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Home-based palliative care experience
10th European Forum for Primary Care Conference
Integrated Primary Care: Research, Policy & Practice
Amsterdam, 30 Aug - 1 Sept 2015
José Augusto Simões
USF Marquis of Marialva – Cantanhede
EURIPA IAB
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Is located in the Iberian Peninsula in south-western Europe.
Portugal
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Independent nation since 1143 Republic since 1910 Democracy since 1974 Member of European Union since 1986
Community health centres since 1971
National Health Service since 1979 Reform of primary health care since 2005
Portugal
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The Portuguese health system
Offers:
- universal coverage
- full range of health services
Financed mainly through taxes
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One of the first European countries to adopt an integrated approach to primary health care
Created a network of health centres that comprises most of the country.
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Portugal
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National Health Service accessible to all residents
All citizens have the right to health protection
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Portugal
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Public system is present in Primary and Hospital Care
Private health care focus on Pharmaceuticals, Complementary diagnostics and Medical consultations
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Portugal
Community Support Team in Palliative Care Gandara
which aims to meet the needs of patients with chronic and advanced illnesses in that region
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a) Training in palliative care aimed at health center teams and other teams of care;
b) Full evaluation of the patient;
c) Treatments and palliative interventions to complex patients;
d) Management and control of coordination procedures between resources of health and social levels;
e) Advising and supporting community teams;
f) Support for family and caregivers;
g) Support in mourning.
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Objectives
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1 Doctor - part-time 3 Nurses - full time 1 Social Worker - part-time 1 Psychologist - part time
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Team
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Home visits in Cantanhede, Agueda, Anadia and Coimbra.
They were referenced by direct contact, family
doctors and Oncology Services. Home visits were divided in scheduled and
unscheduled visits according to the needs.
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Results
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In the first year, the team followed 84 patients. Took place 758 visits and 441 calls. Of the 84 patients, there was 17 hospital
admissions and 32 in emergency services. 63 patients died, 31 of which at her home, 26 in
health institutions and 6 in social institutions.
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Results
Home-based palliative care experience
10th European Forum for Primary Care Conference
Integrated Primary Care: Research, Policy & Practice
Amsterdam, 30 Aug - 1 Sept 2015
José Augusto Simões
USF Marquis of Marialva – Cantanhede
EURIPA IAB
