| Title |
Hospice care in the Netherlands: who applies and who is admitted to inpatient care?
|
|---|---|
| Published in |
BMC Health Services Research, January 2016
|
| DOI | 10.1186/s12913-016-1273-1 |
| Pubmed ID | |
| Authors |
Emily West, H. Roeline Pasman, Cilia Galesloot, Martine Elizabeth Lokker, Bregje Onwuteaka-Philipsen, On behalf of EURO IMPACT |
| Abstract |
Ten percent of non-sudden deaths in the Netherlands occur in inpatient hospice facilities. To investigate differences between patients who are admitted to inpatient hospice care or not following application, how diagnoses compare to the national population, characteristics of application, and associations with being admitted to inpatient hospice care or not. Data from a database representing over 25 % of inpatient hospice facilities in the Netherlands were analysed. The study period spanned the years 2007-2012. Multivariate regression analyses were performed to study associations between demographic and application characteristics, and admittance. Ten thousand two hundred fifty-four patients were included. 84.1 % of patients applying for inpatient hospice care had cancer compared to 37.0 % of deaths nationally. 52.4 % of applicants resided in hospital at the time of admission. Most frequent reasons for application were the wish to die in an inpatient hospice facility (70.5 %), needing intensive care or support (52.2 %), relieving caregivers (41.4 %) and needing pain/symptom control (39.9 %). Living alone (OR 1.68, 95 % CI 1.46-1.94), having cancer (OR 1.40, 95 % CI 1.11-1.76), relieving caregivers (OR 1.18, 95 % CI 1.01-1.38), needing pain/symptom control (OR1.72, 95 % CI 1.46-2.03) wanting inpatient hospice care until death (vs respite care) (OR 3.59, 95 % CI 2.11-6.10), wanting to be admitted as soon as possible (OR 1.64, 95 % CI 1.42-1.88), and being referred by a primary care professional (OR 1.36, 95 % CI 1.17-1.59) were positively associated with being admitted. Wishing to die in an inpatient hospice facility was negatively associated with being admitted (OR 0.85, 95 % CI 0.72-1.00). This study suggests that when applying for inpatient hospice care, patients who seem most urgently in need of inpatient hospice care are more frequently admitted. However, non-cancer patients seem to be an under-represented population. Staff should consider application based on need for palliation, irrespective of diagnosis. |
X Demographics
The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| New Zealand | 1 | 20% |
| Spain | 1 | 20% |
| Unknown | 3 | 60% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 80% |
| Scientists | 1 | 20% |
Mendeley readers
The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Switzerland | 1 | 1% |
| Unknown | 77 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 15 | 19% |
| Student > Bachelor | 13 | 17% |
| Student > Ph. D. Student | 6 | 8% |
| Student > Doctoral Student | 6 | 8% |
| Student > Postgraduate | 5 | 6% |
| Other | 15 | 19% |
| Unknown | 18 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 29 | 37% |
| Medicine and Dentistry | 16 | 21% |
| Psychology | 4 | 5% |
| Social Sciences | 4 | 5% |
| Economics, Econometrics and Finance | 1 | 1% |
| Other | 3 | 4% |
| Unknown | 21 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 February 2016.
All research outputs
#6,906,411
of 22,842,950 outputs
Outputs from BMC Health Services Research
#3,378
of 7,640 outputs
Outputs of similar age
#113,531
of 396,721 outputs
Outputs of similar age from BMC Health Services Research
#51
of 100 outputs
Altmetric has tracked 22,842,950 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 7,640 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 55% of its peers.
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We're also able to compare this research output to 100 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.