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DOI: 10.1055/s-0030-1266142
Europäische Empfehlungen zur Palliativversorgung und Hospizarbeit und ihre Umsetzung in Deutschland
European Recommendations for Palliative and Hospice Care and their Implementation in GermanyPublication History
Publication Date:
01 July 2011 (online)
Zusammenfassung
Die European Association for Palliative Care hat im Jahr 2007 die Budapest Commitments initiert. Die Entwicklung der Charta zur Betreuung schwerstkranker und sterbender Menschen in Deutschland stellt den deutschen Beitrag zu den Budapest Commitments dar. In dieser Arbeit wird die internationale Dimension der Charta vorgestellt. Im Vergleich mit den Empfehlungen des Europarates fehlen in Deutschland vor allem einheitliche politische Vorgaben und Strategien zur Palliativversorgung und Hospizarbeit. Vor allem Tumorpatienten finden Zugang zur Palliativversorgung, während die Versorgung von anderen Patientengruppen unzureichend ist. In einem Report an das Europäische Parlament (Martin-Moreno-Report) steht Deutschland an 8. Stelle im Vergleich der Europäischen Länder, wobei die Dynamik der Entwicklung in Deutschland hoch bewertet wird.
Abstract
The European Association for Palliative Care has initiated the Budapest Commitments in the year 2007. The Charta for Care of Severely Ill and Dying Patients in Germany is the German contribution to the Budapest Commitments. This paper presents the international dimension of the Charta. In comparison with the recommendations of the Council of Europe Germany lacks political input and strategies for palliative and hospice care. Access to palliative care is restricted mostly to cancer patients, whereas other patient groups find it much harder to find access. In the Martin Moreno Report to the European Parliament Germany was ranked 8th in comparison with other European countries, with a particular positive evaluation of the dynamics of the development.
Schlüsselwörter
Budapest Commitments - Europäische Empfehlungen - Organisation der Versorgung
Keywords
Budapest Commitments - European Recommendations - Organisation of Care
Literatur
- 1 Fürst C J, De Lima L, Praill D et al. An update on the Budapest Commitments. European Journal of Palliative Care. 2009; 16 22-25
- 2 Radbruch L, Foley K, De Lima L et al. The Budapest Commitments: setting the goals A joint initiative by the European Association for Palliative Care, the International Association for Hospice and Palliative Care and Help the Hospices. Palliat Med. 2007; 21 269-271
- 3 Deutsche Gesellschaft für Palliativmedizin, Deutscher Hospiz- und Palliativverband, Bundesärztekammer .Charta zur Betreuung schwerstkranker und sterbender Menschen in Deutschland. http://www.charta-zur-betreuung-sterbender.de/tl-files/documente/charta-08-09-2010.html 2010
- 4 Council of Europe .Recommendation Rec(2003)24 of the Committee of Ministers to member states on the organisation of palliative care, . http://www.coe.int/t/dg3/health/Source/Rec(2003)24_en.pdf 2003 Abrufdatum: 28.7.2009, 2009
- 5 Gomez-Batiste X, Porta-Sales J, Pascual A et al. Catalonia WHO palliative care demonstration project at 15 Years (2005). J Pain Symptom Manage. 2007; 33 584-590
- 6 Wright M, Clark D. The development of pediatric palliative care in Warsaw, Poland. European Journal of Palliative Care. 2003; 10 120-123
- 7 Martin Moreno J M, Harris M, Gorgojo L et al. Palliative care in the European Union (2008), . http://www.europarl.europa.eu/activities/committees/studies/download.do?file=21188
- 8 Parliamentary Assembly of the Council of Europe .Palliative care: a model for innovative health and social policies. Report of the Social, Health and Family Affairs Committee (2009). http://assembly.coe.int/Documents/AdoptedText/ta09/ERES1649.htm Abrufdatum: 7.1.2011, 2011
- 9 Economist Intelligence Unit .The quality of death. Ranking end-of-life care across the world (2010),. http://www.eiu.com/sponsor/lienfoundation/qualityofdeath 2011
1 http://www.dgpalliativmedizin.de/pdf/41007%20Rec%20(2003)%2024%20Deutsch.pdf
2 http://www.dohc.ie/publications/national_advisory_committee_on_palliative_care.html
3 http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_086345.pdf
4 http://www.netwerkpalliatievezorg.nl/Denetwerken/tabid/54/Default.aspx
5 http://www.nice.org.uk/nicemedia/pdf/csgspmanual.pdf
6 http://www.zonmw.nl/nl/onderwerpen/alle-programma-s/palliatieve-zorg
7 http://www.eapcnet.org/projects/EPSO.html
8 http://www.kenniscentrapalliatievezorg.nl
9 http://www.eapcnet.org/projects/FamilyCarers.html
11 http://www.health.vic.gov.au/palliativecare/archive/palcare-plan-guide1104.pdf
12 http://www.childhoodbereavementnetwork.org.uk/haad_teachers.htm
13 http://www.europarl.europa.eu/activities/committees/studies/download.do?file=21421
Prof. Dr. Lukas Radbruch
Klinik für Palliativmedizin
Universitätsklinikum Bonn
Siegmund-Freud-Straße 25
53127 Bonn
Email: lukas.radbruch@malteser.org