country information | EAPC Atlas of Palliative Care in Europe 2013 · Cartographic Edition —85
Lithuania PALLIATIVE CARE SERVICES (2012)
EE SE
Other resources Volunteer hospice teams ....................................................... 0 Day Hospices ............................................................................ 1 Palliative care beds (ratio per million inhab.) .........96 (29.2) Palliative Care for children: Specific resources for inpatients and out patients
RU
LV
RU
TOTAL SERVICES > 16 PER MILLION INHABITANTS 12 -16 > 16
Palliative Care Units in non-tertiary hospitals 33%
LT
TOTAL SERVICES PER MILLION INHABITANTS
12 -16
BY
4-8
8 - 12
PL
2-4
<2
<2
Palliative Care Units in tertiary hospitals 4%
1
14
Home Palliative Care support teams 58%
1
Socio-economic data Population 2012 3292454 Density 2012 50.4 Surface 65301 Gross Domestic Product per capita, 2011 16877
Physicians per 1000 inhab. 3.614
Human Development Index 2012 0.818
Health expenditure per capita, PPP, 2010 1299
Human Development Index Ranking Position 2012 41
Health expenditure, total (% of Gross), 2010 7.0
2007
The Ministry of Health issues the Order on the Inventory for Requirements of Palliative Care Services for Adults and Children; palliative care is legitimated as a separate field of medicine and must also be provided to ´non-cancer´ patients.
key data on PC Development
LEVEL OF DEVELOPMENT
Legislation on PC Official National Strategy National Association National Conference Scientific Journal Research Centers PC Twinning World PC Day initiatives 4 Participants at EAPC Conference Status of Palliative Medicine: Other accreditation
Estimation Lynch et al, 2012
2007
The Minister of Health issues an Order concerning licenses for the importation of narcotic and/ or psychotropic substances for personal treatment needs.
PC in Medical Schools Mandatory subject ......................2 Optional subject ..........................2 No PC subject ................................5
Mandatory 22%
Optional 22%
Full Professors ............................... 1 Assistant Professors ...................2 Professors in other Schools .... 1
Mixed Palliative Care support teams 4%
No services
No services
Milestones
24
Vilnius
8 - 12
4 - 82 - 4
8
4b
Advanced integration
4a
Preliminary integration
3b 3a
Generalized provision Isolated provision
2
Capacity building
1
No known activity
2008
The Ministry of Health issues an Order on the Base Price Approval for Palliative Care Services for Adults and Children.
Most recent references
ASSOCIATION/ INSTITUTION
Seskevicius A. 2002. “Lithuania: status of cancer pain and palliative care” . J Pain Symptom Manage ; 24(2):205-7.”
Palliative Medicine Association of Lithuania (Lietuvos paliatyviosios medicinos draugija) A. Mickevičiaus str. 9, LT – 44307, Kaunas, Lithuania | T/F: 370 (37) 326280/ 370 (37) 220733
No PC 55%
Strong opioid consumption 2010 (ME mg/ capita/year) European Consumption Average
Morphine 11%
80.55
mg/ capita/year
3 23
20
Fentanyl 89%
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