Beruflich Dokumente
Kultur Dokumente
http://www.thelancet.com/commissions/palliative-care
Overview of Lancet Commission and Report
Chair, co-chair
33 commissioners
61 total co-authors,
including ~10 junior
researchers, from over
25 countries
At current
prices: $US600
million
At best
international
prices: $US145
millones
For all children with SHS in low income countries:
$US 1,034,000
Global Lessons Learned:
US Opioid Epidemic
Most patients worldwide with a medical
need for opioid analgesics find it almost
impossible to access them
US is an outlier not only in level of
consumption but especially in overdose
deaths compared to all other high-income
countries and especially W. Europe.
Commission recommendations:
Implement strong conflict-of-interest
policies and marketing restrictions
Off-patent, oral immediate-release
morphine focus for UHC
Training of health professionals on
safe, appropriate use of opioid
analgesics
Monitor the supply and marketing of
opioids using a balanced, public
health agenda approach: regulation,
modern technology, equal concern
for medical need
5 Key Messages
1. Alleviation of the burden of serious health-related suffering
from life-threatening or life-limiting conditions and with the
end of life is a global health and equity imperative.
2. Universal access to an affordable Essential Package of
palliative care can alleviate much of the inequitable and
preventable burden of SHS.
3. LMICs can improve the welfare of poor people at modest cost
by publicly financing the Essential Package of palliative care
through full integration into universal health coverage.
4. International and balanced collective action is essential to
achieving universal coverage of palliative care and pain relief
by facilitating effective access to essential medicines, while
implementing measures to prevent non-medical use.
5. Better evidence and priority setting tools must be generated
to adequately measure the global need for palliative care,
implement policies and programs, and monitor progress
towards alleviating the burden of pain and other SHS
among many other leading voices in global health and palliative care
Global Launch Symposium
at the University of Miami
UM Collaborators:
UM-MSOM: Dean Edward Abraham, Dr. Pascal J
Goldschmidt-Clermont, Dr. Erin Kobetz, Dr. Gilberto
Lopes, Dr. Brian Slomovitz, Dr. Hansel Tookes, Fellows
from The William J. Harrington Medical Training
Program for Latin America and the Caribbean
Gables Campus: Dean Leonidas Bachas (Arts and
Sciences), Dr. Donette Francis, Dean Cindy Munro
(Nursing), Dean John Quelch (Business), Dr. Steven
Ullmann
Global Launch Symposium
at the University of Miami
Will contribute to all 4 areas of folloup work
Share and discuss the major findings and
recommendations of the report
Catalyze a bold, innovative, and evolving research
agenda
Solidify major global collaborative research
opportunities (The Lancet, PAHO, World Bank,
NCI, NCD alliance)
Convene global, regional, national advocacy
groups for implementation work and next steps
Expected Outcomes of Symposium
Convene the Commissioners and in-country experts to enable
work on next steps and present globally this important report
Key input for publications and research agenda:
invited 1-year follow-on Lancet paper
additional publications for Lancet Global Health, Health Affairs, among
other journals
Impetus for global collective action
Strategy for national implementation agendas
Promote the UM, MSOM and DPHS objective of stronger
research presence on health systems in LAC
http://www.thelancet.com/commissions/palliative-care