrategia de evaluación del desarrollo en cuidados paliativos en nueve artículos (17,(27)(28)(29)(30). Dos artículos han evaluado el desarrollo en África (19,24), uno en Latinoamérica (28), uno en Asia (31), seis en Europa (16-18,23,26,29) y diez son de carácter global (20)(21)(22)25,27,30,(32)(33)(34)(35).…”
Section: Resultsunclassified
“…En los 20 artículos se identificaron 15 estrategias de evaluación, ya que el Índice de Calidad de Muerte consta de dos versiones a la fecha (33,34) y la metodología de evaluación propuesta por Clark et al (30) aparece en cinco artículos (19,(20)(21)(22)25). Estas dos propuestas han sido actualizadas y modificadas por lo cual no son comparables y podrían considerarse también de modo independiente.…”
Section: Resultsunclassified