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Resolution of the Second National Congress on Palliative Care

69

Resolution

of the Second National Congress on Palliative Care

Kyiv

Ukraine has entered the era of humanization of society. The civic spirit of our people is being revived, ideological postulates that have a people-centered orientation are being actively rebuilt. That is why today one of the acute medical, social and humanitarian problems in Ukraine is the creation and development of an accessible and effective system of providing palliative and hospice care to the population.

This is due to the aging of the country's population, the constantly growing number of palliative patients whose treatment is not possible today, the increase in the number of people who die from oncological and complications of other diseases, in particular, vascular, diabetes, Alzheimer's disease, AIDS, tuberculosis, viral hepatitis, congenital and acquired developmental defects, etc.

The global relevance of the problem of palliative care for the population is evidenced by numerous WHO recommendations, the Recommendation of the Committee of Ministers of the Council of Europe member states (2003), special Resolutions of the Parliamentary Assembly of the Council of Europe (2008 and 2014), the Paris Charter to fight cancer (2000), the Prague Charter (2013 ) and other documents of authoritative international organizations.

October 01-03, 2015 in Kyiv at the initiative of the NGO "Ukrainian League for the Promotion of Development of Palliative and Hospice Care", the National Academy of Public Administration under the President of Ukraine together with the P.L. Shupyk National Medical Academy of Postgraduate Education with the support of the Ministry of Health I, the Ministry of Social Policy, the National Academy of Sciences of Ukraine, the National Academy of Medical Sciences of Ukraine, the KMDA, the "Renaissance" MBF, and others, the II National Congress on palliative care was held.

Congress participants emphasized that it is palliative and hospice care (hereinafter referred to as PCB) that is a modern patient-oriented humanitarian approach that most adequately provides for the needs and proper quality of life of palliative patients and their relatives, contributes to the preservation of human dignity at the end of biological life, which is convincing evidence more than 60 years of experience in Great Britain, Germany, Poland, Hungary, Slovakia, USA, Canada, Australia and other countries of the world.

The development of PCBs is the direction of activity of the public health and social protection bodies, by which in today's world the civilization of a particular state and the humanity of society in general are evaluated. Therefore, PCB requires innovative approaches to meet the medical, psychological, social and spiritual needs of palliative patients and their families.

Palliative medicine, as a component of social and medical care at this stage of development, needs a certain arrangement of its achievements and their evaluation for consolidation and further development.

Participants of the Second National Congress on Palliative Care decided:

To approve in general the project of the Strategy for the Development of Palliative Care in Ukraine for 2016-2025. The Organizing Committee of the Second National Congress on Palliative Care to develop proposals for the draft Strategy, Plan of measures for its implementation by December 1, 2015 and to take measures to submit them in the established order to the Cabinet of Ministers of Ukraine.

Apply to the Cabinet of Ministers of Ukraine with a proposal:

  1. To develop and approve the Strategy for the Development of Palliative Care in Ukraine for 2016-2025 with the Action Plan for its Implementation;
  2. To organize the development and introduction of the draft Law of Ukraine "On palliative care to the population" in the prescribed manner to the Verkhovna Rada during 2016;
  3. To create a permanent interdepartmental Coordination Council for the development of the palliative care system in Ukraine with the participation of: the Ministry of Health, the Ministry of Social Policy, the National Academy of Medical Sciences, the National Academy of Pedagogical Sciences, the State Service of Ukraine for Medicinal Products and Drug Control, the Ministry of Economic of Development and Trade, the Ministry of Justice, the Ministry of Finance, the NGO "Ukrainian League for the Development of Palliative and Hospice Care", representatives of churches, religious and other public organizations, instruct the Coordinating Council to promote:
  • development and approval of state standards for the provision of medical and social services to palliative patients;
  • regulatory and legal regulation of the creation, operation and development of institutions and institutions of palliative and hospice care, the procedure for the interaction of various departments in the provision of palliative care, the introduction of an integrated approach;
  • simplification of requirements for obtaining licenses for narcotic drugs; procedures for registration of medicinal products that slowly release analgesics (transdermal analgesic systems/patches, etc.);
  • implementation of measures for registration of children's forms of drugs for pain relief, including narcotics;
  • development and implementation of a package of social protection measures for employees who serve palliative patients, including salary increases, preferential retirement years, introduction of additional leave, sanatorium-resort rehabilitation, etc.
  1. To consider one of the most important tasks of the NGO "Ukrainian League for the Promotion of Development of Palliative and Hospice Care" is to introduce a patient-oriented humanitarian approach to palliative patients and improve the level of access of the population to effective pain relief.
  2. To recommend the leaders of the regional and Kyiv city branches of the NGO "Ukrainian League for the Promotion of Development of Palliative and Hospice Care" to initiate the development and approval of regional strategies for the development of palliative care for 2016-2025 in local self-government bodies.
  3. To instruct the NGO "Ukrainian League to Promote the Development of Palliative and Hospice Care" together with the bodies of executive power and local self-government to conduct scientific and practical conferences in all regions on the development of the system of palliative and hospice care with the broad involvement of public organizations, scientists, practicing doctors and social workers, clergy and representatives of the arts.
    Contact the "Renaissance" Foundation with a request for support for the mentioned measures.

To initiate a petition before the Ministry of Health of Ukraine regarding consideration of the issue of adding the specialty "Palliative medicine" to the list of specialties of doctors and junior medical specialists.

  1. Contact professional medical associations and other public organizations in health care with a proposal to support the development of the system of palliative care for the population, the creation of the necessary regulatory and legal framework for its further development.
  2. Ask the Council of Churches to initiate the creation of an institute of medical chaplaincy in health care institutions and institutions of social protection of the population.
  3. Publish the Resolution of the Second National Congress on Palliative Care in the international journal "Rehabilitation and Palliative Medicine" and other specialized journals and mass media.
  4. To instruct the Chairman of the Board of the Ukrainian League for the Development of Palliative and Hospice Care to organize the development of the Action Plan for the implementation of the Resolution, taking into account the proposals that were proposed during the plenary and sectional meetings.
  5. Reports on implementation of this Resolution and Action Plan at the Third National Palliative Care Congress.

The Third National Congress on Palliative Care will be held in October 2018.
Adopted on October 2, 2015, Kyiv.

In connection with the large number of additions received, it was decided to develop a Plan for its implementation to the Resolution, in which the proposals received from the participants of the Second National Congress on palliative care should be included.