The Prague Charter: Urging governments to relieve suffering and ensure the right to palliative care

Radbruch, Lukas; Lima, Liliana De; Lohmann, D; Gwyther, Elizabeth; Payne, Sheila

doi:10.1177/0269216312473058

Cited by 62 publications

(45 citation statements)

References 3 publications

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“…This type of care may be needed over weeks or even months and there is growing recognition that provision should be for all, irrespective of age or diagnosis (Radbruch et al, 2013). The provision of specialist endof-life care or palliative care varies across countries: what is more consistent is the extensive depth and breadth of volunteer involvement (Wright et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Does involving volunteers in the provision of palliative care make a difference to patient and family wellbeing? A systematic review of quantitative and qualitative evidence

Candy

Low

Sampson

2015

International Journal of Nursing Studies

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Further research is needed to ensure the resource of volunteers in palliative care is used appropriately and effectively. Evaluation in well-designed comparative studies is recommended including economic analyses, as are further qualitative studies to explore the roles, benefits and possible adverse effects of volunteers. Evaluation is particularly needed outside of North America and in dedicated hospice facilities.

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Section: Introductionmentioning

confidence: 99%

Does involving volunteers in the provision of palliative care make a difference to patient and family wellbeing? A systematic review of quantitative and qualitative evidence

Candy

Low

Sampson

2015

International Journal of Nursing Studies

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“…Concomitantly with the law on euthanasia, a law was enacted to ensure universal access to professional multidisciplinary palliative care (Bernheim et al 2008). This law made palliative care a citizen"s right, anticipating the Prague charter that was recently proposed by the European Association for Palliative care (EAPC) (Radbruch, de Lima, Lohmann, Gwyther, & Payne, 2013). The total Belgian federal expenditure for palliative care, including the national health-insurance expenditure, has grown consistently by an annual average of almost 10 % since the regulation of physician-assisted dying (Figure 1 (Centeno et al, 2007) b source: Briefing paper from the EAPC (Chambaere et al, 2011b) The per capita values of the indicators and the rankings of the countries are shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

State of Palliative Care Development in European Countries with and without Legally Regulated Physician-Assisted Dying

Bernheim¹,

Chambaere²,

Theuns³

et al. 2014

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-In 2002 physician-assisted dying was legally regulated in the Netherlands and Belgium. Besides fundamental and ethical objections to physician-assisted dying, one of the frequently expressed pragmatic concerns is that legal regulation of physician-assisted dying, as implemented in the Netherlands and Belgium, could stunt the development of palliative care and erode its culture of competent and compassionate care. We here review these controversies and test the hypothesis that legal physician-assisted dying impeded the development of palliative care in the Netherlands and Belgium.We collected the data over time on the funding of palliative care in Belgium. Next, using the data of the European Association for Palliative Care"s 2007 Atlas of Palliative Care, we compared the state of development of palliative care in Western-European countries with and without legally regulated physician-assisted dying.In Belgium, government expenditure for palliative care grew consistently by a yearly average of 10% over the 5 years following legal regulation of physician-assisted dying. As assessed in 2005, palliative care development in the Netherlands and Belgium did not lag behind Western-European countries without legally regulated physician-assisted dying, and was close to on a par with the UK, the benchmark country.In conclusion, the hypothesis that legal regulation of physician-assisted dying stunts the development of palliative care is not supported by the Belgian and Dutch experience of the first several years. Continued monitoring of both permissive and non-permissive countries is needed to assess possible longer-term effects.Keywords -Development of palliative care, jurisdictions with and without legal physician-assisted dying, the Netherlands, Belgium, European countries.

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“…8 The Prague Charter, a public campaign developed by the EAPC in alliance with other NGOs and civil society calling on governments to take the steps to ensure access to PC and its recognition as a human right. 17 Based on the above and other declarations, reports, and recommendations from international civil society organizations 13,15,20,21,32 and Human Rights organizations, 5,6,12 the PC obligations that member states have can be summarized as follows:…”

Section: Montreal Declarationmentioning

confidence: 99%

Palliative care and pain treatment in the global health agenda

Lima

2015

Pain

Self Cite

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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 need is in low- and middle-income countries (LMIC). Only 20 countries have PC well integrated into their health-care systems. In regards to opioids, >5 billion people (83% of the world's population) live in countries with low to nonexistent access, 250 million (4%) have moderate access, and only 460 million (7%) have adequate access. In order for PC and pain treatment strategies to be effective, they must be incorporated by governments into all levels of their health care systems. In 1990, the WHO pioneered a public health strategy to integrate PC into existing health care systems which includes four components: (1) appropriate policies, (2) adequate availability of medications, (3) education of health care workers and the public, and (4) implementation of PC services at all levels throughout the society. This topical review describes the current status of the field, and presents several initiatives by United Nations (UN) organizations and the civil society to improve access to PC and to pain treatment for patients in need.

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The Prague Charter: Urging governments to relieve suffering and ensure the right to palliative care

Cited by 62 publications

References 3 publications

Does involving volunteers in the provision of palliative care make a difference to patient and family wellbeing? A systematic review of quantitative and qualitative evidence

Does involving volunteers in the provision of palliative care make a difference to patient and family wellbeing? A systematic review of quantitative and qualitative evidence

State of Palliative Care Development in European Countries with and without Legally Regulated Physician-Assisted Dying

Palliative care and pain treatment in the global health agenda

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