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Origins and effects of the 2014–2016 national strategy for palliative care in Croatia

Lončarek, Karmen, Džakula, Aleksandar, Marđetko, Renata and Sagan, Anna (2018) Origins and effects of the 2014–2016 national strategy for palliative care in Croatia. Health Policy, 122 (8). pp. 808-814. ISSN 0168-8510

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Identification Number: 10.1016/j.healthpol.2018.07.011


Croatia is among the last countries in Europe to develop organized palliative care at the national level. Real changes in this area started after the parliamentary elections in 2011 and culminated in the 2013 adoption of the Strategic Plan for Palliative Care Development 2014–2016. The National Board for Palliative Care (NBPC), appointed by the Ministry of Health, was in charge of creating a scalable palliative care model and national guidelines. The Board drew on experiences from both neighbouring countries with similar societies and/or health care models (Bosnia and Herzegovina, Poland) and an international leader in palliative care (United Kingdom). It recognised that provision of palliative care in Croatia, thus far based on volunteering and isolated enthusiastic activities, needed to be improved through professionalization, regulation, and organized development. A variety of policy measures was used to implement these changes, including the introduction of professional guidelines and new payment models. The development of new palliative care structures and services significantly increased the number of patients who could access palliative care, from around 1–2% of patients needing such care in 2011 to 20–35% in 2014. It also ensured the provision of more appropriate services at each point of the palliative care pathway. The Strategy was extended for the 2017–2020 period.

Item Type: Article
Additional Information: © 2018 The Authors
Divisions: Social Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 09 May 2019 08:57
Last Modified: 20 Aug 2021 02:25

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