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Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study

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Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study. / Barańska, I.; Kijowska, V.; Engels, Y. et al.
In: Journal of the American Medical Directors Association, Vol. 21, No. 3, 01.03.2020, p. 439.e1-439.e8.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Barańska, 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, Deliens, L, Van den Block, L, Szczerbińska, K, Adang, E, Andreasen, P, Collingridge Moore, D, van Hout, H, Ten Koppel, M, Mammarella, F, Mercuri, M, Onwuteaka-Philipsen, BD, Pivodic, L, Rossi, P, Sowerby, E, Stodolska, A, Wichmann, A, van der Steen, JT & Vernooij-Dassen, M 2020, 'Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study', Journal of the American Medical Directors Association, vol. 21, no. 3, pp. 439.e1-439.e8. https://doi.org/10.1016/j.jamda.2019.07.018

APA

Barańska, 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., Deliens, L., Van den Block, L., Szczerbińska, K., Adang, E., Andreasen, P., Collingridge Moore, D., van Hout, H., Ten Koppel, M., ... Vernooij-Dassen, M. (2020). Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study. Journal of the American Medical Directors Association, 21(3), 439.e1-439.e8. https://doi.org/10.1016/j.jamda.2019.07.018

Vancouver

Barańska I, Kijowska V, Engels Y, Finne-Soveri H, Froggatt K, Gambassi G et al. Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study. Journal of the American Medical Directors Association. 2020 Mar 1;21(3):439.e1-439.e8. Epub 2019 Sept 11. doi: 10.1016/j.jamda.2019.07.018

Author

Barańska, I. ; Kijowska, V. ; Engels, Y. et al. / Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities : PACE Cross-Sectional Study. In: Journal of the American Medical Directors Association. 2020 ; Vol. 21, No. 3. pp. 439.e1-439.e8.

Bibtex

@article{9d3f57a77f064b0291320353a47f89b9,
title = "Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study",
abstract = "Objective: To examine factors associated with perceived quality of communication with physicians by relatives of dying residents of long-term care facilities (LTCFs). Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. In each LTCF, deaths of residents during the 3 months before the researcher's visit were reported. Structured questionnaires were sent to the identified relatives of deceased residents. Settings and participants: A total of 736 relatives of deceased residents in 210 LTCFs (in Belgium, Finland, Italy, the Netherlands, and Poland). Methods: The Family Perception of Physician-Family Communication scale (FPPFC) was used to assess the quality of end-of-life (EOL) communication with physicians as perceived by relatives. We applied multilevel linear regression models to find factors associated with the FPPFC score. Results: The quality of EOL communication with physicians was perceived by relatives as higher when the relative spent more than 14 hours with the resident in the last week of the resident's life (b = 0.205; P = .044), and when the treating physician visited the resident at least 3 times in the last week of the resident's life (b = 0.286; P = .002) or provided the resident with palliative care (b = 0.223; P = .003). Relatives with higher emotional burden perceived the quality of EOL communication with physicians as lower (b = −0.060; P < .001). These results had been adjusted to countries and LTCF types with physicians employed on-site or off-site of the facility. Conclusion: The quality of EOL communication with physicians, as perceived by relatives of dying LTCF residents, is associated with the number of physician visits and amount of time spent by the relative with the resident in the last week of the resident's life, and relatives' emotional burden. Implications: LTCF managers should organize care for dying residents in a way that enables frequent interactions between physicians and relatives, and emotional support to relatives to improve their satisfaction with EOL communication.",
keywords = "end-of-life care, long-term care facility, physician, Quality of communication, relative, adult, article, Belgium, controlled study, cross-sectional study, female, Finland, human, Italy, linear regression analysis, long term care, male, manager, Netherlands, palliative therapy, perception, Poland, resident, retrospective study, satisfaction, structured questionnaire, terminal care",
author = "I. Bara{\'n}ska and V. Kijowska and Y. Engels and H. Finne-Soveri and K. Froggatt and G. Gambassi and T. Hammar and M. Oosterveld-Vlug and S. Payne and {Van Den Noortgate}, N. and T. Smets and L. Deliens and {Van den Block}, L. and K. Szczerbi{\'n}ska and E. Adang and P. Andreasen and {Collingridge Moore}, D. and {van Hout}, H. and {Ten Koppel}, M. and F. Mammarella and M. Mercuri and B.D. Onwuteaka-Philipsen and L. Pivodic and P. Rossi and E. Sowerby and A. Stodolska and A. Wichmann and {van der Steen}, J.T. and M. Vernooij-Dassen",
year = "2020",
month = mar,
day = "1",
doi = "10.1016/j.jamda.2019.07.018",
language = "English",
volume = "21",
pages = "439.e1--439.e8",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities

T2 - PACE Cross-Sectional Study

AU - Barańska, I.

AU - Kijowska, V.

AU - Engels, Y.

AU - Finne-Soveri, H.

AU - Froggatt, K.

AU - Gambassi, G.

AU - Hammar, T.

AU - Oosterveld-Vlug, M.

AU - Payne, S.

AU - Van Den Noortgate, N.

AU - Smets, T.

AU - Deliens, L.

AU - Van den Block, L.

AU - Szczerbińska, K.

AU - Adang, E.

AU - Andreasen, P.

AU - Collingridge Moore, D.

AU - van Hout, H.

AU - Ten Koppel, M.

AU - Mammarella, F.

AU - Mercuri, M.

AU - Onwuteaka-Philipsen, B.D.

AU - Pivodic, L.

AU - Rossi, P.

AU - Sowerby, E.

AU - Stodolska, A.

AU - Wichmann, A.

AU - van der Steen, J.T.

AU - Vernooij-Dassen, M.

PY - 2020/3/1

Y1 - 2020/3/1

N2 - Objective: To examine factors associated with perceived quality of communication with physicians by relatives of dying residents of long-term care facilities (LTCFs). Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. In each LTCF, deaths of residents during the 3 months before the researcher's visit were reported. Structured questionnaires were sent to the identified relatives of deceased residents. Settings and participants: A total of 736 relatives of deceased residents in 210 LTCFs (in Belgium, Finland, Italy, the Netherlands, and Poland). Methods: The Family Perception of Physician-Family Communication scale (FPPFC) was used to assess the quality of end-of-life (EOL) communication with physicians as perceived by relatives. We applied multilevel linear regression models to find factors associated with the FPPFC score. Results: The quality of EOL communication with physicians was perceived by relatives as higher when the relative spent more than 14 hours with the resident in the last week of the resident's life (b = 0.205; P = .044), and when the treating physician visited the resident at least 3 times in the last week of the resident's life (b = 0.286; P = .002) or provided the resident with palliative care (b = 0.223; P = .003). Relatives with higher emotional burden perceived the quality of EOL communication with physicians as lower (b = −0.060; P < .001). These results had been adjusted to countries and LTCF types with physicians employed on-site or off-site of the facility. Conclusion: The quality of EOL communication with physicians, as perceived by relatives of dying LTCF residents, is associated with the number of physician visits and amount of time spent by the relative with the resident in the last week of the resident's life, and relatives' emotional burden. Implications: LTCF managers should organize care for dying residents in a way that enables frequent interactions between physicians and relatives, and emotional support to relatives to improve their satisfaction with EOL communication.

AB - Objective: To examine factors associated with perceived quality of communication with physicians by relatives of dying residents of long-term care facilities (LTCFs). Design: A cross-sectional retrospective study in a representative sample of LTCFs conducted in 2015. In each LTCF, deaths of residents during the 3 months before the researcher's visit were reported. Structured questionnaires were sent to the identified relatives of deceased residents. Settings and participants: A total of 736 relatives of deceased residents in 210 LTCFs (in Belgium, Finland, Italy, the Netherlands, and Poland). Methods: The Family Perception of Physician-Family Communication scale (FPPFC) was used to assess the quality of end-of-life (EOL) communication with physicians as perceived by relatives. We applied multilevel linear regression models to find factors associated with the FPPFC score. Results: The quality of EOL communication with physicians was perceived by relatives as higher when the relative spent more than 14 hours with the resident in the last week of the resident's life (b = 0.205; P = .044), and when the treating physician visited the resident at least 3 times in the last week of the resident's life (b = 0.286; P = .002) or provided the resident with palliative care (b = 0.223; P = .003). Relatives with higher emotional burden perceived the quality of EOL communication with physicians as lower (b = −0.060; P < .001). These results had been adjusted to countries and LTCF types with physicians employed on-site or off-site of the facility. Conclusion: The quality of EOL communication with physicians, as perceived by relatives of dying LTCF residents, is associated with the number of physician visits and amount of time spent by the relative with the resident in the last week of the resident's life, and relatives' emotional burden. Implications: LTCF managers should organize care for dying residents in a way that enables frequent interactions between physicians and relatives, and emotional support to relatives to improve their satisfaction with EOL communication.

KW - end-of-life care

KW - long-term care facility

KW - physician

KW - Quality of communication

KW - relative

KW - adult

KW - article

KW - Belgium

KW - controlled study

KW - cross-sectional study

KW - female

KW - Finland

KW - human

KW - Italy

KW - linear regression analysis

KW - long term care

KW - male

KW - manager

KW - Netherlands

KW - palliative therapy

KW - perception

KW - Poland

KW - resident

KW - retrospective study

KW - satisfaction

KW - structured questionnaire

KW - terminal care

U2 - 10.1016/j.jamda.2019.07.018

DO - 10.1016/j.jamda.2019.07.018

M3 - Journal article

VL - 21

SP - 439.e1-439.e8

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 3

ER -