Presented by: Santiago Corrêa
Introduction:In 2014 the World Health Assembly approved a Palliative Care resolution underscoring the need to integrate palliative care (PC) in all levels of care, with emphasis on primary care. PC in Brazil is mostly provided in large urban hospitals and by experts. A sustainable public health system with limited resources requires a restructuring to improve efficiency and care at primary care levels, to be able to cover the majority of the population with PC needs.There is no public policy in Brazil aimed at such integration. For this to be possible it is essential to work on a set of core issues. Because faith practices are very integrated into everyday life and because the vast majority of the population in Brazil in Christian, we identified a set of core issues that we labeled Ten Commandments in PC.
Objective: to present the basics of PC in primary care using the Ten Commandments of Christianity as a model
Method: using as a benchmark the Ten Commandments of Christianity,the lead author developed a list of 10 principles for PC in primary care. These were discussed and reviewed by the other co-authors who made additional changes. All authors approved the final 10 commandments.
Results: The 10 Commandments in PC in primary care cover appropriate public policies, access to essential medications, primary care services, education and research, systematization of care, and use of media.
Conclusion: The 10 Commandments may serve as tool to integrate PC services in primary care throughout Brazil.