Complex situations in palliative care: Development of a rating scale

被引:1
|
作者
Chevalier, Luc [1 ]
Pierrat, Magali [1 ]
Touzet, Licia [1 ]
Gamblin, Vincent [2 ]
机构
[1] CHRU Lille, Hop Calmette, Clin Soins Palliatifs, F-59037 Lille, France
[2] Ctr Oscar Lambret, Unite Soins Palliatifs, 3 Rue Frederic Combemale,BP 307, F-59020 Lille, France
来源
MEDECINE PALLIATIVE | 2014年 / 13卷 / 04期
关键词
Palliative care; Rating scale; Clinical complexity; Inter-rater reliability;
D O I
10.1016/j.medpal.2014.05.003
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction. - The orientation of palliative care patients toward various hospital or non-hospital structures is highly person-dependent. We have developed a 10-item scale to assess the clinical complexity of palliative care patients, and initiated validation assessment by means of a prospective multicenter observational study. Our goal was to examine the inter-rater reliability. Method. - We analyzed 196 double quotations jointly carried out by two evaluators within 11 palliative care units of the Nord-Pas-de-Calais region. Results. - The analysis shows that the inter-rater reliability is low for 5 items out of 10. We note that these items are among the most subjective in the scale. Discussion. - Our results reflect different perceptions of the clinical complexity of the patient. These differences should be explored to improve the content validity of the scale. (C) 2014 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:167 / 174
页数:8
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