Vol 14, No 2 (2020)
Research paper
Published online: 2020-04-27

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Postgraduate palliative care education and curricular issues in Central Asia, Eastern and South-Eastern Europe: Results from a quantitative study

Andreas Stähli1, Stephanie Stiel2, Piret Paal3, Stefan Lorenzl4, Frank Elsner5
Palliat Med Pract 2020;14(2):81-88.

Abstract

Introduction. The WHO Europe Office, together with the European Association for Palliative Care, is
supporting the development of an interdisciplinary core curriculum for health care professionals in the
European Region, which is to be given to the countries as a recommendation.
Material and methods. Between April and September 2018, a research journey to Central Asia, Eastern
and South-Eastern Europe took place. It covered two main tasks: collecting quantitative data using a survey
and collecting qualitative data by conducting on-site interviews. This article contains the quantitative
part. Experts in palliative care education in 23 countries were invited to fill out a questionnaire. The data
received from 23 questions were statistically evaluated by IBM SPSS Statistics 25.
Results. 27 surveys received from 21 countries were evaluated. In one-third of the surveyed countries, there
is still no postgraduate training in palliative care. The main barriers to the development of educational work
are limited political interest, followed by limited educational structures, missing curricula, lack of trainers
and the limited healthcare system. For 92.6% of all respondents, a WHO-recommended interdisciplinary
postgraduate core curriculum would help promote palliative care in their country.
Conclusion. There is a high need for postgraduate education in general and the intended core curriculum
in particular. The results of the survey, along with those from the interviews in a later second part of the
publication, are essential for the development of a core curriculum.

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References

  1. Elsner F, Centeno C, Ellershaw JE. Early integration needs early education. Palliat Med. 2016; 30(9): 805–806.
  2. Stjernswärd J, Foley KM, Ferris FD. The public health strategy for palliative care. J Pain Symptom Manage. 2007; 33(5): 486–493.
  3. Callaway MV, Connor SR, Foley KM. World Health Organization Public Health Model: A Roadmap for Palliative Care Development. J Pain Symptom Manage. 2018; 55(2S): S6–SS13.
  4. The International Association for Hospice and Palliative Care. Palliative Care Definition. 2018. https://hospicecare.com/what-we-do/projects/consensus-based-definition-of-palliative-care/definition/ (7 January 2019).
  5. Council of Europe. Recommendation Rec (2003) 24 of the Committee of Ministers to member states on the organisation of palliative care. 2003. https://www.coe.int/t/dg3/health/Source/Rec(2003)24_en.pdf. (21 February 2019).
  6. Gómez-Batiste X, Connor S. Building Integrated Palliative Care Programs and Services. 2017Accessed date. http://www.thewhpca.org/resources/building-integrated-palliative-care-programs-andservices. (21 February 2019).
  7. aal P, Brandstötter C, Lorenzl S, Larkin P, Elsner, F. Post-graduate palliative care education for all healthcare providers in Europe: Results from an EAPC survey. Palliative & Supportive Care. 2019. https://www.cambridge.org/core/journals/palliative-and-supportive-care/article/postgraduate-palliative-care-education-for-all-healthcare-providers-in-europe-results-from-an-eapc-survey/FC6BF1D1EF523C47E3EEA1C7887238B9 (15 February 2019).
  8. Head BA, Schapmire T, Earnshaw L, et al. Evaluation of an Interdisciplinary Curriculum Teaching Team-Based Palliative Care Integration in Oncology. J Cancer Educ. 2016; 31(2): 358–365.
  9. Head BA, Schapmire T, Hermann C, et al. The Interdisciplinary Curriculum for Oncology Palliative Care Education (iCOPE): meeting the challenge of interprofessional education. J Palliat Med. 2014; 17(10): 1107–1114.
  10. Wee B, Hughes N. eds. Education in Palliative Care. Building a Culture of Learning. Oxford University Press, Oxford, UK 2007.
  11. Gamondi C, Larkin P, Payne S. Core competencies in palliative care: an EAPC White Paper on palliative care education – part 2. European Journal of Palliative Care. 2013; 20(3): 140–145.
  12. Macmillan K, Kashuba L, Emery B. Organization and support of the interdisciplinary team. In: Bruera R, Higginson I, von Guten CF, Morita T. ed. Textbook of Palliative Medicine and Supportive Care. 2nd. CRC Press, Boca Raton FL 2016: 251–256.
  13. Reeves S, Pelone F, Harrison R, et al. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017; 22(6): CD000072.
  14. The 2015 Quality of Death Index Ranking palliative care across the world. A report by The Economist Intelligence Unit. https://eiuperspectives.economist.com/sites/default/files/2015%20EIU%20Quality%20of%20Death%20Index%20Oct%2029%20FINAL.pdf. (15 February 2019).
  15. Sleeman KE, de Brito M, Etkind S, Nkhoma K, Guo P, Higginson IJ, Gomes B, Harding R. The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. . https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(19)30172-X/fulltext. (13 June 2019).
  16. Connor SR. Sepulveda Bermedo MC. Global atlas of palliative care at the end of life. Worldwide Palliative Care Alliance, London, UK 2014.
  17. Arias-Casais N, Garralda E, Rhee JY, Lima L. de, Pons JJ, Clark D, Hasselaar J, Ling J, Mosoiu D, Centeno C. EAPC Atlas of Palliative Care in Europe 2019. EAPC Press, Vilvoorde 2019.
  18. Centeno C, Lynch T, Garralda E, et al. Coverage and development of specialist palliative care services across the World Health Organization European Region (2005-2012): Results from a European Association for Palliative Care Task Force survey of 53 Countries. Palliat Med. 2016; 30(4): 351–362.
  19. Ziyaev Y, Tillyashaykhov M, Abdujapparov S, et al. Palliative care as a part of national cancer control plan in Uzbekistan. Annals of Oncology. 2017; 28: x145–x146.
  20. Abidjanova N. Palliative Care Development in Tajikistan. J Pain Symptom Manage. 2018; 55(2S): S81–S84.
  21. Mukambetov A, Sabyrbekova T, Asanalieva L, et al. Palliative Care Development in Kyrgyzstan. J Pain Symptom Manage. 2018; 55(2S): S41–S45.
  22. Kunirova G, Shakenova A. Palliative Care in Kazakhstan. J Pain Symptom Manage. 2018; 55(2S): S36–S40.
  23. Papikyan A, Connor SR, Amiryan D. Development of Palliative Care in Armenia. J Pain Symptom Manage. 2018; 55(2S): S19–S24.
  24. Kiknadze N, Dzotsenidze P. Palliative Care Development in Georgia. J Pain Symptom Manage. 2018; 55(2S): S25–S29.
  25. Alleviating the access abyss in palliative care and pain relief – an imperative of universal health coverage: the Lancet Commisson report. 2018. https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)32513-8.pdf. (21 February 2019).
  26. Thomas PA, Kern DE. Internet resources for curriculum development in medical education: an annotated bibliography. J Gen Intern Med. 2004; 19(5 Pt 2): 599–605.
  27. Radbruch L, Payne S, et al. White Paper on standards and norms for hospice and palliative care in Europe: part 2. European Journal of Palliative Care. 2010; 17(1): 22–33.
  28. Gamondi C, Larkin P, Payne S. Core competencies in palliative care: an EAPC White Paper on palliative care education - part 1. European Journal of Palliative Care. 2013; 20(2): 86–91.
  29. Ferrel BR. ed. Spiritual, Religious, and Cultural Aspects of Care. Oxford University Press, New York, US 2016.
  30. Cruz-Oliver DM, Little MO, Woo J, Morley JE. End-of-life care in low- and middle-income countries. 2017 . https://www.who.int/bulletin/volumes/95/11/16-185199.pdf?ua = 1 (21 February 2019).



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