估计2025年全球接受专业姑息治疗的服务和患者数量。

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-07-28 DOI:10.1016/j.jpainsymman.2025.07.018

Stephen R. Connor PhD , Eduardo Garralda MA , Vilma A. Tripodoro MD, PhD , Carlos Centeno MD, PhD

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引用次数: 0

摘要

背景：姑息治疗是每个卫生保健系统的重要组成部分。关于姑息治疗服务提供状况的信息对于了解当前能力与人口需求之间的差距是必要的。目的：与2017年相比，估计2025年全球专业姑息治疗提供者的数量和他们服务的患者数量。方法：对2017年代表世界银行每个收入群体的国家样本进行了以往的估计，采用典型案例有目的抽样，根据最近覆盖201个国家的全球姑息治疗测绘研究收集的报告服务数量，对服务的患者数量进行了预测。结果：到2025年，全球专业姑息治疗服务提供团队的数量估计达到约33,700个，比2017年确定的25,000个增加了32.7%。除非洲外，世卫组织所有区域都扩大了服务提供。估计服务的患者人数从2017年的700万增加到2025年的约1040万。这一数字约占全球姑息治疗总需求的14%。然而，这一估计包括初级和专科护理需求，而本研究只关注专科服务。剩余需求的很大一部分可以通过发展和整合初级姑息治疗来解决。结论：尽管可获得的服务显著增加，但显著的差距仍然存在，特别是在低收入和中等收入国家。虽然高收入国家似乎满足了一半以上的需求，但在低收入和中等收入国家，只有4.4%的需求得到了专业服务的解决。初级保健的作用仍然未知。

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Estimating the Number of Services & Patients Receiving Specialized Palliative Care Globally in 2025

Context

Palliative care is an essential component of every health-care system. Information on the status of palliative care service delivery is necessary to understand the gap between current capacity and population-level need.

Objectives

To estimate the number of specialized palliative care providers worldwide and the number of patients they served in 2025, in comparison to 2017.

Methods

Previous estimates from a sample of countries representing each World Bank income group in 2017, using typical case purposive sampling, were used to project numbers of patients served based on reported numbers of services, as collected through the most recent Global Palliative Care Mapping Study covering 201 countries.

Results

In 2025, the estimated number of specialized palliative care service delivery teams worldwide reached approximately 33,700 - representing a 35.6% increase from the 25,000 identified in 2017. Service delivery expanded across all WHO regions. The estimated number of patients served rose from almost 7 million in 2017 to approximately 10.4 million in 2025. This figure represents roughly 14% of the total global need for palliative care. However, this estimate includes both primary and specialist care needs, while this study focuses exclusively on specialist services. A substantial portion of the remaining need may be addressed through the development and integration of primary-level palliative care.

Conclusion

Despite notable growth in service availability, significant disparities persist, particularly in low- and middle-income countries. While over half of the need appears to be met in high-income countries, only 4.4% is addressed by specialist provision in low and middle-income countries. The contribution of primary-level care remains unknown.

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.