The association between PaTz and improved palliative care in the primary care setting: A cross-sectional survey
| Autor: | Annicka G. M. van der Plas, Bart P. M. Schweitzer, H. Roeline W. Pasman, Ian Koper, Bregje D. Onwuteaka-Philipsen |
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| Přispěvatelé: | Public and occupational health, APH - Aging & Later Life, APH - Quality of Care |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
District nurse medicine.medical_specialty Palliative care Cross-sectional study Primary care Computer-assisted web interviewing Logistic regression 03 medical and health sciences 0302 clinical medicine Interprofessional relations Surveys and Questionnaires medicine Added value Humans 030212 general & internal medicine Association (psychology) Aged Netherlands Primary health care Aged 80 and over Professional-patient relations lcsh:R5-920 business.industry 030503 health policy & services Quality of care Health care surveys Continuity of Patient Care Middle Aged Home Care Services Quality Improvement Cross-Sectional Studies Family medicine Female lcsh:Medicine (General) 0305 other medical science Family Practice business Research Article |
| Zdroj: | Koper, I, Pasman, H R W, van der Plas, A G M, Schweitzer, B P M & Onwuteaka-Philipsen, B D 2019, ' The association between PaTz and improved palliative care in the primary care setting: A cross-sectional survey ', BMC Family Practice, vol. 20, no. 1, 112 . https://doi.org/10.1186/s12875-019-1002-z BMC Family Practice, 20(1):112. BioMed Central BMC Family Practice, Vol 20, Iss 1, Pp 1-9 (2019) BMC Family Practice |
| ISSN: | 1471-2296 |
| DOI: | 10.1186/s12875-019-1002-z |
| Popis: | Background The PaTz-method (acronym for Palliatieve Thuiszorg, palliative care at home) is perceived to improve coordination, continuity and communication in palliative care in the Netherlands. Although important for further implementation, research showing a clear effect of PaTz on patient-related outcomes is scarce. This study aimed to examine perceived barriers and added value of PaTz and its association with improved care outcomes. Methods Ninety-eight Dutch general practitioners and 229 Dutch district nurses filled out an online questionnaire with structured questions on added value and barrier perception of PaTz-participation, and palliative care provided to their most recently deceased patient, distributed online by Dutch medical and nurses’ associations. Data from PaTz-participants and non-participants was compared using Chi-square tests, independent t-tests and logistic regression analyses. Results While both PaTz-participants and non-participants perceived PaTz to be beneficial for knowledge collaboration, coordination and continuity of care, time (or lack thereof) is considered the most important barrier for participation. PaTz-participation is associated with discussing five or more end-of-life topics with patients (OR = 3.16) and with another healthcare provider (OR = 2.55). PaTz-participation is also associated with discussing palliative sedation (OR = 3.85) and euthanasia (OR = 2.97) with another healthcare provider. Significant associations with other care outcomes were not found. Conclusions General practitioners and district nurses feel that participating in a PaTz-group has benefits, but perceive various barriers for participation. While participating in a PaTz-group is associated with improved communication between healthcare providers and with patients, the effect on patient outcomes remains unclear. To stimulate further implementation, future research should focus on the effect of PaTz on tangible care characteristics and how to facilitate participation and remove barriers. |
| Databáze: | OpenAIRE |
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