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Variations in Care ...
Variations in Care Quality Outcomes of Dying People : Latent Class Analysis of an Adult National Register Population
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- Öhlén, Joakim, 1958 (author)
- Ersta Sköndal högskola,Gothenburg University,Göteborgs universitet,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences,Ersta Skondal University of Coll, Sweden; University of Gothenburg, Sweden; University of Gothenburg, Sweden,Ersta Sköndal Bräcke university college, Sweden;University of Gothenburg, Sweden,Palliativt forskningscentrum, PFC
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- Russell, Lara (author)
- St Pauls Hosp, Canada;Univ Victoria, Canada,St Pauls Hospital, Canada; University of Victoria, Canada
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- Håkanson, Cecilia (author)
- Ersta Sköndal högskola,Karolinska Institute,Ersta Skondal University of Coll, Sweden; Karolinska Institute, Sweden,Ersta Sköndal Bräcke university college, Sweden;Karolinska Institutet, Sweden,Palliativt forskningscentrum, PFC,Lunds universitet; Karolinska institutet
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- Alvariza, Anette (author)
- Ersta Sköndal högskola,Karolinska Institute,Ersta Skondal University of Coll, Sweden; Karolinska Institute, Sweden,Ersta Sköndal Bräcke university college, Sweden;Karolinska Institutet, Sweden,Palliativt forskningscentrum, PFC,Lunds universitet; Karolinska institutet
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- Fürst, Carl Johan (author)
- Lund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Palliativt Utvecklingscentrum,Forskargrupper vid Lunds universitet,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,The Institute for Palliative Care,Lund University Research Groups,Lund University, Sweden,Lunds universitet; Karolinska institutet
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- Årestedt, Kristofer, 1968- (author)
- Linköpings universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Linköping University, Sweden,Avdelningen för omvårdnad,Medicinska fakulteten,Linaeus University, Sweden,Linnéuniversitetet; Linköpings universitet
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- Sawatzky, Richard (author)
- St Pauls Hosp, Canada;Trinity Western Univ, Canada,St Pauls Hospital, Canada; Trinity Western University, Canada
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(creator_code:org_t)
- Elsevier, 2017
- 2017
- English.
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In: Journal of Pain and Symptom Management. - : Elsevier. - 0885-3924 .- 1873-6513. ; 53:1, s. 13-24
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Abstract
Subject headings
Close
- Context. Symptom relief is a key goal of palliative care. There is a need to consider complexities in symptom relief patterns for groups of people to understand and evaluate symptom relief as an indicator of quality of care at end of life. Objectives. The aims of this study were to distinguish classes of patients who have different symptom relief patterns during the last week of life and to identify predictors of these classes in an adult register population. Methods. In a cross-sectional retrospective design, data were used from 87,026 decedents with expected deaths registered in the Swedish Register of Palliative Care in 2011 and 2012. Study variables were structured into patient characteristics, and processes and outcomes of quality of care. A latent class analysis was used to identify symptom relief patterns. Multivariate multinomial regression analyses were used to identify predictors of class membership. Results. Five latent classes were generated: "relieved pain,'' "relieved pain and rattles,'' "relieved pain and anxiety,'' "partly relieved shortness of breath, rattles and anxiety,'' and "partly relieved pain, anxiety and confusion.''Important predictors of class membership were age, sex, cause of death, and having someone present at death, individual prescriptions as needed (PRN) and expert consultations. Conclusion. Interindividual variability and complexity in symptom relief patterns may inform quality of care and its evaluation for dying people across care settings. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)
Keyword
- Dying
- end of life
- palliative care
- public health
- quality of health care
- symptom clusters
- Health and Caring Sciences
- Hälsovetenskap
- Dying
- end of life
- palliative care
- public health
- quality of health care
- symptom clusters
- dying; end of life; palliative care; public health; quality of health care; symptom clusters
Publication and Content Type
- ref (subject category)
- art (subject category)
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