Barriers to the delivery of palliative care

Graham, F., Kumar, S. and Clark, D. (2010) Barriers to the delivery of palliative care. In: Hanks, G., Cherny, N.I., Christakis, N.A., Fallon, M., Kaasa, S. and Portenoy, R.K. (eds.) Oxford Textbook of Palliative Medicine, 4th ed. Oxford University Press: Oxford, pp. 125-134. ISBN 9780198570295

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The Eurobarometer Survey of the EAPC Task Force on the Development of Palliative Care in Europe is part of a programme of work to produce comprehensive information on the provision of palliative care across Europe Aim: To identify barriers to the development of palliative care in Western Europe Method: A qualitative survey was undertaken amongst boards of national associations, eliciting opinions on opportunities for, and barriers to, palliative care development. By July 2006, 44/52 (85%) European countries had responded to the survey; we report here on the results from 22/25 (88%) countries in Western Europe. Analysis: Data from the Eurobarometer survey were analysed thematically by geographical region and by the degree of development of palliative care in each country. Results: From the data contained within the Eurobarometer, we identified six significant barriers to the development of palliative care in Western Europe: (i) Lack of palliative care education and training programmes (ii) Lack of awareness and recognition of palliative care (iii) Limited availability of/knowledge about opioid analgesics (iv) Limited funding (v) Lack of coordination amongst services (vi) Uneven palliative care coverage. Conclusion: Findings from the EAPC Eurobarometer survey suggest that barriers to the development of palliative care in Western Europe may differ substantially from each other in both their scope and context and that some may be considered to be of greater significance than others. A number of common barriers to the development of the discipline do exist and much work still remains to be done in the identified areas. This paper provides a road map of which barriers need to be addressed.

Item Type:Book Sections
Keywords:Palliative care; barriers; Western Europe
Glasgow Author(s) Enlighten ID:Clark, Professor David
Authors: Graham, F., Kumar, S., and Clark, D.
College/School:College of Social Sciences > School of Interdisciplinary Studies
Publisher:Oxford University Press
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