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Palliative care

Pathway in primary health care in Brazil

Bibliographic Data

ID5166031
AuthorsLuis Fernando Rodrigues (0000-0001-6177-3769, Hospital de Câncer de Barretos, Brazil; Instituto Lótus de Cuidados Paliativos de Ribeirão Preto, Brasil), João Felipe Marques Da Silva (0000-0001-7198-8528, Universidade Estadual de Londrina, Brazil; Faculdade de Tecnologia do Vale do Ivaí, Brazil), Marcos Cabrera (0000-0001-9786-9674, Universidade Estadual de Londrina)
Year2022
Volume38
Issue9
Publication date2022-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen130222
OpenAlexW4296876938
LanguageEN
Citations received4
References cited6

In 2022, an important international report was published on the "value of death" not only in the field of health, but in relation to human societies in general. This report proposed to reimagine systems related to end of life in which death is understood not only as a physiological event but also as a relational and spiritual phenomenon with a value of its own and inseparable from life. It identifies the low priority given by most governments worldwide to the issue of alleviating suffering and supporting bereavement, evidenced by the low investment in palliative care. At the same time, we are witnessing in Brazil changes that threaten the feasibility of palliative care policies in primary health care. The denial of finitude within health systems is reflected in global indicators such as the quality of death index of The Economist magazine, in which Brazil ranks 42nd, the global atlas of palliative care of the World Hospice and Palliative Care Alliance, where Brazil is in level 3b, and the global trends in opioid consumption of International Narcotics Control Board of the World Health Organization, in which opioid consumption in Brazil is in the hundreds of doses per million inhabitants per day. Despite notable advances in the legislative and executive fields with regard to palliative care, the Brazilian Unified National Health System (SUS) and primary health care have suffered important structural setbacks that will impact the design of public policy for palliative care. The goal of this article is to undertake an initial analysis of the impacts of current policies within this context and their repercussions in the construction of a solid policy for palliative care

Ambulatory care · Curative care · Denial · Economic growth · Health care · Legislature · Palliative care · Political science · Public health · Grief, Bereavement, and Mental Health · Law · Medicine · Nursing · Palliative and Oncologic Care · Palliative Care and End-of-Life Issues · Psychology

  • Integração dos Cuidados Paliativos à Atenção Primária à Saúde

    Open Access•Isadora da Silveira Altério Resende, Vitória Vitoriano da Costa et al.•Revista Família Ciclos de Vida e…•2025

  • Validação Do Instrumento Bonn Palliative Care Knowledge Test Para Profissionais Da Atenção Primária À Saúde

    Open Access•Elisa Cavalheiro Libardi, Adriana Benedita Luiz et al.•Texto & Contexto - Enfermagem•2024

  • Bonn Palliative Care Knowledge Test Validity for Primary Health Care Professionals

    Open Access•Elisa Cavalheiro Libardi, Adriana Benedita Luiz et al.•Texto & Contexto - Enfermagem•2024

  • Cuidados paliativos

    Open Access•Sabrina de Araújo Sabino, Fernanda Rubartelly Cardoso De Souza et al.•Cuadernos de Educación y Desarrollo•2024

  • Report of the Lancet Commission on the Value of Death

    Open Access•Libby Sallnow, Richard Smith et al.•The Lancet•2022

  • Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage

    Open Access•Felicia M Knaul, Paul E Farmer et al.•The Lancet•2018

  • Política Nacional de Atenção Básica

    Open Access•Lígia Giovanella, Cassiano Mendes Franco et al.•Ciência & Saúde Coletiva•2020

Citations per year2
Citation span2024 - 2025 (2)
Highly citedNo

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Open DOIOpen Access
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