Access to inpatient palliative care among cancer patients in France: an analysis based on the national cancer cohort

Autor: Anne-Déborah Bouhnik, Philippe-Jean Bousquet, Julien Mancini, Asmaa Janah, Marc-Karim Bendiane, Christine Le Bihan-Benjamin
Přispěvatelé: Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut national du cancer [Boulogne] (INCA), Biostatistique et technologies de l'information et de la communication (BioSTIC) - [Hôpital de la Timone - APHM] (BiosTIC ), Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Service Biostatistique et Technologies de l’Information et de la Communication [AP-HM Hôpital de la Timone] (BioSTIC), Hôpital de la Timone [CHU - APHM] (TIMONE), Dupuis, Christine
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Palliative care
[SDV]Life Sciences [q-bio]
MESH: Hospitalization
Health Services Accessibility
Health administration
0302 clinical medicine
Neoplasms
Medicine
MESH: Neoplasms
030212 general & internal medicine
MESH: Aged
education.field_of_study
MESH: Health Services Accessibility
MESH: Middle Aged
lcsh:Public aspects of medicine
Health Policy
Nursing research
Palliative Care
Cancer diagnosis
Middle Aged
Access
3. Good health
Hospitalization
[SDV] Life Sciences [q-bio]
MESH: Young Adult
030220 oncology & carcinogenesis
Cohort
National health system database
Female
MESH: Palliative Care
France
Research Article
Adult
medicine.medical_specialty
Adolescent
French cancer cohort
Population
Young Adult
03 medical and health sciences
Humans
education
Aged
Retrospective Studies
MESH: Adolescent
Palliative care (PC)
MESH: Humans
business.industry
Public health
Cancer
lcsh:RA1-1270
Retrospective cohort study
MESH: Adult
MESH: Retrospective Studies
medicine.disease
MESH: Male
MESH: France
Family medicine
business
MESH: Female
Zdroj: BMC Health Services Research
BMC Health Services Research, 2020, 20 (1), pp.798. ⟨10.1186/s12913-020-05667-8⟩
BMC Health Services Research, BioMed Central, 2020, 20 (1), pp.798. ⟨10.1186/s12913-020-05667-8⟩
BMC Health Services Research, Vol 20, Iss 1, Pp 1-12 (2020)
ISSN: 1472-6963
DOI: 10.1186/s12913-020-05667-8⟩
Popis: Background Closely linked to the concept of supportive care, the integrated model of palliative care (PC) implies identifying, assessing and treating physical and psychological suffering as early as needed, irrespective of patient characteristics. In France, as in the most southern European countries, little is known about the proportion of cancer patients who have access to PC. Accordingly, we aimed in this study to estimate the proportion of cancer patients in France who have access to inpatient PC, and to explore associated factors. We carried out a nationwide retrospective cohort study using data from the French national health system database (SNDS) for all individuals diagnosed with cancer in 2013 and followed between 2013 and 2016. We compared patients who had inpatient PC with those who did not. Results Of the 313,059 cancer patients included in the national French cancer cohort in 2013, 53,437 (17%) accessed inpatient PC at least once between 2013 and 2016, ranging from 2% in survivors to 56% in the deceased population. Multivariate logistic regression revealed that women and younger patients (18–49 years old) were less likely to access inpatient PC while patients with a greater number of comorbidities, metastatic cancer, or cancer of the nervous system, were more likely to have done so. Conclusions A negligible proportion of cancer survivors accessed inpatient PC. More research and training are needed to convince healthcare providers, patients, and families about the substantial benefits of PC, and to promote better integration of PC and oncology.
Databáze: OpenAIRE
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