• Urška Lunder Zavod za razvoj paliativne oskrbe Vegova 8 1000 Ljubljana
  • Vincenc Logar Dom starejših občanov Kolezija Kopališka 10 1000 Ljubljana
Keywords: palliative care in Slovenia, hospital palliative care, nursing homes, primary healthcare


Background. Palliative care in Slovene health care system isn’t developed. Comparison with other countries is not possible in many aspects. There is no complete or appropriately educated palliative care team in hospitals or in primary care. Palliative care departments in hospitals and nursing homes do not exist. Holistic palliative home care is offered only by Slovene association of hospice. The pressure on nursing homes and nursing service departments is getting stronger. Standards and norms for staff, for living conditions and medical equipment do not allow any more admittances of patients with the needs of high category of care in these institutions.

Conclusions. Indirect indicators of level of palliative care (e.g. morphine consumption, palliative care departments, home care network, undergraduate education, specialisation and research) put Slovenia at the bade of the Europe. Statistics predict aging of population and more patients are also living with consequences of progressive chronic diseases and cancer.

In the new healthcare reform there is an opportunity for palliative care to get an equal place in healthcare system. With coordinated implementation of palliative care departments, consultant teams and mobile specialistic teams, palliative care could reach a better level of quality. At the same time, quality permanent education is essential.


Download data is not yet available.


Lunder U, Červ B. Slovenia: status of palliative care and pain relief. Pain and Symptom Manage 2002; 24: 233–5.

Higginson IJ. Evidence based palliative care. BMJ 1999; 319: 462–5.

Sepulveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: The World Health Organization’s global perspective. J Pain Symptom Manage 2002; 24: 91–6.

Clark D, Ten Have H, Janssens R. Common threads? Palliative care services developments in seven European countries. In: Ten Have H, Clark D eds. The ethics of palliative care: European perspectives. Buckingham: Open University Press, 2002: 41–72.

The International Observatory on End Of Life Care.

Zdravstveni statistični letopis 1997. Ljubljana: Inštitut za varovanje zdravja R Slovenije, 1997.

Zdravstveni statistični letopis 1998. Ljubljana: Inštitut za varovanje zdravja R Slovenije, 1998.

Zdravstveni statistični letopis 1999. Ljubljana: Inštitut za varovanje zdravja R Slovenije, 1999.

Zdravstveni statistični letopis 2000. Ljubljana: Inštitut za varovanje zdravja R Slovenije, 2000.

Zdravstveni statistični letopis 2001. Ljubljana: Inštitut za varovanje zdravja R Slovenije, 2001.

Clark D, Hockey J, Ahmedzai S eds. New themes in palliative care. Buckingham: Open University Press, 1997.

Gomez-Batiste X, Porta J, Tuca A et al. Spain: The WHO demonstration project of palliative care implementation in Catalonia: Results at 10 years (1991–2001). J Pain Symptom Manage 2002; 24: 239–44.

Higginson IJ, Sen-Gupta GJA. Place of care in advanced cancer: a qualitative systematic literature review of patient preferences. J Palliat Med 2000; 3: 287– 300.

Higginson IJ, Astin P, Dolan S. Where do cancer patients die? Ten-year trendsin the place of death of cancer patients in England. Palliat Med 1998; 12: 353–63.

Emanuel LL, von Gunten CF, Ferris FD. The Robert Wood Johnson Foundation eds. Education of physicians at end-of-life care (EPEC) curriculum. American Medical Association; 1999; 1, Plenary 1: Gaps in end-of-life care, 1– 11.

Muray CLJ, Lopez AD. Alternative projections of mortality and disability by causes 1990–2020: Global of disease study. Lancet 1997; 349; 1498–504.

Statistični urad Republike Slovenije.

United Nations Population Division.World population prospects. The 2002 revision. Population database. = 3

Slovensko društvo hospic.

Salobir U. Paliativna oskrba bolnika. Onkologija 2002; 2: 87–90.

Peternelj A. Idejni projekt negovalnega oddelka v bolnišnici Golnik. Obzor Zdr N 2000; 34: 105–13.

Švab I. Načela paliativne oskrbe v rokah družinskega zdravnika. Zbornik seminarja o paliativni oskrbi. Ljubljana: Slovensko društvo hospic, 2000.

Lunder U. Effects of communication skills training on a group of GPs’ change in delivering bad news. Psycho-Oncology 2003; 12: S239–41.

Lunder U. Medicinsko-etične napake pri sporočanju slabe novice. In: Kersnik J ed. Zdravstvene napake. 19. učne delavnice za zdravnike družinske medicine 2002, Ljubljana. Ljubljana: Združenje zdravnikov družinske medicine SZD, 2002: 79–86.

Lunder U. Drugi strokovni posvet o paliativni oskrbi v Sloveniji. Isis 2003; 3: 41–3.

National Council for Hospice and Specialist Palliative Care Services.

European Association for Palliative Care-EAPC.

EAPC – Palliative Care Project in Central and Eastern Europe.

International Association for Hospice and Palliative Care.

Growth House, Inc., Improving Care For The Dying.

The SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients. JAMA 1995; 274: 1591–8.

Bernard L. Improving care near the end of life: why is it so hard? JAMA 1995; 274; 1634–6.

How to Cite
Lunder U, Logar V. PALLIATIVE CARE IN SLOVENIA AND FUTURE CHALLENGES. ZdravVestn [Internet]. 1 [cited 15Nov.2019];72(11). Available from: