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Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study

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Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study. / Baranska, Illona; Kijowska, Violetta; Engels, Yvonne et al.
In: Journal of the American Medical Directors Association, Vol. 21, No. 3, 01.03.2020, p. 331-337.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Baranska, I, Kijowska, V, Engels, Y, Finne-Soveri, H, Froggatt, K, Gambassi, G, Hammar, T, Oosterveld-Vlug, M, Payne, S, Van Den Noortgate, N, Smets, T, Luc, D, Van den Block, L & Szczerbińska, K 2020, 'Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study', Journal of the American Medical Directors Association, vol. 21, no. 3, pp. 331-337. https://doi.org/10.1016/j.jamda.2019.05.003

APA

Baranska, I., Kijowska, V., Engels, Y., Finne-Soveri, H., Froggatt, K., Gambassi, G., Hammar, T., Oosterveld-Vlug, M., Payne, S., Van Den Noortgate, N., Smets, T., Luc, D., Van den Block, L., & Szczerbińska, K. (2020). Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study. Journal of the American Medical Directors Association, 21(3), 331-337. https://doi.org/10.1016/j.jamda.2019.05.003

Vancouver

Baranska I, Kijowska V, Engels Y, Finne-Soveri H, Froggatt K, Gambassi G et al. Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study. Journal of the American Medical Directors Association. 2020 Mar 1;21(3):331-337. Epub 2019 Jul 1. doi: 10.1016/j.jamda.2019.05.003

Author

Baranska, Illona ; Kijowska, Violetta ; Engels, Yvonne et al. / Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries : PACE Cross-Sectional Study. In: Journal of the American Medical Directors Association. 2020 ; Vol. 21, No. 3. pp. 331-337.

Bibtex

@article{46210e4d88e443f6ab871725e0e664e9,
title = "Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study",
abstract = "Objective: To examine how relatives evaluate the quality of communication with the treating physician of a dying resident in long-term care facilities (LTCFs) and to assess its differences between countries. Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. Relatives of residents who died during the previous 3 months were sent a questionnaire. Settings and participants: 761 relatives of deceased residents in 241 LTCFs in Belgium, England, Finland, Italy, the Netherlands, and Poland. Methods: The Family Perception of Physician-Family Communication (FPPFC) scale (ratings from 0 to 3, where 3 means the highest quality) was used to retrospectively assess how the quality of end-of-life communication with treating physicians was perceived by relatives. We applied multilevel linear and logistic regression models to assess differences between countries and LTCF types. Results: The FPPFC score was the lowest in Finland (1.4 ± 0.8) and the highest in Italy (2.2 ± 0.7). In LTCFs served by general practitioners, the FPPFC score differed between countries, but did not in LTCFs with on-site physicians. Most relatives reported that they were well informed about a resident's general condition (from 50.8% in Finland to 90.6% in Italy) and felt listened to (from 53.1% in Finland to 84.9% in Italy) and understood by the physician (from 56.7% in Finland to 85.8% in Italy). In most countries, relatives assessed the worst communication as being about the resident's wishes for medical treatment at the end of life, with the lowest rate of satisfied relatives in Finland (37.6%). Conclusion: The relatives' perception of the quality of end-of-life communication with physicians differs between countries. However, in all countries, physicians' communication needs to be improved, especially regarding resident's wishes for medical care at the end of life. Implications: Training in end-of-life communication to physicians providing care for LTCF residents is recommended.",
author = "Illona Baranska and Violetta Kijowska and Yvonne Engels and Harriet Finne-Soveri and Katherine Froggatt and Giovanni Gambassi and Teija Hammar and Mariska Oosterveld-Vlug and Sheila Payne and {Van Den Noortgate}, Nele and Tinne Smets and Deliens Luc and {Van den Block}, Lieve and Katarzyna Szczerbi{\'n}ska",
year = "2020",
month = mar,
day = "1",
doi = "10.1016/j.jamda.2019.05.003",
language = "English",
volume = "21",
pages = "331--337",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries

T2 - PACE Cross-Sectional Study

AU - Baranska, Illona

AU - Kijowska, Violetta

AU - Engels, Yvonne

AU - Finne-Soveri, Harriet

AU - Froggatt, Katherine

AU - Gambassi, Giovanni

AU - Hammar, Teija

AU - Oosterveld-Vlug, Mariska

AU - Payne, Sheila

AU - Van Den Noortgate, Nele

AU - Smets, Tinne

AU - Luc, Deliens

AU - Van den Block, Lieve

AU - Szczerbińska, Katarzyna

PY - 2020/3/1

Y1 - 2020/3/1

N2 - Objective: To examine how relatives evaluate the quality of communication with the treating physician of a dying resident in long-term care facilities (LTCFs) and to assess its differences between countries. Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. Relatives of residents who died during the previous 3 months were sent a questionnaire. Settings and participants: 761 relatives of deceased residents in 241 LTCFs in Belgium, England, Finland, Italy, the Netherlands, and Poland. Methods: The Family Perception of Physician-Family Communication (FPPFC) scale (ratings from 0 to 3, where 3 means the highest quality) was used to retrospectively assess how the quality of end-of-life communication with treating physicians was perceived by relatives. We applied multilevel linear and logistic regression models to assess differences between countries and LTCF types. Results: The FPPFC score was the lowest in Finland (1.4 ± 0.8) and the highest in Italy (2.2 ± 0.7). In LTCFs served by general practitioners, the FPPFC score differed between countries, but did not in LTCFs with on-site physicians. Most relatives reported that they were well informed about a resident's general condition (from 50.8% in Finland to 90.6% in Italy) and felt listened to (from 53.1% in Finland to 84.9% in Italy) and understood by the physician (from 56.7% in Finland to 85.8% in Italy). In most countries, relatives assessed the worst communication as being about the resident's wishes for medical treatment at the end of life, with the lowest rate of satisfied relatives in Finland (37.6%). Conclusion: The relatives' perception of the quality of end-of-life communication with physicians differs between countries. However, in all countries, physicians' communication needs to be improved, especially regarding resident's wishes for medical care at the end of life. Implications: Training in end-of-life communication to physicians providing care for LTCF residents is recommended.

AB - Objective: To examine how relatives evaluate the quality of communication with the treating physician of a dying resident in long-term care facilities (LTCFs) and to assess its differences between countries. Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. Relatives of residents who died during the previous 3 months were sent a questionnaire. Settings and participants: 761 relatives of deceased residents in 241 LTCFs in Belgium, England, Finland, Italy, the Netherlands, and Poland. Methods: The Family Perception of Physician-Family Communication (FPPFC) scale (ratings from 0 to 3, where 3 means the highest quality) was used to retrospectively assess how the quality of end-of-life communication with treating physicians was perceived by relatives. We applied multilevel linear and logistic regression models to assess differences between countries and LTCF types. Results: The FPPFC score was the lowest in Finland (1.4 ± 0.8) and the highest in Italy (2.2 ± 0.7). In LTCFs served by general practitioners, the FPPFC score differed between countries, but did not in LTCFs with on-site physicians. Most relatives reported that they were well informed about a resident's general condition (from 50.8% in Finland to 90.6% in Italy) and felt listened to (from 53.1% in Finland to 84.9% in Italy) and understood by the physician (from 56.7% in Finland to 85.8% in Italy). In most countries, relatives assessed the worst communication as being about the resident's wishes for medical treatment at the end of life, with the lowest rate of satisfied relatives in Finland (37.6%). Conclusion: The relatives' perception of the quality of end-of-life communication with physicians differs between countries. However, in all countries, physicians' communication needs to be improved, especially regarding resident's wishes for medical care at the end of life. Implications: Training in end-of-life communication to physicians providing care for LTCF residents is recommended.

U2 - 10.1016/j.jamda.2019.05.003

DO - 10.1016/j.jamda.2019.05.003

M3 - Journal article

VL - 21

SP - 331

EP - 337

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 3

ER -