Swiss-Romanian Cooperation Programme: Overcoming disparities on access to quality basic palliative care in the community: Partnerships to identify and improve clinical, educational, legal and economical barriers
The project is based on a Swiss-Romanian
partnership to develop palliative care in Romania, based on a
systematic analysis of the needs, with Swiss experts input in
drafting and answering major challenges in offering care to cancer
patients. The burden of cancer continues to increase at global
level. Cancer is the second leading cause of death in Romania. Over
70% of the new cancer cases are diagnosed in late stages (III and
IV) of the disease thus representing advanced and terminal patients.
As result, Romanian health care system is witnessing an increasing
number of cancer patients in need of palliative care (i.e.
multidisciplinary, specialized care involving physical aspects such
as pain and symptom control, as well as psycho-emotional, social and
spiritual support). After the ’90s the development of
palliative care in Romania was done inconsistently, based on
isolated individual initiatives, limited financial resources and
specialized human resources available. Thus, according to the data
collected in 2010, there was 5.9% coverage, with highly uneven
spread over the country (26 counties out of 41 had no palliative
care at all).
The general objective of the project is to design a new model of care for reducing gaps in access to palliative community care for cancer patients, based on Swiss-Romanian cooperation and expertise exchange. This will be reached through the following specific objectives:
1. Design a disparity and needs reality frame in
providing care for patients diagnosed with cancer in 4 pilot
counties (Brasov, Bucharest, Cluj and Iasi).
the findings of the study. The data will be presented in a Consensus document on the situation of community palliative care in Romania, agreed by the main stakeholders involved. This reality consensus paper will be used in the second phase of the project for the design of education programs and key palliative care clinical interventions in the community. This will be tested in 4 pilot counties for 100 patients and evaluated. The results will be disseminated and will empower authorities to produce policy and financial adjustments.
|project partner||Hospice Casa Sperantei (HCS) - Romania, Saint Gallen Cantonal Hospital (SG) (including 6 subpartners) - Switzerland and Median Research Centre Foundation (MRC)- Romania|
|type of project||clinical studies|
|start of project||2013|
|end of project||2016|
|responsible person||Florian Strasser|