COUNTRY PROFILE -POSTER CONTENT -QUESTIONNAIRE

Prepared by prof. Jacek Luczak (based on D Clark/M Wright with J Luczak: Transition in End of Life Care, 2003)

To all country delegates who would like to present the poster of their country profile at the European PC Belgrade Conference 20-21, October 2005

As a person responsible for the second day event-a poster session

1 I would like ask you to prepare a poster ( 120x90 cm) which will include the followed data according to the content of the Country Profile (see below). Data of every country can be presented on the one poster
2.I will be very obliged if every delegate responsible for preparation of the poster bring at the European PC Conference in Belgrade also filled up the questionnaire(see below) printed and if possible on the floppy disc it should be send also to my e mail
Jacek Luczak e-mail<jackluk@kki.net.pl> ;jacek.luczak@oncology.am.poznan.pl,
Hospice Pallium ,Oś Rusa 25 A, 61`-245 Poznan tel/fax +48 618769869

 A. General data and Epidemiology
Country area, population
Epidemiological data (all yearly):

• number of new cancer cases,
• death rate: all cases,
• from chronic illness,
• from cancer,
• death rate for children and adolescents:
• Life expectancy:
• males
• females
• Number of patients > 65 years (%) (if possible)
• Were the patients die (number, %):
• at home, (if possible)
• in hospital (if possible)

B.Hospice/palliative care

5. When,were hospice and palliative care services set up?

 6. Current hospice services provision :
6.1 How many services there are
6.2 Types of services
6.2.1 home care
6.2.2 outpatients services
6.2.3 hospital supporting team
6.2.4 in patients units and number of hospice beds
6 .2.5 day care centres 3. a) public (NHS) b) non-public NGOs

• What is the coverage (yearly)?
• All together
• patients used Palliative /Hospice care (number of patients )
• Proportion of cancer and non-cancer cases

7. Palliative/hospice care organizations yes(name), no

8. Availability of National guidelines, standards concerning palliative /hospice care (yes, no)

9. Availability of National guidelines, standards concerning pain management: ( yes, no) 

10. Availability of National policy on organization of palliative/hospice care (yes , no)

 11. Availability of important WHO recommended opioids:
11. 1.does oral immediate release morphine is available (yes, no), free of charge (yes no)
11.2.other strong opioids (name, oral, injectable, patches) : free of charge for patients (yes no)
11.3 maximal amount of strong opioid which doctor can prescribe on single prescription weekly,
11.4 does every doctor can prescribe opioids (yes , no -give details )

 12. Education in palliative care/medicine:
12.1 undergraduate ( yes no)
12.2 postgraduate ( yes no)
12.3 for specialist in palliative care ( yes no)
12.4 public education ( yes no)

 13. Level of development palliative/hospice care

 14. What is the legislative framework (separate bill, included in other health acts)

 15. How the services are funded /paid

 16. Factors that help and support

 17. What help would make the greatest difference to your plans

 18. Factors that limit or impede

 19. Plans for future development - short term, medium term and long term.

 20. Is the Council of Europe recommendation Rec (2003)24 on the organisation of palliative care:

20.1 translated into national language

20.2 known and disseminated in English

20.2 known in English but not widely disseminated

 21. Comments

Thank you very much for responding!