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.
引用
收藏
页码:716 / 722
页数:7
相关论文
共 50 条
  • [1] End-of-life care in the oldest old
    Bravell, Marie Ernsth
    Malmberg, Bo
    Berg, Stig
    [J]. PALLIATIVE & SUPPORTIVE CARE, 2010, 8 (03) : 335 - 344
  • [2] The oldest old: the newest focus in end-of-life care?
    Kenneth, Chambaere
    [J]. SWISS MEDICAL WEEKLY, 2020, 150
  • [3] Medical end-of-life decisions in the oldest old in Switzerland
    Kathrin, Hug
    Yolanda, Penders W. H.
    Heike, Bischoff-Ferrari A.
    Matthias, Bopp
    Georg, Bosshard
    [J]. SWISS MEDICAL WEEKLY, 2020, 150 : w20177
  • [4] End-of-life care in the Dutch medical curricula
    de Bruin, Josefien
    Verhoef, Mary-Joanne
    Slaets, Joris P. J.
    van Bodegom, David
    [J]. PERSPECTIVES ON MEDICAL EDUCATION, 2018, 7 (05) : 325 - 331
  • [5] Regional Variation in End-of-Life Care just before Death among the oldest old in Japan : A descriptive study
    Sakai, Michi
    Mitsutake, Naohiro
    Iwao, Tomohide
    Kato, Genta
    Nishimura, Shuzo
    Nakayama, Takeo
    [J]. JOURNAL OF EPIDEMIOLOGY, 2024,
  • [6] End-of-Life Care in the Hispanic Community
    O'Mara, Susan K.
    Zborovskaya, Yanina
    [J]. JOURNAL OF HOSPICE & PALLIATIVE NURSING, 2016, 18 (01) : 53 - 59
  • [7] Spiritual End-of-Life Care in Dutch Nursing Homes: An Ethnographic Study
    Gijsberts, Marie-Jose H. E.
    van der Steen, Jenny T.
    Muller, Martien T.
    Hertogh, Cees M. P. M.
    Deliens, Luc
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2013, 14 (09) : 679 - 684
  • [8] A Nationwide Study Comparing End-of-Life Care for Men and Women Veterans
    Ersek, Mary
    Smith, Dawn
    Cannuscio, Carolyn
    Richardson, Diane M.
    Moore, Denise
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2013, 16 (07) : 734 - 740
  • [9] An innovative approach to end of life care for the oldest old
    Stein, WM
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (09) : S36 - S36
  • [10] Experiences of end-of-life care in community hospitals
    Payne, Sheila
    Hawker, Sheila
    Kerr, Chris
    Seamark, David
    Roberts, Helen
    Jarrett, Nikki
    Smith, Helen
    [J]. HEALTH & SOCIAL CARE IN THE COMMUNITY, 2007, 15 (05) : 494 - 501