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Xavier Gómez-Batiste MD, PhD

OSI/WHOCC Workshop 9: legislation, standards, financing models. Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center for Public Health Palliative Care Programs. The legislation of palliative care includes.

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Xavier Gómez-Batiste MD, PhD

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  1. OSI/WHOCC Workshop 9: legislation, standards, financing models Xavier Gómez-Batiste MD, PhD Director, WHO Collaborating Center for Public Health Palliative Care Programs WHO Meeting

  2. The legislation of palliative care includes The insertion of palliative care in the existing policies and financing models (Global or specific Health plans for Cancer, Geriatric, Aids, and other chronic conditions) The formal approval and recognition of the National Plan Basic legislation (Law, decree, or ministerial order) that could be generic Specific changes to assure opioid availability Other related legislations: advance directives and autonomy, rights of patients, ethical committees, support (funding or changes in labour legislation) for careers

  3. Legislation and standards National Plan General or definition: law or decret (generic) Financing systems (specific for services) Opioid and essential medicines availability (the simplest, the best) Standards of services (description) Other legislations (respite, support of families, etc) “The simplest, the best”

  4. Financing models Insert in the common financing model Combine: structure, activity, results, and quality Concept of “cathalitic” investment Reallocation Estimate expected savings “The simplest, the best”

  5. Costs Medicare last year life Lubitz and Riley, 1993

  6. Efficiency of PCSs • Multicenter longitudinal study on the use of resources by cancer patients attended by PCSs • Comparison with previous use without PCSs • 171 teams / 395 patients

  7. The palliative care network saves more money than its costs

  8. Costs and savings

  9. Standards of services Description of Palliative care measures in conventional services Specialist services: Basic description of: Structure Process or activities Basic outputs Basic outcomes ICO DiR. CentreCol·laborador de l’OMS per Programes Públics de Cures Pal·liatives

  10. Exercise Part I: Review your general pal care legislation Apart from opioids) Propose changes for the next year Part II: Review your financing system Propose a model for palliative care financing ICO DiR. CentreCol·laborador de l’OMS per Programes Públics de Cures Pal·liatives

  11. . The ‘Qualy’ End of Life Care Observatory WHO Collaborating Centre for Public Health Palliative Care Programmes whocc.info@iconcologia.net +34 93 260 77 36 Institut Català d’Oncologia ICO l’Hospitalet Hospital Duran i Reynals Gran Via de l’Hospitalet, 199-203 08908 l’Hospitalet de Llobregat ICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

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