RT Journal Article
T1 Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases.
A1 Tziraki, Chariklia
A1 Grimes, Corrina
A1 Ventura, Filipa
A1 O'Caoimh, Rónán
A1 Santana, Silvina
A1 Zavagli, Veronica
A1 Varani, Silvia
A1 Tramontano, Donatella
A1 Apóstolo, João
A1 Geurden, Bart
A1 De Luca, Vincenzo
A1 Tramontano, Giovanni
A1 Romano, Maria Rosaria
A1 Anastasaki, Marilena
A1 Lionis, Christos
A1 Rodríguez-Acuña, Rafael
A1 Capelas, Manuel Luis
A1 Dos Santos Afonso, Tânia
A1 Molloy, David William
A1 Liotta, Giuseppe
A1 Iaccarino, Guido
A1 Triassi, Maria
A1 Eklund, Patrik
A1 Roller-Wirnsberger, Regina
A1 Illario, Maddalena
K1 integrated
K1 multimorbidity
K1 non-communicable chronic diseases (NCCDs)
K1 palliative care
K1 public health
AB Non-communicable chronic diseases (NCCDs) are the main cause of morbidity and mortality globally. Demographic aging has resulted in older populations with more complex healthcare needs. This necessitates a multilevel rethinking of healthcare policies, health education and community support systems with digitalization of technologies playing a central role. The European Innovation Partnership on Active and Healthy Aging (A3) working group focuses on well-being for older adults, with an emphasis on quality of life and healthy aging. A subgroup of A3, including multidisciplinary stakeholders in health care across Europe, focuses on the palliative care (PC) model as a paradigm to be modified to meet the needs of older persons with NCCDs. This development paper delineates the key parameters we identified as critical in creating a public health model of PC directed to the needs of persons with NCCDs. This paradigm shift should affect horizontal components of public health models. Furthermore, our model includes vertical components often neglected, such as nutrition, resilience, well-being and leisure activities. The main enablers identified are information and communication technologies, education and training programs, communities of compassion, twinning activities, promoting research and increasing awareness amongst policymakers. We also identified key 'bottlenecks': inequity of access, insufficient research, inadequate development of advance care planning and a lack of co-creation of relevant technologies and shared decision-making. Rethinking PC within a public health context must focus on developing policies, training and technologies to enhance person-centered quality life for those with NCCD, while ensuring that they and those important to them experience death with dignity.
YR 2020
FD 2020-09-15
LK http://hdl.handle.net/10668/16255
UL http://hdl.handle.net/10668/16255
LA en
DS RISalud
RD Apr 9, 2025