2015
DOI: 10.1097/01.j.pain.0000460349.23083.0b
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Palliative care and pain treatment in the global health agenda

Abstract: The Global Atlas of Palliative Care at the End of Life, published by the Worldwide Palliative Care Alliance (WPCA) jointly with the World Health Organization (WHO) estimated that every year >20 million patients need palliative care (PC) at the end of life. Six percent of these are children. According to the Atlas, in 2011, approximately 3 million patients received PC and only 1 in 10 people in need is currently receiving it. Although most PC is provided in high-income countries (HIC), almost 80% of the global … Show more

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Cited by 15 publications
(14 citation statements)
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“…18,19 However, for palliative care and pain treatment strategies to be effective, they must be incorporated by governments into all levels of their health care systems. 20 Effective pain management is subject to the availability of appropriate medicines, policies, educational frameworks, and evidence. 21 For example, the World Health Organization (WHO) recommends morphine as the primary analgesic for the treatment of moderate-tosevere pain.…”
Section: Introductionmentioning
confidence: 99%
“…18,19 However, for palliative care and pain treatment strategies to be effective, they must be incorporated by governments into all levels of their health care systems. 20 Effective pain management is subject to the availability of appropriate medicines, policies, educational frameworks, and evidence. 21 For example, the World Health Organization (WHO) recommends morphine as the primary analgesic for the treatment of moderate-tosevere pain.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, the institutional barriers interpreted by the lack of agreements or contracts between insurers and providers, causes loss of opportunity in care, collapsed services, limitation of medical autonomy and partial resolution of health problems. This means that finally patients only manage to be candidates for palliative care, and that those who receive it sometimes are incompletely and inappropriately independent of the social security system to which they belong 30,36 .…”
Section: Discussionmentioning
confidence: 99%
“…Contrary to the first myth, evidence shows that PC has major implications for the well-being of patients, their families, and practitioners ( 4 , 5 , 9 , 18 – 25 ). PC is an interdisciplinary field that seeks to prevent and relieve the multifaceted suffering that critically ill patients and their families experience as a result of acute, chronic, life-limiting, and life-threatening conditions.…”
Section: Resistance To Pc In the Icumentioning
confidence: 95%
“…Despite the overwhelming evidence of its effectiveness, the vast majority of children who require PPC never receive it ( 10 , 44 ); in part, this is because nearly 98% of pediatric patients who have PC needs come from low-middle income countries (LMICs) where it is simply not available ( 10 ). While many of these patients receive treatment directed at the disease, few receive concomitant PC ( 24 , 25 ). Overall, around 6.3 million children requiring PPC die annually, but only about 10% of them receive the attention they need ( 10 ).…”
Section: Ppc Across the Global Southmentioning
confidence: 99%