ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
GPs' awareness of patients' preference for place of death.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hospitalizations of nursing home residents at the end of life: A systematic review.Palliative medicine · 2019Pooled it
- Barriers and facilitators for general practitioners to engage in advance care planning: a systematic review.Scandinavian journal of primary health care · 2013Pooled it
- Training general practitioners in early identification and anticipatory palliative care planning: a randomized controlled trial.BMC family practice · 2015Trial
- Advance care planning in primary care: a retrospective medical record study among patients with different illness trajectories.BMC palliative care · 2022Article
- Who Doesn't Come Home? Factors Influencing Mortality Among Long-Term Care Residents Transitioning to and From Emergency Departments in Two Canadian Cities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Observational
- Home-based palliative care management: what are the useful resources for general practitioners? a qualitative study among GPs in France.BMC family practice · 2020Article
- What do Future Hospice Patients Expect of Hospice Care: Expectations of Patients in the Palliative Phase Who Might be in Need of Hospice Care in the Future: A Qualitative Exploration.The American journal of hospice & palliative care · 2020Article
- The association between PaTz and improved palliative care in the primary care setting: a cross-sectional survey.BMC family practice · 2019Article
- Patient-centeredness to anticipate and organize an end-of-life project for patients receiving at-home palliative care: a phenomenological study.BMC family practice · 2017Article
- Reasons for transferral to emergency departments of terminally ill patients - a French descriptive and retrospective study.BMC palliative care · 2016Article
- Predictors of place of death in South West Scotland 2000-2010: Retrospective cohort study.Palliative medicine · 2016Article
- Implementing the care programme for the last days of life in an acute geriatric hospital ward: a phase 2 mixed method study.BMC palliative care · 2016Article
- Caring for older people: is home care always best?The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Patient Preferences versus Family Physicians' Perceptions Regarding the Place of End-of-Life Care and Death: A Nationwide Study in Taiwan.Journal of palliative medicine · 2015Article
- Care provided and care setting transitions in the last three months of life of cancer patients: a nationwide monitoring study in four European countries.BMC cancer · 2014Article
- Living in uncertain times: trajectories to death in residential care homes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- End-of-life care--what do cancer patients want?Nature reviews. Clinical oncology · 2014Review
- Actual and preferred place of death of home-dwelling patients in four European countries: making sense of quality indicators.PloS one · 2014Article
- Article
- Nationwide continuous monitoring of end-of-life care via representative networks of general practitioners in Europe.BMC family practice · 2013Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundBeing able to die in one's place of choice is an indicator of the quality of end-of-life care. GPs may play a key role in exploring and honouring patients' preferences for place of death.
aimTo examine how often GPs are informed about patients' preferred place of death, by whom and for which patients, and to study the expressed preferred place of death and how often patients die at their preferred place. DESIGN OF STUDY: One-year nationwide mortality retrospective study.
settingSentinel Network of GPs in Belgium, 2006.
methodGPs' weekly registration of all deaths (patients aged =1 year).
resultsA total of 798 non-sudden deaths were reported. GPs were informed of patients' preferred place of death in 46% of cases. GPs obtained this information directly from patients in 63%. GP awareness was positively associated with patients not being hospitalised in the last 3 months of life (odds ratio [OR] = 3.9; 95% confidence interval [CI] = 2.8 to 5.6), involvement of informal caregivers (OR = 3.3; 95% CI = 1.8 to 6.1), use of a multidisciplinary palliative care team (OR = 2.5; 95% CI = 1.8 to 3.5), and with presence of more than seven contacts between GP and patient or family in the last 3 months of life (OR = 3.0; 95% CI = 2.2 to 4.3). In instances where GPs were informed, more than half of patients (58%) preferred to die at home. Overall, 80% of patients died at their preferred place.
conclusionGPs are often unaware of their patients' preference for place of death. However, if GPs are informed, patients often die at their preferred location. Several healthcare characteristics might contribute to this and to a higher level of GP awareness.
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