Palliative Care Service Use in Four European Countries: A Cross-National Retrospective Study via Representative Networks of General Practitioners
Palliative Care Service Use in Four European Countries: A Cross-National Retrospective Study via Representative Networks of General Practitioners
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DOI：
10.1371/journal.pone.0084440
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发表时间：
2013-12-30
期刊：
影响因子：
3.7
通讯作者：
Deliens, Luc
中科院分区：
文献类型：
--
作者：
Pivodic, Lara;Pardon, Koen;Deliens, Luc
背景资料：由于癌症和其他慢性病死亡人数的增加，越来越多的人出现复杂的症状，需要临终关怀。然而，关于欧洲接受姑息治疗人数的人口数据很少。本研究的目的是研究，在四个欧洲国家，在过去三个月的生活中接受姑息治疗的人数和接受姑息治疗的相关因素。方法：跨国回顾性研究。在过去的两年里（2009-2010年），属于比利时、荷兰、意大利和西班牙代表性流行病学监测网络的全科医生每周使用标准化表格登记所有在他们的实践中死亡的患者（≥ 18岁）以及他们在生命的最后三个月接受的护理。结果：我们研究了4,466例死亡病例。在比利时，全科医生为50%的患者提供了姑息治疗，意大利为55%，荷兰为62%，西班牙为65%（p
Background: Due to a rising number of deaths from cancer and other chronic diseases a growing number of people experience complex symptoms and require palliative care towards the end of life. However, population-based data on the number of people receiving palliative care in Europe are scarce. The objective of this study is to examine, in four European countries, the number of people receiving palliative care in the last three months of life and the factors associated with receiving palliative care.Methods: Cross-national retrospective study. Over two years (2009-2010), GPs belonging to representative epidemiological surveillance networks in Belgium, the Netherlands, Italy, and Spain registered weekly all deaths of patients (>= 18 years) in their practices and the care they received in the last three months of life using a standardized form. Sudden deaths were excluded.Results: We studied 4,466 deaths. GPs perceived to have delivered palliative care to 50% of patients in Belgium, 55% in Italy, 62% in the Netherlands, and 65% in Spain (p