High Quality
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A report from the Economist Intelligence Unit
The quality of death
Ranking end-of-life careacross the world
Commissioned by
The quality of death
Ranking end-of-life care across the world
© Economist Intelligence Unit 2010 1
Contents
Acknowledgments 3Executive summary 5
Note on denitions
5
Introduction: new challenges in managing the end of life 91. The Quality of Death Index 11
Index methodology
11A high quality of death 11A low quality of death 13
2. Cultural issues in end-of-life care 16
Attitudes to death and dying 16Levels of debate across the globe 17
The law and the decision to die
18
Three contrasting attitudes to death
20
3. The economics of end-of-life care 21
A variety of funding models 21
Romania: from last to leader
22
Kerala: the community model
24Long-stay patients shift the balance 25
4. Policy issues in end-of-life care 27
Government recognition 27
The availability and use of opioids
28Integration of care into mainstream services 29
Uganda: a beacon in Africa
30Building capacity for home-based care 31
The importance of training
32
5. Conclusions 33Appendix: Index methodology 34
This report and more information on the Quality of Death Index can be found at:www.eiu.com/sponsor/lienfoundation/qualityofdeath
The quality of death
Ranking end-of-life care across the world2 © Economist Intelligence Unit 2010
© 2010 The Economist Intelligence Unit. All rights reserved. All information in this report is veried to
the best of the author’s and the publisher’s ability. However, the Economist Intelligence Unit does not accept responsibility for any loss arising from reliance on it. Neither this publication nor any part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic,mechanical, photocopying, recording or otherwise, without the prior permission of the Economist Intelligence Unit.
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