Who needs, receives and misses out on palliative and end-of-life care? A population-based study to identify needs and gaps in a regional health service
| Autor: | Samuel F Allingham, Zivai Nangati, Greg Barclay, Stephen Moules, Joanne Davis, Malcolm R Masso, Kathy Eagar, Victoria J Westley-Wise |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Terminal Care Palliative care Health economics Adolescent Service delivery framework business.industry Health Policy Public health Palliative Care Australia Population health Odds ratio Pulmonary Disease Chronic Obstructive Cross-Sectional Studies Family medicine Health care medicine Humans business End-of-life care Aged |
| Zdroj: | Australian health review : a publication of the Australian Hospital Association. 46(1) |
| ISSN: | 1449-8944 |
| Popis: | Objective The aim of this study was to assess the unmet need for palliative and other end-of-life care, as well as the sociodemographic and diagnostic factors associated with suboptimal access, among residents in an Australian region. Methods A cross-sectional descriptive and analytical study was performed using non-identifiable linked data from four administrative and two clinical datasets. The study population comprised 3175 patients aged ≥15 years who died in hospital in 2016 and 2017. The main outcome measures were the proportion of decedents potentially benefitting from end-of-life care and receiving end-of-life care. Results An estimated 74.8% of decedents needed palliative or other end-of-life care in the year before death. Approximately 13.3% did not receive any end-of-life care despite its potential benefit. The highest proportions with ‘unmet need’ were decedents with chronic obstructive pulmonary disease (31.0%) and heart failure (26.3%). Adjusting for sociodemographic and diagnostic factors, access was lowest among those aged |
| Databáze: | OpenAIRE |
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