Table 2 Identified indicators for the assessment of palliative care integration into health systems and rating
Field | Indicator | Global Score |
|---|---|---|
Pediatrics | Vitality of pediatric palliative care associations | 9.4 |
Inclusion of PPC components in pediatrics curricula of specialization for doctors and nurses | 9.2 | |
Existence of a PPC representative at the national PC association and vice versa | 9.2 | |
Number and type of pediatric palliative care (PPC) services | 9.1 | |
Availability of PPC training for neonatologists | 9.1 | |
Existence of at least one national PPC association | 9.1 | |
Number of specialized PPC consultants | 8.8 | |
Existence of national standards and norms for the provision of PPC | 8.7 | |
Existence of perinatal PC reference centers | 8 | |
Existence of policies regulating pediatrics palliative care provision (P) | 7.7 | |
Primary care | Percentage of PC patients identified at the primary care level | 8 |
Time before death receiving PC at the primary care level | 7.9 | |
Teaching of primary care PC components in the GP’s resident curricula | 7.8 | |
Existence of incentives to promote early identification of PC patients at the primary care level (P) | 7.4 | |
Teaching of primary care PC components to medical students | 7.3 | |
Long-term care facilities | Existence of official documents regulating PC provision in LTCF (P) | 9.1 |
Collaboration frequency between PC teams and LTCFs (estimate) | 9 | |
Participation in international research projects assessing PC provision at LTCFs | 8 | |
Existence of publications regarding PC provision at LTCFs | 7.9 | |
Existence of PC training programs for staff working at LTCF | 7.8 | |
Fund allocation for the provision of PC at LTCFs | 7 | |
Volunteering | Existence of training programs for PC volunteers | 9.7 |
Existence of a volunteers representative at the national PC association | 9.6 | |
Number of PC volunteers | 8.8 | |
Existence of data collection systems to track volunteers activity | 8.7 | |
Number of volunteer hospices | 8.6 | |
Availability of government funding to cover volunteering activities (P) | 8 | |
Existence of compassionate communities | 7.6 | |
Cardiology | Existence of pioneering cardiology services providing PC | 10 |
Number of PC topics in national cardiology congresses and vice-versa. | 10 | |
Number of publications regarding PC provision in cardiology services | 8.6 | |
Existence of specific PC protocols for cardiology services (P) | 7.6 | |
Frequency of collaboration between PC and cardiology services | 7 | |
Existence of periodical meetings between the national PC and cardiology association | 7 |