Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

Central Asian Palliative Care Policy Meeting:Scope and purpose

March 8th, 2011

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Institut Català d’Oncologia

Qualy EoL Observatory

Support Cat & Spain MoHLa Caixa

Project

WHOCC / Qualy

WHO CC

Research evaluation services

WHO CC

EducationTraining Unit

Clinical ServiceICO

OtherPartners

Institut Català d’Oncologia

MISSION

The mission of the WHO CC is to promote and extend the WHO Public Health approach for Palliative Care, elaborating and disseminating knowledge and cooperation

Institut Català d’Oncologia

Main issue: Palliative Care as an

element of the National Health Care

System

Institut Català d’Oncologia

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

• Help country representatives to design and start (and evaluate) Palliative Care Programs and Services

• Build up Programs and Services with a Public Health vision and values

• Start (or continue) benchmark process of cooperation between

General Objectives

Institut Català d’Oncologia

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

• Design the elements of a National Plan

• Answer questions and dilemmas in the implementation

• Build up an action Plan for every aspect for 1-2 years

Specific Objectives

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- Clear leadership and aims - Needs and Context Assessment - Clear model of care and intervention and definition of the target patients- General measures in conventional services (Specially Primary Care)- Specialist services in settings - Sectorized networks with coordination, continuing and emergency care - Education and training at all levels - Research Planning- Availability and accessibility of opioids and essential drugs- Legislation, standards, budget and models of funding and purchasing - Evaluation and improvement of quality- Evaluation of results, indicators- Action plans at short, mid and long term- Advocacy- Social implication: volunteers, social involvement in the cultural, social and ethical debates around the end of life

Program: will follow the elements of a National Program

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

Combination of:

• Lectures, answer questions and dilemmas in the implementation

• Exercises / Workshops

Methodology

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

1. Introductory short lecture

2. Select a moderator

3. Select a reporter

4. Select the topics

Methodology: Workshops & exercises -1

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

5. List of topics

6. Difficulties and dilemmas identified

7. List 5 actions for 2 years

Methodology Workshops & exercises -2: Written Outcome

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

8. Expose to plenary

9. Discussion

Methodology Workshops & exercises – 3: final

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The main outcome of this meeting is achieving better quality of life for patients in 1-2 years in your countries and to insert palliative care in your systems

Institut Català d’Oncologia

Old people with chronic and advanced disease….

Young people with advanced disease….

Institut Català d’Oncologia

Institut Català d’Oncologia

Thank you all for coming!!!

Building capacity!!!

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

.

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

ICO l’HospitaletHospital Duran i ReynalsGran Via de l’Hospitalet, 199-20308908 l’Hospitalet de Llobregat

Institut Català d’Oncologia

Institut Català d’Oncologia

International Palliative Care Initiative1998--

• Vision: Palliative care is available for all patients with life-limiting illness across all care settings.

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• Mission: To improve the care of patients and families facing life-limiting illness by supporting global and national policies to integrate palliative care into public healthcare systems. IPCI will advance its work through grantmaking, capacity building, strategic convening, advocacy, mobilizing, and leveraging funding in order to build the field of palliative care.

International Palliative Care Initiative

Institut Català d’Oncologia

International Palliative Care Initiative

• IPCI’s geographical focus is Central and Eastern Europe, Former Soviet Union, Southeast Asia, Southern Africa, East Africa, Central Asia, Latin America, and the Middle East.

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WHO Public Health Model

• A government policy to ensure the integration of palliative care into the structure and financing of national health care systems

• An educational policy to provide support for the training of health care professionals, volunteers and the public

• A drug policy to ensure the availability of essential medicines for the management of pain and other symptoms and psychological distress, in particular, opioid analgesics for pain relief.

Institut Català d’Oncologia

International Palliative Care Initiative

• Global organizations, GAPRI, PPSG, WPCA• Regional palliative care associations, EAPC,

APCA, APHN• Pilot programs in cancer and AIDS centers• Development of palliative care curriculum in

medical and nursing schools • Legal framework analysis• Financial analyses