Palliative care in public policy: results from a global survey

Clelland, D., van Steijn, D., Whitelaw, S. , Connor, S., Centeno, C. and Clark, D. (2020) Palliative care in public policy: results from a global survey. Palliative Medicine Reports, 1(1), pp. 183-190. (doi: 10.1089/pmr.2020.0062) (PMID:32954376) (PMCID:PMC7497719)

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Abstract

Background: Public policy has been a foundational component of the World Health Organization public health model for palliative care development since 1990. There is, however, limited evidence on the existence and character of palliative care policy at the country level. Objective: To identify, report on, and map the presence of national palliative care strategies, plans, legislation, and dedicated government resources in 198 countries. Design: An online survey generated 2017 data on indicators of national policy for palliative care. Subjects: In-country experts on palliative care. Measurements: The survey included specific questions on the existence and status of national strategies or plans, recognition of palliative care in national law, and dedicated government support. Results: Fifty-five countries have a national strategy or plan for palliative care of some sort, though levels of implementation vary. Forty-seven countries have some reference to palliative care in national law, and 24 have some form of stand-alone national law on palliative care provision or recognize it as a right in the constitution. Sixty-six countries have a dedicated section within government with responsibility for palliative care. Conclusions: There is a long way to go before palliative care around the world is universally supported by public policy intentions that will support its required development.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Clark, Professor David and Clelland, Mr David and Whitelaw, Dr Alexander
Authors: Clelland, D., van Steijn, D., Whitelaw, S., Connor, S., Centeno, C., and Clark, D.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Journal Name:Palliative Medicine Reports
Publisher:Mary Ann Liebert
ISSN:2689-2820
ISSN (Online):2689-2820
Published Online:15 September 2020
Copyright Holders:Copyright © 2020 David Clelland et al.
First Published:First published in Palliative Medicine Reports 1(1): 183-190
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
170345Interventions at the end of life: social, historical and comparative analysis to promote global improvement.David ClarkWellcome Trust (WELLCOTR)103319/Z/13/ZIS - Interdisciplinary Studies