1. Transitions between care settings after enrolment in a palliative care service in Italy: a retrospective analysis.
- Author
-
D'angelo, Daniel, Chiara, Mastroianni, Vellone, Ercole, Alvaro, Rosaria, Casale, Giuseppe, Stefania, Lucatelli, Latina, Roberto, Matarese, Maria, and Grazia De Marinis, Maria
- Subjects
CANCER patients ,CHI-squared test ,COMPARATIVE studies ,CONTINUUM of care ,HOSPICE care ,HOSPITALS ,HOSPITAL admission & discharge ,LIFE skills ,LONGITUDINAL method ,MEDICAL referrals ,MORTALITY ,PALLIATIVE treatment ,PATIENTS ,PROBABILITY theory ,SCALES (Weighing instruments) ,SURVIVAL analysis (Biometry) ,T-test (Statistics) ,TERMINALLY ill ,TUMORS ,HOME environment ,RETROSPECTIVE studies ,DATA analysis software ,FUNCTIONAL assessment ,DESCRIPTIVE statistics ,KARNOFSKY Performance Status ,INFERENTIAL statistics - Abstract
This study was a retrospective analysis of prospectively collected data that aimed to map patients' care transitions following admission to a specialist palliative care service in Italy called Antea Centre. Patients' data was extracted from the Antea local database from 2007 to 2011. External transitions were defined as a change in the setting of care, with the patient no longer being cared for by Antea staff. Internal transitions were defined as a change in the setting of care, with the care still being provided by Antea staff. A total of I 123 patients out of 5313 admitted to the palliative service (21%) experienced transitions. Patients who experienced no transitions after their admission to the palliative care service were more likely to have a Karnofsky Performance Scale Index ≤30, to have been referred by a hospital physician, to have a shorter survival time, and to have home as their place of death (P<0.001).Although the patients with no transitions had worse clinical conditions, organisations should pay attention to reducing the possible negative effects of transitions, such as discontinuity of care and poor coordination. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF