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Palliative Care Services in Settings & demographic scenarios

. OSI/WHOCC Workshop 4. Palliative Care Services in Settings & demographic scenarios. Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center for Public Health Palliative Care Programs. Implementing Palliative Care Specialist Services.

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Palliative Care Services in Settings & demographic scenarios

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  1. . OSI/WHOCC Workshop 4 PalliativeCareServices in Settings & demographicscenarios Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center forPublicHealthPalliativeCarePrograms ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  2. Implementing Palliative Care Specialist Services ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  3. Specific Resources / settings Hospices Acute Hospitals Mid term and long term, RHB, (Sociohealth Centers) Nursing homes Units Support teams Outp’s / Day care Community / home

  4. Types of services and Levels of complexity Reference: complexity+ training+ research Complete teams Units Basic suport teams (home, hospitals, comprehensive) Transitional measures: individual Specialist nurses or consultants General measures in conventional Services (Hospitals, Primary care, Nursing homes, Emergencies, etc)

  5. Standards of specific resources • 1 supportteam at home / 100.000 h • 80-100 beds / milion habitants • (10-20% acute, 40-60% midterm, 20-30% nursing homes) • 20-25 full time doctors / milion habitants • 1 teamavailable in every hospital (units in teaching) • Models of organisationadapted to demographicscenarios: metropolitans, intermediate, or small sectors < 100.000 • Models in specificresources(cancerinstitutes, nursinghomes, etc) XGB 2005, WHOCC, 2008 ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  6. Implementation strategies of services:initial phases To create a nucleus of solid experiences Combine different types: home, hospital, cancer, geriatric,…. Based in feasibility: active leaders, institutional comittment, …. Cathalitic measures: support teams, transitional, … Define services before starting implementation

  7. Models of organisation in demographic and geographic scenarios ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  8. ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  9. Rural Urban Rural-urban Metropolitan Demographic and settingscenarios • Settings • Demographic Adapt the organisation to needs and contexts ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes Primary/community care Nursing homes Longterm / intermediate Hospitals: district general, university Cancer Institutes

  10. Exercise • Select one setting in your country • Discuss the models of organization of palliative care services in that setting ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

  11. . The ‘Qualy’ End of Life Care Observatory WHO Collaborating Centre for Public Health Palliative Care Programmes whocc.info@iconcologia.net +34 93 260 77 36 Institut Català d’Oncologia ICO l’Hospitalet Hospital Duran i Reynals Gran Via de l’Hospitalet, 199-203 08908 l’Hospitalet de Llobregat ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

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