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The oldest old and GP end-of-life care in the Dutch community: a nationwide study
被引:27
|作者:
Abarshi, Ebun
[1
,2
]
Echteld, Michael A.
[1
,2
]
Van den Block, Lieve
[3
]
Donker, Ge
[4
]
Deliens, Luc
[1
,2
,3
]
Onwuteaka-Philipsen, Bregje
[1
,2
]
机构:
[1] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, Dept Publ & Occupat Hlth, Amsterdam, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, Palliat Care Expertise Ctr, Amsterdam, Netherlands
[3] Vrije Univ Brussel, Dept Gen Practice, End Life Care Res Grp, Brussels, Belgium
[4] Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
关键词:
ageing;
oldest old;
end-of-life care;
the Dutch community;
elderly;
SPECIALIST PALLIATIVE CARE;
TERMINALLY-ILL PATIENTS;
PEOPLES VIEWS;
CANCER-PATIENTS;
NETHERLANDS;
SERVICES;
AGE;
CONSULTATION;
PATIENT;
ACCESS;
D O I:
10.1093/ageing/afq097
中图分类号:
R592 [老年病学];
C [社会科学总论];
学科分类号:
03 ;
0303 ;
100203 ;
摘要:
Methods: general practitioners (GPs) participating in the nation-wide representative network in the Netherlands were asked to fill in patient, illness and care characteristics of all registered patients >= 65 years, who died non-suddenly in their practices between 2005 and2008, using standardised forms. Associations with the palliative care variables were tested using multiple logistic regression. Results: nine hundred and ninety patients were registered. Among the oldest old, there were more women than men, more patients with heart failure than cancer, less hospital and home deaths and more residential care home deaths compared with the younger old. Of the oldest old, fewer received SPCS and more preferred to die in a residential care home than the younger old. Age was independently associated with palliative care provided: compared with the younger group, the oldest old received SPCS less often (OR = 0.7) and were treated with a palliative-centred goal more often (OR = 2.4); but age was not related to dying in a preferred place, i.e. independent of other characteristics. Conclusion: this study shows age to be independently associated with receiving SPCS in the Dutch community. Although the GPs do recognise the 'palliative phase' in the oldest old, involvement of specialist teams is somewhat less.
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页码:716 / 722
页数:7
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