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Palliative care in accessing and new EU member states

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.

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Palliative care in accessing and new EU member states

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  1. Palliative care in accessing and new EU member states Daniela Mosoiu MD. Hospice Casa Sperantei Romania

  2. ROMANIA: 22.408.393INHABITANTS 238.391 KMP

  3. Joining EU • 2004 Czech Republic, Cyprus, Estonia, Hungary, Latvia, Lithuania, Malta, Poland Slovakia, Slovenia • 2007 Bulgaria, Romania

  4. GDP/capita Int$ • Slovenia 19 600 • Czech Republic 16 800 • Hungary 14 900 • Slovakia 14 500 • Estonia 14 300 • Lithuania 12 500 • Poland 12 000 • Latvia 11 500 • Bulgaria 8 200 • Romania 7 700 The World Fact Book www.cia.gov/cia/publications/factbook/rankorder/2004rank.html

  5. Human Development Index • Slovenia 0.879 (29) • Cyprus 0.873 (30) • Czech Republic 0.849 (33) • Hungary 0.835 (35) • Slovakia 0.835 (36) • Poland 0.833 (37) • Estonia 0.826 (42) • Lithuania 0.808 (49) • Latvia 0.800 (53) • Bulgaria 0.779 (62) • Romania 0.775 (63) • UNDP Report 2002

  6. Ratio of palliative care services/million population, (2002)  • Estonia1: 0.14m Poland1: 0.15m • Slovenia1: 0.32m Bulgaria1: 0.36m • Hungary1: 0.37m Latvia1: 0.48m • Lithuania1: 0.62m Czech R1: 1.02m • Romania1: 1.07m Slovakia1: 1.33m Source: Clark D, Wright M (2002) Transitions in End of Life Care: Hospice and Related Developments in Eastern Europe and Central Asia. Buckingham: Open University Press

  7. WHO Recommendations

  8. Education of professionals • Palliative care recognized as a medical specialty /subspecialty: Poland Czeck Republic Romania Lithuania

  9. 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

  10. 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)

  11. National Policy • national committees in the government to address the issue of palliative care Poland Slovenia Lithuania Hungary +/-Romania

  12. 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

  13. 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

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