Forecasting the need for palliative and hospice care in Ukraine for 2021–2022
PDF (Українська)

Keywords

palliative and hospice care for children
palliative and hospice care for adults
trend forecasting

How to Cite

Nesterenko, V. (2021). Forecasting the need for palliative and hospice care in Ukraine for 2021–2022. Experimental and Clinical Medicine, 90(4), 25-34. https://doi.org/10.35339/ekm.2021.90.4.nes

Abstract

Calculating the need for palliative and hospice care (PHC) is one of the most important aspects of planning national and regional budgets in the field of healthcare for terminally ill patients. According to our calculations, made in accordance with the methodology of the Ukrainian Center for Public Data, in 2018–2020 such a need gradually decreased both among the adult population and among children (from 258,207 in 2018 to 213,739 in 2020 among adults, and from 65,906 to 49,000 among children respectively). However, according to the calculation, the need was still several times higher than the assistance financed by the National Health Service of Ukraine (NHSHU) according to the applications of hospitals submitted to the NHSHU. The conducted research made it possible to clarify the calculation we made earlier and perform forecasting using the trend method for 2021 and 2022. Taking into account the downward trend in need, in 2021 the projected need was 194,537 among adults and 48,261 among children. In 2022, the projected need was 172,303 among adults and 45,517 among children. The marked gradual decrease in both the calculated (in 2018–2020) and predicted (in 2021 and 2022) need for PHC for adults and children, which, unfortunately, we do not associate with the decrease in morbidity associated with the establishment of palliative diagnoses, but with a decrease in the quality of the collection of medical statistical information, on which the calculation of the need for medical assistance is based. The analysis of the forecasting results can be refined in the future according to the forecasts of the number of diseases among adults and children, respectively, for the following years for diseases that correspond to the palliative diagnoses of the calculation. The performed forecasting is the basis for planning the financing of the health care sector.

Keywords: palliative and hospice care for children, palliative and hospice care for adults, trend forecasting.

https://doi.org/10.35339/ekm.2021.90.4.nes
PDF (Українська)

References

Nesterenko VG. The need for palliative and hospice care in Ukraine in 2018–2020. Medicine Today and Tomorrow. 2021;90(3):43-52. DOI: 10.35339/msz.2021.90.3.nes [in Ukrainian].

Population of Ukraine 2019. Demographic Yearbook. Kyiv: State Statistics Service of Ukraine; 2020. 181 p. Available at: https://ukrstat.gov.ua/druk/publicat/kat_u/2020/zb/10/zb_nas_2019.pdf [In Ukrainian].

The number of deaths by individual causes of death. 2020. State Statistics Service of Ukraine. [Internet]. Available at: https://ukrstat.gov.ua/operativ/operativ2020/ds/kpops/kpops_u/arh_kpops2020_u.html [accessed 05 Nov 2021]. [In Ukrainian].

Statistical data of the Ministry of Health system (2019, 2020). Public Health Center of the Ministry of Health of Ukraine. [Internet]. Available at: http://medstat.gov.ua/ukr/statdanMMXIX.html [accessed 05 Nov 2021]. [In Ukrainian].

Shevchenko VV. The reform of the higher education of Ukraine in the conditions of the military-political crisis. International Journal of Educational Development. 2018;65:237-53. DOI: 10.1016/j.ijedudev.2018.08.009.

Saturska HS, Shyshatska IM, Saturskyi OV, Kollins DM, Markiv-Bukovska NP. Modern aspects of organization of palliative and hospital care in Ukraine in the conditions of medical reform. Bulletin of Social Hygiene and Health Protection Organization of Ukraine. 2021;87(1):33-9. https://doi.org/10.11603/1681-2786.2021.1.12140 [in Ukrainian].

Holovanova IA, Shevchenko AS. The issue of patient-oriented organization of palliative and hospice care in Ukraine. Experimental and Clinical Medicine. 2021;90(2):21-7. DOI: 10.35339/ekm.2021.90.2.hos.

Houben CH, Spruit MA, Groenen MT, Wouters EF, Janssen DJ. Efficacy of advance care planning: a systematic review and meta-analysis. J Am Med Dir Assoc. 2014;15(7):477-89. DOI: 10.1016/j.jamda.2014.01.008. PMID: 24598477.

Oczkowski SJ, Chung HO, Hanvey L, Mbuagbaw L, You JJ. Communication Tools for End-of-Life Decision-Making in Ambulatory Care Settings: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(4):e0150671. DOI: 10.1371/journal.pone.0150671. Erratum in: PLoS One. 2018;13(9):e0203911. PMID: 27119571.

Planning and implementing palliative care services: a guide for programme managers. WHO; 2016. 91 р. Available at: https://apps.who.int/iris/rest/bitstreams/1063276/retrieve

Palliative care: Key facts. WHO, 2020. [Internet]. Available at: https://www.who.int/news-room/fact-sheets/detail/palliative-care [accessed 05 Nov 2021].

What Are Palliative Care and Hospice Care? USA: National Institutes of Health. [Internet]. Available at: https://www.nia.nih.gov/health/what-are-palliative-care-and-hospice-care [accessed 05 Nov 2021].

Nesterenko VG. On the procedure for providing palliative and hospice care in Ukraine. Medicine Today and Tomorrow. 2021;90(2):57-62. DOI: msz.2021.90.2.nes [in Ukrainian].

The need for palliative care: an assessment based on 2018 data. Ukrainian Center for Public Data. [Internet]. Available at: https://socialdata.org.ua/palliative/ [accessed 05 Nov 2021]. [In Ukrainian].

Onco-epidemiological situation and the state of the organization of oncology care in Ukraine, 2019-2020. Cancer in Ukraine: Bulletin of the National Cancer Registry of Ukraine. 2021;(22):6p. [Internet]. Available at: http://www.ncru.inf.ua/publications/BULL_22/PDF/03-08-vstup.pdf [accessed 05 Nov 2021]. [In Ukrainian].

National register of tuberculosis. Public Health Center of the Ministry of Health of Ukraine. [Internet]. Available at: https://phc.org.ua/kontrol-zakhvoryuvan/tuberkuloz/robota-z-reestrom-pacientiv-z-tb [accessed 05 Nov 2021]. [In Ukrainian].

Mental and neurological disorders of the population of Ukraine 2017–2020. Reports and publications on Ukraine of the WHO Regional Office for Europe [Internet]. https://www.who.int/ukraine/uk/publications [accessed 05 Nov 2021]. [In Ukrainian].

Yeremenko VS, Kuts YuV, Mokiichuk VM, Samoilichenko OV. Statistical analysis of measurement data: a tutorial. Kyiv: National Aviation University; 2013. 320 с. Available at: https://ela.kpi.ua/bitstream/123456789/44902/1/statistical_analysis.pdf [in Ukrainian].

Horbal A, Nasridinov R, Sukhovii O, Nosok M. Data collection in palliative care. Analysis of practice. Project "Reliable statistical reporting in the field of palliative care" with the support of the International Renaissance Foundation. Kyiv: Ukrainian Center for Public Data; 2018. 48 с. Available at: https://socialdata.org.ua/wp-content/plugins/download-attachments/includes/download.php?id=3865 [in Ukrainian].

Houben CHM, Spruit MA, Groenen MTJ, Wouters EFM, Janssen DJA. Efficacy of advance care planning: a systematic review and meta-analysis. J Am Med Dir Assoc. 2014;15(7):477-89. DOI: 10.1016/j.jamda.2014.01.008. PMID: 24598477.

Teoli D, Schoo C, Kalish VB. Palliative Care. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. PMID: 30725798.