Building Specialized Palliative Care for the Czech Republic: A
Fifteen-Year Leadership Journey in a Developing Country

J 2020

Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country

KABELKA, Ladislav

Základní údaje

Originální název

Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country

Autoři

KABELKA, Ladislav (203 Česká republika, garant, domácí)

Vydání

JOURNAL OF PALLIATIVE MEDICINE, NEW ROCHELLE, MARY ANN LIEBERT, INC, 2020, 1096-6218

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30307 Nursing

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.947

Kód RIV

RIV/00216224:14110/20:00115985

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1089/jpm.2019.0662

UT WoS

000509226700001

Klíčová slova anglicky

hospice; leadership; multicausality; polymorbidity; specialized palliative care

Štítky

rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 15. 7. 2020 09:57, Mgr. Tereza Miškechová

Anotace

V originále

Since its creation, the Czech Republic has developed an advanced health system and social system. Life expectancy at birth has increased by an average of 7 years in only 20 years. However, polymorbidity and multicausality have now become topics of concern. In some ways they are products of our success. Yet, the health system and social system were not designed for these patients nor are health care professionals trained and willing to assess and address clinical needs of fragile, chronically ill, and incurable patients. This is true in much of the developing world where initial improvements have led to this new population-based challenge. In that sense, the Czech Republic is an example of what needs to happen in developing countries. Inpatient hospice care, which has been developing in the Czech Republic since 1993, is not the answer to this problem. Rather, approaches to ensure that the early introduction of palliative care in the course of serious illness care, personalized medicine, and a multidisciplinary approach in the system is required. Focusing only on terminal illness care is insufficient. Beginning in 2005-2006, we have worked to create a system of education and clinical services in specialized palliative care in the health and social system. This article seeks to describe the leadership steps of this systemic change in the Czech Republic with the objective of helping others make the same journey.

Citovat

KABELKA, Ladislav. Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country. JOURNAL OF PALLIATIVE MEDICINE. NEW ROCHELLE: MARY ANN LIEBERT, INC, 2020, roč. 23, č. 5, s. 607-610. ISSN 1096-6218. Dostupné z: https://dx.doi.org/10.1089/jpm.2019.0662.

@article{1670354,
   author = {Kabelka, Ladislav},
   article_location = {NEW ROCHELLE},
   article_number = {5},
   doi = {http://dx.doi.org/10.1089/jpm.2019.0662},
   keywords = {hospice; leadership; multicausality; polymorbidity; specialized palliative care},
   language = {eng},
   issn = {1096-6218},
   journal = {JOURNAL OF PALLIATIVE MEDICINE},
   title = {Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country},
   url = {https://www.liebertpub.com/doi/10.1089/jpm.2019.0662},
   volume = {23},
   year = {2020}
}

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ID  - 1670354
AU  - Kabelka, Ladislav
PY  - 2020
TI  - Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country
JF  - JOURNAL OF PALLIATIVE MEDICINE
VL  - 23
IS  - 5
SP  - 607-610
EP  - 607-610
PB  - MARY ANN LIEBERT, INC
SN  - 10966218
KW  - hospice
KW  - leadership
KW  - multicausality
KW  - polymorbidity
KW  - specialized palliative care
UR  - https://www.liebertpub.com/doi/10.1089/jpm.2019.0662
L2  - https://www.liebertpub.com/doi/10.1089/jpm.2019.0662
N2  - Since its creation, the Czech Republic has developed an advanced health system and social system. Life expectancy at birth has increased by an average of 7 years in only 20 years. However, polymorbidity and multicausality have now become topics of concern. In some ways they are products of our success. Yet, the health system and social system were not designed for these patients nor are health care professionals trained and willing to assess and address clinical needs of fragile, chronically ill, and incurable patients. This is true in much of the developing world where initial improvements have led to this new population-based challenge. In that sense, the Czech Republic is an example of what needs to happen in developing countries. Inpatient hospice care, which has been developing in the Czech Republic since 1993, is not the answer to this problem. Rather, approaches to ensure that the early introduction of palliative care in the course of serious illness care, personalized medicine, and a multidisciplinary approach in the system is required. Focusing only on terminal illness care is insufficient. Beginning in 2005-2006, we have worked to create a system of education and clinical services in specialized palliative care in the health and social system. This article seeks to describe the leadership steps of this systemic change in the Czech Republic with the objective of helping others make the same journey.
ER  -

KABELKA, Ladislav. Building Specialized Palliative Care for the Czech Republic: A Fifteen-Year Leadership Journey in a Developing Country. \textit{JOURNAL OF PALLIATIVE MEDICINE}. NEW ROCHELLE: MARY ANN LIEBERT, INC, 2020, roč.~23, č.~5, s.~607-610. ISSN~1096-6218. Dostupné z: https://dx.doi.org/10.1089/jpm.2019.0662.

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