La médecine palliative dans les dix prochaines années

Palliative medicine is a recent discipline with a development that occurs outside of academic institutions, proposing a new vision of care focused on patients' and caregivers' needs. After a short summary of palliative medicine history, we will describe the current situation and the challenges and opportunities of the next 10 years. We shall describe clinical development and its organization. One of the main challenges of the future for palliative care will be to provide appropriate care tailored to the needs of the population and also to strengthen collaboration with other disciplines. The aim is to enable patients to have access to palliative care when needed and not only at end of life. This can be done not only through the development of structures and clinical strategies but also through a centralized administration to provide quality and shared information on patients' situation. We shall then propose a vision for the development of education and research and the challenges to raise palliative medicine status to academic medicine and evidence based medicine. Finally, we shall propose a model for the development or rather the culture change for the integration of a "palliative attitude".