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Transitions between care settings at the end of life in the Netherlands: results from a nationwide study

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Transitions between care settings at the end of life in the Netherlands : results from a nationwide study. / Abarshi, Ebun; Echteld, Michael; Van den Block, Lieve; Donker, Gé; Deliens, Luc; Onwuteaka-Philipsen, Bregje.

In: Palliative Medicine, Vol. 24, No. 2, 03.2010, p. 166-174.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Abarshi, E, Echteld, M, Van den Block, L, Donker, G, Deliens, L & Onwuteaka-Philipsen, B 2010, 'Transitions between care settings at the end of life in the Netherlands: results from a nationwide study', Palliative Medicine, vol. 24, no. 2, pp. 166-174. https://doi.org/10.1177/0269216309351381

APA

Abarshi, E., Echteld, M., Van den Block, L., Donker, G., Deliens, L., & Onwuteaka-Philipsen, B. (2010). Transitions between care settings at the end of life in the Netherlands: results from a nationwide study. Palliative Medicine, 24(2), 166-174. https://doi.org/10.1177/0269216309351381

Vancouver

Abarshi E, Echteld M, Van den Block L, Donker G, Deliens L, Onwuteaka-Philipsen B. Transitions between care settings at the end of life in the Netherlands: results from a nationwide study. Palliative Medicine. 2010 Mar;24(2):166-174. https://doi.org/10.1177/0269216309351381

Author

Abarshi, Ebun ; Echteld, Michael ; Van den Block, Lieve ; Donker, Gé ; Deliens, Luc ; Onwuteaka-Philipsen, Bregje. / Transitions between care settings at the end of life in the Netherlands : results from a nationwide study. In: Palliative Medicine. 2010 ; Vol. 24, No. 2. pp. 166-174.

Bibtex

@article{0d91245bca0c4cf4a987260074a5c907,
title = "Transitions between care settings at the end of life in the Netherlands: results from a nationwide study",
abstract = "Multiple transitions between care settings in the last phase of life could jeopardize continuity of care and overall end-of-life patient care. Using a mortality follow-back study, we examined the nature and prevalence of transitions between Dutch care settings in the last 3 months of life, and identified potential characteristics associated with them. During the 2-year study period, 690 registered patients died 'totally expectedly and non-suddenly'. These made 709 transitions in the last 3 months, which involved a hospital two times out of three, and covered 43 distinct care trajectories. The most frequent trajectory was home-to-hospital (48%). Forty-six percent experienced one or more transitions in their last month of life. Male gender, multi-morbidities, and absence of GP awareness of a patient's wish for place of death were associated with having a transition in the last 30 days of life; age of or = 7 days. Although the majority of the 'totally expected and non-sudden' deaths occurred at home, transitions to hospitals were relatively frequent. To minimize abrupt or frequent transitions just before death, timely recognition of the palliative phase of dying is important.",
keywords = "care setting transitions , comparative study , end-of-life care , palliative care , sentinel GPs , The Netherlands",
author = "Ebun Abarshi and Michael Echteld and {Van den Block}, Lieve and G{\'e} Donker and Luc Deliens and Bregje Onwuteaka-Philipsen",
year = "2010",
month = mar,
doi = "10.1177/0269216309351381",
language = "English",
volume = "24",
pages = "166--174",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - Transitions between care settings at the end of life in the Netherlands

T2 - results from a nationwide study

AU - Abarshi, Ebun

AU - Echteld, Michael

AU - Van den Block, Lieve

AU - Donker, Gé

AU - Deliens, Luc

AU - Onwuteaka-Philipsen, Bregje

PY - 2010/3

Y1 - 2010/3

N2 - Multiple transitions between care settings in the last phase of life could jeopardize continuity of care and overall end-of-life patient care. Using a mortality follow-back study, we examined the nature and prevalence of transitions between Dutch care settings in the last 3 months of life, and identified potential characteristics associated with them. During the 2-year study period, 690 registered patients died 'totally expectedly and non-suddenly'. These made 709 transitions in the last 3 months, which involved a hospital two times out of three, and covered 43 distinct care trajectories. The most frequent trajectory was home-to-hospital (48%). Forty-six percent experienced one or more transitions in their last month of life. Male gender, multi-morbidities, and absence of GP awareness of a patient's wish for place of death were associated with having a transition in the last 30 days of life; age of or = 7 days. Although the majority of the 'totally expected and non-sudden' deaths occurred at home, transitions to hospitals were relatively frequent. To minimize abrupt or frequent transitions just before death, timely recognition of the palliative phase of dying is important.

AB - Multiple transitions between care settings in the last phase of life could jeopardize continuity of care and overall end-of-life patient care. Using a mortality follow-back study, we examined the nature and prevalence of transitions between Dutch care settings in the last 3 months of life, and identified potential characteristics associated with them. During the 2-year study period, 690 registered patients died 'totally expectedly and non-suddenly'. These made 709 transitions in the last 3 months, which involved a hospital two times out of three, and covered 43 distinct care trajectories. The most frequent trajectory was home-to-hospital (48%). Forty-six percent experienced one or more transitions in their last month of life. Male gender, multi-morbidities, and absence of GP awareness of a patient's wish for place of death were associated with having a transition in the last 30 days of life; age of or = 7 days. Although the majority of the 'totally expected and non-sudden' deaths occurred at home, transitions to hospitals were relatively frequent. To minimize abrupt or frequent transitions just before death, timely recognition of the palliative phase of dying is important.

KW - care setting transitions

KW - comparative study

KW - end-of-life care

KW - palliative care

KW - sentinel GPs

KW - The Netherlands

U2 - 10.1177/0269216309351381

DO - 10.1177/0269216309351381

M3 - Journal article

C2 - 20007818

VL - 24

SP - 166

EP - 174

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 2

ER -