Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study
| Autor: | Ilona Barańska, Violetta Kijowska, Yvonne Engels, Harriet Finne-Soveri, Katherine Froggatt, Giovanni Gambassi, Teija Hammar, Mariska Oosterveld-Vlug, Sheila Payne, Nele Van Den Noortgate, Tinne Smets, Luc Deliens, Lieve Van den Block, Katarzyna Szczerbińska, Eddy Adang, Paula Andreasen, Danni Collingridge Moore, Hein van Hout, Maud ten Koppel, Federica Mammarella, Martina Mercuri, Bregje D. Onwuteaka-Philipsen, Lara Pivodic, Paola Rossi, Eleanor Sowerby, Agata Stodolska, Anne Wichmann, Jenny T. van der Steen, Myrra Vernooij-Dassen, null the European Association for Palliative Care Onlus, null European Forum for Primary Care, null Age Platform Europe, null Alzheimer Europe |
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| Přispěvatelé: | Family Medicine and Chronic Care, End-of-life Care Research Group, Clinical sciences, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] Cross-sectional study media_common.quotation_subject Nursing(all) Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences quality of communication 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Belgium Physicians Perception End-of-Life Care medicine Humans Quality (business) 030212 general & internal medicine Finland General Nursing Netherlands Retrospective Studies media_common Terminal Care business.industry Communication Retrospective cohort study General Medicine Long-Term Care Health policy long-term care facility Death relative Long-term care Cross-Sectional Studies Italy Physician Scale (social sciences) Family medicine Poland Geriatrics and Gerontology business End-of-life care 030217 neurology & neurosurgery |
| Zdroj: | Barańska, I, Kijowska, V, Engels, Y, Finne-Soveri, H, Froggatt, K, Gambassi, G, Hammar, T, Oosterveld-Vlug, M, Payne, S, van den Noortgate, N, Smets, T, Deliens, L, van den Block, L, Szczerbińska, K, The European Association For Palliative Care Onlus, European Forum For Primary Care, Age Platform Europe & Alzheimer Europe 2020, ' Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study ', Journal of the American Medical Directors Association, vol. 21, no. 3, pp. 439.e1-439.e8 . https://doi.org/10.1016/j.jamda.2019.07.018 Journal of the American Medical Directors Association, 21 Journal of the American Medical Directors Association, 21, 3 Journal of the American Medical Directors Association, 21(3), 439.e1-439.e8. Elsevier Inc. |
| ISSN: | 1525-8610 |
| DOI: | 10.1016/j.jamda.2019.07.018 |
| Popis: | Objective: To examine factors associated with perceived quality of communication with physicians by relatives of dying residents of long-term care facilities (LTCFs). Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. In each LTCF, deaths of residents during the 3 months before the researcher's visit were reported. Structured questionnaires were sent to the identified relatives of deceased residents. Settings and participants: A total of 736 relatives of deceased residents in 210 LTCFs (in Belgium, Finland, Italy, the Netherlands, and Poland). Methods: The Family Perception of Physician-Family Communication scale (FPPFC) was used to assess the quality of end-of-life (EOL) communication with physicians as perceived by relatives. We applied multilevel linear regression models to find factors associated with the FPPFC score. Results: The quality of EOL communication with physicians was perceived by relatives as higher when the relative spent more than 14 hours with the resident in the last week of the resident's life (b = 0.205; P =. 044), and when the treating physician visited the resident at least 3 times in the last week of the resident's life (b = 0.286; P =. 002) or provided the resident with palliative care (b = 0.223; P =. 003). Relatives with higher emotional burden perceived the quality of EOL communication with physicians as lower (b = −0.060; P < .001). These results had been adjusted to countries and LTCF types with physicians employed on-site or off-site of the facility. Conclusion: The quality of EOL communication with physicians, as perceived by relatives of dying LTCF residents, is associated with the number of physician visits and amount of time spent by the relative with the resident in the last week of the resident's life, and relatives' emotional burden. Implications: LTCF managers should organize care for dying residents in a way that enables frequent interactions between physicians and relatives, and emotional support to relatives to improve their satisfaction with EOL communication. |
| Databáze: | OpenAIRE |
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