Transitions between care settings after enrolment in a palliative care service in Italy: a retrospective analysis.
| Autor: | D'angelo, Daniel, Chiara, Mastroianni, Vellone, Ercole, Alvaro, Rosaria, Casale, Giuseppe, Stefania, Lucatelli, Latina, Roberto, Matarese, Maria, Grazia De Marinis, Maria |
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| Předmět: |
CANCER patients
CHI-squared test COMPARATIVE studies CONTINUUM of care HOSPICE care HOSPITALS HOSPITAL admission & discharge LIFE skills LONGITUDINAL method MEDICAL referrals MORTALITY PALLIATIVE treatment PATIENTS PROBABILITY theory SCALES (Weighing instruments) SURVIVAL analysis (Biometry) T-test (Statistics) TERMINALLY ill TUMORS HOME environment RETROSPECTIVE studies DATA analysis software FUNCTIONAL assessment DESCRIPTIVE statistics KARNOFSKY Performance Status INFERENTIAL statistics |
| Zdroj: | International Journal of Palliative Nursing; Mar2013, Vol. 19 Issue 3, p110-115, 6p, 5 Charts |
| Abstrakt: | This study was a retrospective analysis of prospectively collected data that aimed to map patients' care transitions following admission to a specialist palliative care service in Italy called Antea Centre. Patients' data was extracted from the Antea local database from 2007 to 2011. External transitions were defined as a change in the setting of care, with the patient no longer being cared for by Antea staff. Internal transitions were defined as a change in the setting of care, with the care still being provided by Antea staff. A total of I 123 patients out of 5313 admitted to the palliative service (21%) experienced transitions. Patients who experienced no transitions after their admission to the palliative care service were more likely to have a Karnofsky Performance Scale Index ≤30, to have been referred by a hospital physician, to have a shorter survival time, and to have home as their place of death (P<0.001).Although the patients with no transitions had worse clinical conditions, organisations should pay attention to reducing the possible negative effects of transitions, such as discontinuity of care and poor coordination. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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