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Salzburg Global Seminar has long been a leading forum for the exchange of ideas on issues in health and health care affecting countries throughout the world. At these meetings agendas have been re-set affecting policy and practice in crucial areas, such as patient safety and the engagement of patients in medical decision making. In 2010, Salzburg Global Seminar launched a multi-year series of seminars to crystallize new approaches to global health and health care in the face of emerging challenges affecting us now and set to continue on through the coming generation.


Interviews and coverage from our Health programs

Twitter reacts to Salzburg Question series on end of life care
Twitter reacts to Salzburg Question series on end of life care
Salzburg Global Seminar 
An online discussion on issues affecting care toward the end of life has caused a buzz on social media. Conversations have been taking place on Twitter throughout the year as part of the Salzburg Questions series, which launched on February 20. To keep track of the discussions and connect people from all around the world, those participating have been using the #allmylifeQs hashtag. Between February 20 and August 19, the hashtag received 8.962 million impressions on Twitter. More than 500 participants have posted a combined total of 2,661 tweets.  The Salzburg Questions series contains nine questions on matters involving palliative care, six of which have been launched to date.  Each month, different individuals and institutions at the heart of the debate have shared a different question coinciding with an international day. These individuals and institutions were involved in a Salzburg Global session in December: Rethinking Care: Toward the End of Life.  Salzburg Global Fellows who have led discussions include: Agnes Binagwaho, Lynna Chandra, Suresh Kumar, Sheila Payne, Emmanuel Luyirika, and Richard Harding.  Participants have already considered: Why aren’t countries accountable to commitment on end of life care for vulnerable people?Is dying well as important as living well?How have you prepared for your death?Will caring for your dying loved one bankrupt you emotionally and financially?145 countries signed the 1951 Refugee Convention [so] why do refugees have limited access to quality health care and end of life care?How and what do you measure to ensure quality palliative and end of life care? The questions have attracted various comments on the state of palliative care in different countries and how it can be improved. Read a selection of the comments below: .@SalzburgGlobal @livgretWe #Palliative & #EOL care is an universel right that needs 2 be accounted 4 #sgshealth #allmylifeQs #GlobalHealth — Agnes Binagwaho (@agnesbinagwaho) February 20, 2017 .@SalzburgGlobal Partnerships r needed at national & global level 4 better #Palliative & #EOL care & accountability #allmylifeQs #sgshealth https://t.co/LAaHD5au89 — Agnes Binagwaho (@agnesbinagwaho) February 23, 2017 To support others prepare, I'm working with @BupaUK to launch a video on End of Life Care conversations #allmylifeQs @SalzburgGlobal — Jemma Batte (@dr_batte) April 7, 2017 ...I became an organ donor, went to a DeathCafe and just finished Being Mortal by Atul Gawande! #allmylifeQs @SalzburgGlobal @DrSureshKumar — Jemma Batte (@dr_batte) April 7, 2017 "Have you prepared for your death?" I live gratefully and in the moment as much as I can. I talk about my wishes. #AllMyLifeQs #hpm — Lori Ruder (@LoriRuder) April 7, 2017 #allmylifeQs discussed with 15 psychologists @PsychSocIreland today @DrSureshKumar as part of a death cafe conversation — Kathleen McLoughlin (@kemcloughlin) April 7, 2017 Let's work on creating safe space to talk about #death #dying #endoflife It's something we all must face #liveuntilyoudie #allmylifeQs — CherylW (@CWChapter2) April 8, 2017 I have a deathbed playlist of songs to be played while I am dying. #allmylifeQs https://t.co/IgOKFf7lJc — Lizzy Miles (@LizzyMiles_MSW) April 8, 2017 61% of US bankruptcies are due to medical costs. Will caring for your loved one bankrupt you? #allmylifeQs #hpmglobal pic.twitter.com/lM2j5pZodL — Stephen Connor (@srconnor) May 15, 2017 Time to consider how to support families & close friends of those who are facing serious illness #allmylifeQs https://t.co/1mBXPjuvd4 — Irene Higginson (@ij_higginson) May 15, 2017 The #refugees initiatives should be funded to include #palliativecare to reduce suffering for those with need @APCAssociation #ALLMYLIFEQS https://t.co/xZKN0VdKbj — Dr Emmanuel Luyirika (@DrLuyirika) June 20, 2017 #allmylifeQs Quality EOL care should be measured by culturally sensitive standards, not only by availability of services&drugs. — Dr. Liza Manalo (@lizamanalomd) July 11, 2017 The next question will be put forward on September 28, which coincides with International Right to Know Day. Bruce Chernof, President and CEO of The SCAN Foundation, will ask: Doctors, Nurses, do you want to die the way your patients die? Salzburg Global Fellows are encouraged to take part in the conversation on Twitter beforehand, on the day, and afterward. They can also take part by sharing blog posts around each question. Blog platforms could include ehospice, the EAPC blog, Palliverse, and the IAHPC Newsletter. So far, participants on Twitter have linked to research, podcasts and papers during their discussions. If you hold a debate, workshop or Q&A event on a Salzburg Question, please film it so it can be uploaded to a dedicated YouTube channel. Send your video to katie.witcombe@kcl.ac.uk.  A Twitter list of Salzburg Global Health Fellows has been created. If you would like to be added to this list, please let us know by subscribing or contacting us on Twitter at @SalzburgGlobal. List of dates, questions, and people leading discussions 20 February 2017 - World Day of Social Justice - Why aren't countries accountable to commitment on #EOL care for vulnerable people? - Agnes Binagwaho 20 March 2017 - World Happiness Day - Is dying well as important as living well? - Lynna Chandra 07 April 2017 - World Health Day - How have you prepared for your death? - Suresh Kumar 15 May 2017 - World Family Day - Will caring for your dying loved one bankrupt you emotionally and financially? - Sheila Payne 20 June 2017 - World Refugee Day - 145 countries signed bit.ly/2ah31bH why do refugees have limited access to quality health care and #EOL care? - Emmanuel Luyirika 11 July 2017 - World Population Day - How and what do you measure to ensure quality palliative & EOL care? - Richard Harding 28 September 2017 - International Right to Know Day - Doctors, Nurses, do you want to die the way your patients die? - Bruce Chernof 13 October 2017 - World Hospice and Palliative Care Day* - Do you know how to access #palliative care when you need it? - Stephen Connor 10 November 2017 - World Science Day for Peace and Development - What future research is needed to improve care for people w advanced illness & towards the end of life? - Irene Higginson   *This year's World Hospice and Palliative Care Day is taking place on Saturday, October 14. We will launch the question the day before to generate more discussion.
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Apply to be part of the 2018 Sciana cohort
Apply to be part of the 2018 Sciana cohort
Salzburg Global Seminar 
Leaders in health and health care are being encouraged to become part of the second cohort of a groundbreaking international initiative. Sciana – The Health Leaders Network – is inviting new members to join the next cohort, who will begin their work in June next year. The network brings together professionals from the UK, Germany, and Switzerland to improve health and health care across Europe and further afield. The initiative, facilitated by Salzburg Global Seminar, is the brainchild of three organizing partners: The Health Foundation (UK), Careum Stiftung (Switzerland), and the Robert Bosch Stiftung (Germany).  Each cohort consists of 18 leaders and emerging leaders, six each from Germany, Switzerland, and the UK. They attend four four-day gatherings over a two-year period.  What are the selection criteria? Sciana members are leaders in health or health care and have a proven outstanding record of achievement. They are already well established in their chosen career, which they are anticipated to continue developing, regularly exceeding expectations and influencing peers and diverse organisations.Sciana members are entrepreneurial and strategic thinkers, who understand the scale and complexity of key challenges facing health and health care systems and how to manage the tensions between long-term policy goals and short-term political pressures.Sciana members have a demonstrated interest in collaboration and innovation across sectoral boundaries, both nationally and internationally.Energetic and curious, members are not afraid to ask uncomfortable questions and are able to motivate others to implement unconventional measures.Sciana members have excellent English (further languages are an advantage) and superb communication skills.Sciana members include health policymakers and practitioners, as well as academics, journalists, elected officials, other public sector leaders or from business who are primarily living and working in one of the three countries of the founding partners (UK, Switzerland and Germany). Exceptional applications from other countries which exceed the selection criteria will be considered on a rolling basis. What are the dates? Meeting 1 | 10 - 13.06.2018Meeting 2 | 24 - 27.11.2018Meeting 3 | 13 - 16.05.2019Meeting 4 | 24 - 27.11.2019 Where are we meeting? Meetings take place at Schloss Leopoldskron, Salzburg, Austria. Meetings begin around lunchtime on day one and end early afternoon on day four. All Sciana members must be committed to attending all four days of each of the four meetings. This is non-negotiable and a prerequisite for any application. How do I apply? If you would like to apply for the second cohort, please email akoblmueller@salzburgglobal.org your CV, along with a  letter of motivation which includes: Why you wish to join the networkWhat you would bring to the network and what you would aim to get out of itA brief outline (up to 500 words) of a recent health policy initiative or innovation, drawing on your own experience or which you know well, and which you think would be of interest to other Sciana membersConfirmation that you are available for all four meetings The second cohort is open for application until September 29 2017. If you meet the criteria for pre-selection, John Lotherington at Salzburg Global Seminar will contact you to outline the next steps. For further information and answers to FAQs, please click here. The first cohort met in April earlier this year. On the final day of the program, members focused on what they would do after leaving Salzburg. They outlined three projects at varying stages of development. Watch the video below for highlights from the first cohort's meeting in April.
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Sixth Salzburg Question launches on World Population Day
Sixth Salzburg Question launches on World Population Day
Oscar Tollast 
People around the world are being asked to consider a new talking point as part of a global discussion on end of life care. Earlier today, the sixth question in the Salzburg Questions series was launched to coincide with World Population Day. The online series has been engaging people in conversation on Twitter since February 20 about issues surrounding palliative care. July’s question is, “How and what do you measure to ensure quality palliative & EOL care?” Richard Harding, reader in palliative care and director of global programmes and partnerships at Cicely Saunders Institute, King’s College London, marked the start of a discussion with a blog entry. Each question in the Salzburg Questions series is launched on an international day of observation and led by people with expertise in the field of palliative care. These people were involved in a Salzburg Global session in December: Rethinking Care Toward the End of Life. To keep track of the conversations taking place, participants are asked to use the #allmylifeQs hashtag. At the time of writing, the #allmylifeQs hashtag has generated more than 8.65 million impressions on Twitter. There have been 2,551 tweets involving 500 participants from around the world. Salzburg Global is encouraging as many Fellows as possible to join in with this conversation today and for the rest of the month.  People are also encouraged to write blogs, which could be hosted on ehospice; the European Association for Palliative Care (EAPC) blog; Palliverse; and the International Association for Hospice and Palliative Care (IAHPC) newsletter. Vlogs are also welcome and should be sent to katie.witcombe@kcl.ac.uk so they can be posted to a dedicated YouTube channel. Please join in the conversation and remember to use the hashtag #allmylifeQs. A Twitter list of Salzburg Global Health Fellows has been created. If you would like to be added to this list, please let us know by subscribing or contacting us on Twitter at @SalzburgGlobal. List of dates, questions, and people leading discussions 20 February 2017 - World Day of Social Justice - Why aren't countries accountable to commitment on #EOL care for vulnerable people? - Agnes Binagwaho 20 March 2017 - World Happiness Day - Is dying well as important as living well? - Lynna Chandra 07 April 2017 - World Health Day - How have you prepared for your death? - Suresh Kumar 15 May 2017 - World Family Day - Will caring for your dying loved one bankrupt you emotionally and financially? - Sheila Payne 20 June 2017 - World Refugee Day - 145 countries signed bit.ly/2ah31bH why do refugees have limited access to quality health care and #EOL care? - Emmanuel Luyirika 11 July 2017 - World Population Day - How and what do you measure to ensure quality palliative & EOL care? - Richard Harding 28 September 2017 - International Right to Know Day - Doctors, Nurses, do you want to die the way your patients die? - Bruce Chernof 13 October 2017 - World Hospice and Palliative Care Day* - Do you know how to access #palliative care when you need it? - Stephen Connor 10 November 2017 - World Science Day for Peace and Development - What future research is needed to improve care for people w advanced illness & towards the end of life? - Irene Higginson   *This year's World Hospice and Palliative Care Day is taking place on Saturday, October 14. We will launch the question the day before to generate more discussion.
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145 countries signed the 1951 UN Refugee Convention - Why do refugees have limited access to quality health care and end-of-life care?
145 countries signed the 1951 UN Refugee Convention - Why do refugees have limited access to quality health care and end-of-life care?
Dr Emmanuel Luyirika and Shelley Enarson 
This article first appeared on the EAPC blog, which will continue to publish more posts on the Salzburg Question series. It refers to the fifth Salzburg Question: One hundred and forty-five countries signed the 1951 Refugee Convention - Why do refugees have limited access to quality health care and end-of-life care? Continuing the Salzburg Questions series that encourages a global discussion about the key issues affecting palliative care. On World Refugee Day today, 20 June, Dr Emmanuel Luyirika, Executive Director, and Shelley Enarson, Communications Consultant, both of the African Palliative Care Association, explore the fourth question in the Salzburg Questions that asks why refugees have limited access to quality health care and end-of-life care. The refugee crisis is reaching epidemic proportions globally with cross-border migration from countries in the Middle East, North and West Africa – especially Syria, Libya, Afghanistan, Nigeria, Gambia – and other refugees from the region entering Europe. In Africa, the situation is no better. During the month of May, Uganda received 2,000 refugees daily from South Sudan, and currently hosts about 1.2 million refugees from across the continent – making it the third highest refugee host country in the world. This is happening in a country where the health system already falls short of meeting the needs of its citizens, with palliative care coverage still low. Other refugee host countries are facing similar challenges across Europe, Africa, Asia, and South America, as well as other regions of the world. Influxes of refugees in some of the lesser-developed regions, such as Africa, are transitioning to neighbouring countries where healthcare systems are not well developed and are struggling to meet the need of their national citizens. The addition of refugee populations stretches these systems to near-breaking points within a context of already limited resources allocated to health services. Refugees often find it easier to move to less developed countries because of limited immigration controls. More developed countries with more robust health systems are often more stringent in allowing in refugees, which keeps most refugee resettlement within lesser-developed countries. This exposes refugees to healthcare services that are often not able to offer comprehensive care, including palliative care. As a way of solving this problem, the UNHCR (UN Refugee Agency) donor countries and organisations working in refugee situations should ensure that palliative care is included in all emergency responses to limit the suffering that refugees with palliative care needs experience. Core to palliative care inclusion in emergency response services is a move towards the inclusion of palliative care into the Sphere Handbook, which serves as the gold standard for complex humanitarian emergency interventions. This Humanitarian Charter is regarded by implementing agencies, as well as bilateral and multilateral donors, as the “ethical and legal backdrop to protection principles” of refugees and other vulnerable populations (The Sphere Project, p. 6). The inclusion of palliative care is included in a first phase of open online public consultation until 30 June 2017. An inclusion of palliative care into the Sphere Standards could ideally lead to a broader allocation of palliative care funding as a mainstreamed priority in complex humanitarian emergencies globally. Such a move would not only lead to an expansion of palliative care services as part of UHC objectives, it would also ensure its services and ethos impacts communities in situations of dire need, with lesser infringement on resource strapped health systems.
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Fifth Salzburg Question launches on World Refugee Day
Fifth Salzburg Question launches on World Refugee Day
Oscar Tollast 
An online conversation on care toward the end of life has asked participants to consider the standard of care available to refugees. Earlier today, the fifth question in the Salzburg Question series was launched to coincide with World Refugee Day. The online series has been engaging people in conversation since February 20 about issues surrounding palliative care. Participants have been using the #allmylifeQs hashtag to connect with one another. June's question is, "145 countries signed the 1951 UN Refugee Convention - why do refugees have limited access to quality health care and #EOL care?" Emmanuel Luyirika, executive director of the African Palliative Care Association (APCA), has helped launch the discussion. Each question in the Salzburg Questions series is launched on an international day of observation and led by people with expertise in the field of palliative care. These people were involved in a Salzburg Global session in December: Rethinking Care Toward the End of Life. May's question was launched by Sheila Payne, an influential leader in promoting multidisciplinary work in palliative care. She asked, “Will caring for your dying loved one bankrupt you emotionally and financially?” In response to this question, Payne summarized her thoughts in a post for the EAPC blog. At the time of writing, the #allmylifeQs hashtag has generated more than 8.3 million impressions on Twitter. There have been 2,416 tweets involving 475 participants from across the world. Salzburg Global is encouraging as many Fellows as possible to join in with this conversation today and for the rest of the month.  People are also encouraged to write blogs, which could be hosted on ehospice; the European Association for Palliative Care (EAPC) blog; Palliverse; and the International Association for Hospice and Palliative Care (IAHPC) newsletter. Vlogs are also welcome and should be sent to katie.witcombe@kcl.ac.uk so they can be posted to a dedicated YouTube channel. Please join in the conversation and remember to use the hashtag #allmylifeQs. A Twitter list of Salzburg Global Health Fellows has been created. If you would like to be added to this list, please let us know by subscribing or contacting us on Twitter at @SalzburgGlobal. List of dates, questions, and people leading discussions 20 February 2017 - World Day of Social Justice - Why aren't countries accountable to commitment on #EOL care for vulnerable people? - Agnes Binagwaho 20 March 2017 - World Happiness Day - Is dying well as important as living well? - Lynna Chandra 07 April 2017 - World Health Day - How have you prepared for your death? - Suresh Kumar 15 May 2017 - World Family Day - Will caring for your dying loved one bankrupt you emotionally and financially? - Sheila Payne 20 June 2017 - World Refugee Day - 145 countries signed bit.ly/2ah31bH why do refugees have limited access to quality health care and #EOL care? - Emmanuel Luyirika 17 July 2017 - World Population Day - How and what do you measure to ensure palliative & EOL care? - Richard Harding 28 September 2017 - International Right to Know Day - Doctors, Nurses, do you want to die the way your patients die? - Bruce Chernof 13 October 2017 - World Hospice and Palliative Care Day* - Do you know how to access #palliative care when you need it? - Stephen Connor 10 November 2017 - World Science Day for Peace and Development - What future research is needed to improve care for people w advanced illness & towards the end of life? - Irene Higginson *This year's World Hospice and Palliative Care Day is taking place on Saturday, October 14. We will launch the question the day before to generate more discussion.
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Fellows of The Child in the City - Health, Parks and Play launch Salzburg Statement
Fellows of The Child in the City - Health, Parks and Play launch Salzburg Statement
Salzburg Global Seminar 
Salzburg Global Fellows have called on leaders to ensure all children enjoy the right to safe, free play in a nature-rich space within a 10-minute walk from home. The call to action was included in a Salzburg Statement published as a result of discussions at Session 574 - The Child in the City: Health, Parks and Play. It was the third session of the Parks for the Planet Forum, which was supported by Parks Canada and Korea National Park. The Forum is held in partnership with the International Union for Conservation of Nature (IUCN). It advances work to implement the Promise of Sydney and the Sustainable Development Goals. During a five-day program held in March, 52 experts in urban planning, childhood development, conservation, environmental policy, and health considered how green spaces could better meet the needs, and be accessible for, children. Participants asked themselves what the benefits of these spaces were and how they could be maximized. They considered the implications for urban planning, design and management if the needs of the child were placed at the center. On the final day of the program, participants agreed a small working group would build on the ideas shared by producing a statement outlining a shared set of principles and recommendations. The Salzburg Statement on The Child in the City: Health, Parks and Play recommends several policies, practices and investments. It also contains eight actions which can transform cities for children. These eight actions are: Ensure children of all ages, backgrounds, income, and abilities have equitable access to nature and play regularly and in meaningful ways to promote good health and wellbeing.Embed nature in everyday places used by children, such as schools, backyards, parks, playgrounds and city streets, to make the city into a natural outdoor classroom.Involve children in designing and planning natural spaces for recreation, education, inspiration and health, to give them ownership and pride in their local communities, schools and parksBuild curiosity, wonder, and care for nature in children (for example by greening school grounds and involving children with community gardens). Protect natural features across cityscapes and create an equitably distributed network of accessible green and nature-rich spaces that all generations can reach on foot.Connect cities with the broader ecosystems in which they are embedded, creating corridors for people, plants and animals to move safely across the city and into its surroundings.Establish more urban conservation areas to increase access to nature and connect cities to the broader protected area networkWork together through cross sectoral and multi-level partnerships to build an inclusive culture of health in cities. View the Salzburg Statement on the Child in the City: Health, Parks and Play on Issuu
Download the Salzburg Statement in full by clicking here The Salzburg Global program The Child in the City: Health, Parks and Play is part of the multi-year Parks for the Planet Forum, a series held in partnership with the IUCN and Huffington Foundation. The session is being supported by Parks Canada and Korea National Park. It is being sponsored by the W.K. Kellogg Foundation. More information on the session can be found here: www.salzburgglobal.org/go/574 - You can follow all the discussions on Twitter by following the hashtag #SGSparks
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Sheila Payne - Will caring for your loved one bankrupt you emotionally and financially?
Sheila Payne - Will caring for your loved one bankrupt you emotionally and financially?
Sheila Payne 
This article first appeared on the EAPC blog, which will continue to publish more posts on the Salzburg Question series. It refers to the fourth Salzburg Question: Will caring for your dying loved one bankrupt you emotionally and financially?To mark the International Day of Families today (15 May 2017), Sheila Payne, Emeritus Professor, International Observatory on End of Life Care, Lancaster University, UK, launches the fourth of the Salzburg Global Seminar questions. Palliative care interventions have historically neglected the essential role played by family and friends in supporting people near the end of life. This is surprising since virtually all of us will at some point in our lives be, albeit unwillingly, witnesses to the final illnesses and deaths of close family members. This is therefore a common, shared global experience. But will caring for your loved one bankrupt you emotionally and financially?The answer to this question probably lies in a number of factors including your personal resilience and resources, the network of social and emotional support available to you in your extended family, community and faith group, and in the health, social care and welfare system that your country provides. For most families, facing the loss of a family member is a distressing time but is mitigated by adequate resources and support systems. However, for those with inadequate social support or networks – perhaps because they are refugees, are older people or poor, or live in countries where health care or health insurance is too expensive, or social care is not available – then facing a loved one’s end of life can be literately devastating.What can you do?There has been a growing acknowledgement of the emotional impact of witnessing the decline and death of a close relative. This is usually labelled as ‘carer burden’, which includes both the emotional impact and also the caregiving tasks involved in supporting a dying person. There are now many ‘tools’ that attempt to measure this ‘burden’ and even a few that recognise that caregiving can have both positive and negative elements. Palliative care professionals can ensure that the emotional and support needs of families are regularly assessed and addressed, before a crisis is reached.What has perhaps received less attention is the financial impact of having a dying family member within one’s family. Evidence from the USA and Australia suggests that illness and medical debts are a major reason for bankruptcies. A recent analysis of out-of-pocket expenses in the last year of life for older people in 13 European countries indicates that they ranged from two per cent to 25 per cent of median household income (Penders et al 2017). Once again, routine assessment of economic circumstances and the need for welfare support should be included within palliative care.Finally, as an international palliative care community could we be doing more to highlight the often hidden impact of the final illness on the emotional and financial welfare of family members? After the death, as we receive their gratitude and thanks for the palliative care that we provided for their loved one, do we stop to ask how they are managing? Can we be more proactive in highlighting their needs to governments and policy makers?Reference Penders YWH, Rietjens J, Albers G, Croezen S, van den Block L. Differences in out-of-pocket healthcare in the last year of life of older people in 13 European countries Palliative Medicine 2017, 31(1) 42-52 doi: 10.117/0269216316647206.
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