City project

Palliative Care

Strengthening Access and Quality of Palliative Care in Rosario
Project lead
Dr Sonia Juarez
Implementation
Cycle I

The challenge

  • Palliative care services in Rosario are developing within a complex regulatory and organisational context, and further strengthening could enhance quality, equity, and continuity of care.
  • The availability of standardised and reliable information on the number of oncology patients requiring palliative care, existing service capacity, and patient outcomes remains limited, highlighting an opportunity to improve planning, monitoring, and policy evaluation.
  • Access to essential medicines for pain and symptom control varies across settings, and clearer alignment around prescribing responsibilities, administrative processes, dispensing practices, and agreements between professionals and payers could support more consistent access.
  • Provincial regulatory frameworks governing opioid use and palliative medicines would benefit from updated alignment with the national palliative care law to facilitate timely and appropriate care.
  • Opportunities to expand specialised training in palliative care, together with increased awareness among healthcare professionals and the general population, could support earlier and more appropriate referrals.
  • Finally, the development of structured quality improvement initiatives and the strengthening of physical infrastructure, such as dedicated beds or spaces for end-of-life care, particularly in public hospitals, would contribute to more comprehensive and patient-centred palliative care delivery.

The goal

  • To strengthen the quality and access to palliative care in Rosario through the implementation of a standardised system for evaluating care processes and the harmonisation of access to essential palliative care medicines across all health sub-sectors.

The How

  • Defining and implementing a minimum set of standardised indicators to register and evaluate palliative care delivery across public and private institutions.
  • Integrating palliative care indicators into existing health information systems to support monitoring, planning, and continuous improvement.
  • Developing a consensus-based formulary of essential palliative care medicines, including analgesics and supportive therapies.
  • Aligning technical and administrative criteria between healthcare professionals and payers to reduce access barriers to essential medicines.
  • Using generated data and agreed standards to support evidence-based decision-making and future policy development in palliative care.

Outputs

  • Definition of a set of quality  indicators for palliative care services  in Rosario. 
  • Enhancement of access to essential medicines for palliative care through  harmonised processes.

Team

Project Lead
Dr Sonia Juarez , Agencia de Control del Cáncer
Project Team
Marisel Capozza, Centro de Especialidades Médicas Ambulatorias (CEMAR)
Fornells Hugo, Group Gamma
Mendez Maria Eugenia, Group Oroño
Daniela Mcgarrel, Hospital de Emergencias Dr. Clemente Alvarez (HECA)
Mangioli Luciana, Hospital Baigorria
Bugnon Benjamin, Hospital Británico
Franco Marconi, Hospital Centenario
Valeria Conforti, Hospital Español
Capalbo Gabriela, Hospital Provincial
Gualter Kalbermatter, Hospital Vilela
Llenas Sanatorio, Sanatorio Plaza
Sonia Juarez, Agencia de Control del Cáncer
Juan Martini, Agencia de Control del Cáncer
Sala Raul, Instituto de Oncologia de Rosario
Liliana Rodriguez, Asociación Argentina de Cuidados Paliativos

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