- mostly, palliative care in the Republic of Moldova is interpreted primarily in the context of
care provided to oncological patients, and patients with non-oncological diseases, especially
children, have extremely limited access to palliative care;
- palliative care is placed only under the responsibility of medical care, other sectors being
not at all or very weakly involved (social and psychological care, clergy, volunteers, etc.);
- there are serious gaps in the process of financing palliative care services;
- there are a small number of palliative care providers in the Republic of Moldova, and the
services for which they are contracted by the NHIC are underfunded;
- conditions not in line with the national standard of palliative care in PMSIs providing
hospital palliative care. There were detected cases of serious violation of human dignity of the
patient in palliative care provision;
- acute shortage of trained staff to provide adequate palliative care services at all levels of
healthcare, both for higher education staff and for secondary and lower medical staff;
- there are no training programs in palliative care for lower medical staff and specialists in
non-medical fields (social care, psychology, clergy, etc.). The training program for medical staff
does not cover pediatric palliative care;
- there are no official data on the number of people in need of palliative care, the number of
those who have received palliative care, the number of people who have been adequately controlled
for pain and the number of those who need such services, the number of beds for palliative care and
the database of current palliative care providers.
- the study attests to the lack of intra- and inter-sectoral communication (social, community
assistance) regarding the assistance and evidence of the patient in palliation. There is no concept
about the pathway of the pediatric patient who needs palliative care.
The problems identified during the year, both from the claims received by the PAO and from
the studies developed, allowed us to formulate a series of recommendations that could improve the
state of affairs in the field of medicine, in order to respect patients' rights to health.
At the end of 2019, in order to create attractive conditions for the activity of family doctors
in rural areas, there have been made amendments in the regulatory framework according to which
from January 1, 2020 were increased single allowances for young specialists graduates of
postgraduate education and medical technical vocational education, who have completed their
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