13 results on '"Andreasen, Paula"'
Search Results
2. Perception of the Quality of Communication With Physicians Among Relatives of Dying Residents of Long-term Care Facilities in 6 European Countries: PACE Cross-Sectional Study
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Adang, Eddy, Andreasen, Paula, Moore, Danni Collingridge, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna
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- 2020
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3. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries
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Gatsolaeva, Yuliana, Miranda, Rose, Pivodic, Lara, Tanghe, Marc, van Hout, Hein, Van Den Noortgate, Nele, Froggatt, Katherine, Onwuteaka-Philipsen, Bregje, Szczerbińska, Katarzyna, Oosterveld-Vlug, Mariska, Wichmann, Anne B., Engels, Yvonne, Vernooij-Dassen, Myrra, Hockley, Jo, Leppäaho, Suvi, Pautex, Sophie, Bassal, Catherine, Mammarella, Federica, Mercuri, Martina, Rossi, Paola, Segat, Ivan, Stodolska, Agata, Adang, Eddy, Andreasen, Paula, Kuitunen-Kaija, Outi, Moore, Danni Collingridge, Pac, Agnieszka, Kijowska, Violetta, Koppel, Maud ten, van der Steen, Jenny T., Morgan de Paula, Emilie, Honinx, Elisabeth, Smets, Tinne, Piers, Ruth, Deliens, Luc, Payne, Sheila, Kylänen, Marika, Barańska, Ilona, Pasman, H. Roeline W., Gambassi, Giovanni, and Van den Block, Lieve
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- 2019
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4. Factors associated with living will among older persons receiving long-term care in Finland.
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Andreasen, Paula, Forma, Leena, and Pietilä, Ilkka
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AEROBIC capacity , *PATIENT autonomy , *SOCIAL support , *NURSING home patients , *HOME care services , *SELF-perception , *FUNCTIONAL status , *ACTIVITIES of daily living , *ADVANCE directives (Medical care) , *LIVING wills , *PSYCHOSOCIAL factors , *CHI-squared test , *RESIDENTIAL care , *QUALITY assurance , *RESEARCH funding , *SOCIODEMOGRAPHIC factors , *LOGISTIC regression analysis , *LONG-term health care , *OLD age - Abstract
Background: A living will document is known to be an important tool for preparing for future care together with healthcare professionals. A living will supports an older person's self-determination and autonomy. Only a few studies have approached the underlying factors of a living will document among older long-term care recipients. Objectives: To explore how common having a living will was among older persons receiving home care or round-the-clock long-term care, as well as to evaluate associations between socio-demographical factors and functional capacity with a living will. Design: The study population consisted of older persons receiving long-term care in Finland in 2016–2017. Data were collected via individual assessments at home or at a care facility. The questions in the assessment covered health, functional capacity, service use, and social support. Methods: Primary outcome 'living will' and associated factors were identified for each person aged 65 or older from RAI-assessment data (Resident Assessment Instrument, RAI). Cross-tabulations with χ²-tests and adjusted binary logistic regression models were performed to evaluate the association between the factors and a living will. Results: Of the 10,178 participants, 21% had a living will – a greater proportion were female (22%) than male (18%), and a greater proportion of residents in assisted living (25%) and residential care homes (20%) compared with home care residents (15%) had a living will. Female gender (p < 0.001), having a proxy decision-maker (p = 0.001), increasing age (p = 0.003), impairing functional capacity (activities of daily living hierarchy p < 0.001, Cognitive Performance Scale p < 0.001), instability of health status (Changes in Health, End-Stage Disease and Signs and Symptoms p < 0.001), and closeness of death (p < 0.001) were significantly associated with a living will among older persons. Extensive differences in results were found between home care clients and clients of round-the-clock long-term care. Conclusion: Preparedness for the future with a living will varies according to services and on individual level. To reduce inequalities in end-of-life care, actions for advance care planning with appropriate timing are warranted. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Factors Associated with Perception of the Quality of Physicians' End-of-life Communication in Long-Term Care Facilities: PACE Cross-Sectional Study
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Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, van Hout, Hein, ten Koppel, Maud, Mammarella, Federica, Mercuri, Martina, Onwuteaka-Philipsen, Bregje D., Pivodic, Lara, Rossi, Paola, Sowerby, Eleanor, Stodolska, Agata, Wichmann, Anne, van der Steen, Jenny T., Vernooij-Dassen, Myrra, the European Association for Palliative Care Onlus, European Forum for Primary Care, Age Platform Europe, Alzheimer Europe, Barańska, Ilona, Kijowska, Violetta, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Hammar, Teija, Oosterveld-Vlug, Mariska, Payne, Sheila, Van Den Noortgate, Nele, Smets, Tinne, Deliens, Luc, Van den Block, Lieve, and Szczerbińska, Katarzyna
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- 2020
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6. Advance directives in European long-term care facilities: a cross-sectional survey.
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Andreasen, Paula, Finne-Soveri, Ulla Harriet, Deliens, Luc, Van den Block, Lieve, Payne, Sheila, Gambassi, Giovanni, Onwuteaka-Philipsen, Bregje D., Smets, Tinne, Lilja, Eero, Kijowska, Violetta, and Szczerbińska, Katarzyna
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- 2022
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7. Prevalence of depression among older adults with dementia living in low- and middle-income countries: a cross-sectional study
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Andreasen, Paula, Lönnroos, Eija, and von Euler-Chelpin, My Catarina
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- 2014
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8. Decreased costs and retained QoL due to the 'PACE Steps to Success' intervention in LTCFs : cost-effectiveness analysis of a randomized controlled trial
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Wichmann, Anne B., Adang, Eddy M.M., Vissers, Kris C.P., Szczerbińska, Katarzyna, Kylänen, Marika, Payne, Sheila, Gambassi, Giovanni, Onwuteaka-Philipsen, Bregje D., Smets, Tinne, Van Den Block, Lieve, Deliens, Luc, Vernooij-Dassen, Myrra J.F.J., Engels, Yvonne, Andreasen, Paula, Barańska, Ilona, Bassal, Catherine, Moore, Danni Collingridge, Finne-Soveri, Harriet, Froggatt, Katherine, Hammar, Teija, Heikkilä, Rauha, Hockley, Jo, Honinx, Elisabeth, Van Hout, Hein, Kijowska, Violetta, Ten Koppel, Maud, Kuitunen-Kaija, Outi, Leppäaho, Suvi, Mammarella, Federica, Mercuri, Martina, Miranda, Rose, De Paula, Emilie Morgan, Van Den Noortgate, Nele, Oosterveld-Vlug, Mariska, Pac, Agnieszka, Pasman, H. Roeline W., Pautex, Sophie, Piers, Ruth, Pivodic, Lara, Rossi, Paola, Segat, Ivan, Van Der Steen, Jenny T., Stodolska, Agata, Tanghe, Marc, Family Medicine and Chronic Care, End-of-life Care Research Group, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care, and General practice
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Male ,Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] ,Palliative care ,Cost-Benefit Analysis ,Psychological intervention ,lcsh:Medicine ,nursing homes ,law.invention ,PHYSICIANS ,0302 clinical medicine ,Randomized controlled trial ,law ,Health care ,Medicine and Health Sciences ,030212 general & internal medicine ,Aged, 80 and over ,palliative care ,Cost–benefit analysis ,DEMENTIA ,NURSING-HOME RESIDENTS ,General Medicine ,Cost-effectiveness analysis ,AGREEMENT ,030220 oncology & carcinogenesis ,END ,Resource use ,EARLY PALLIATIVE CARE ,Female ,Research Article ,medicine.medical_specialty ,FLANDERS ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,03 medical and health sciences ,medicine ,QUALITY ,Humans ,PROXY ,Pace ,Retrospective Studies ,business.industry ,Teaching ,cost-benefit analysis ,lcsh:R ,Long-Term Care ,teaching ,Nursing Homes ,Emergency medicine ,Quality of Life ,OF-LIFE CARE ,business - Abstract
Background The number of residents in long-term care facilities (LTCFs) in need of palliative care is growing in the Western world. Therefore, it is foreseen that significantly higher percentages of budgets will be spent on palliative care. However, cost-effectiveness analyses of palliative care interventions in these settings are lacking. Therefore, the objective of this paper was to assess the cost-effectiveness of the ‘PACE Steps to Success’ intervention. PACE (Palliative Care for Older People) is a 1-year palliative care programme aiming at integrating general palliative care into day-to-day routines in LTCFs, throughout seven EU countries. Methods A cluster RCT was conducted. LTCFs were randomly assigned to intervention or usual care. LTCFs reported deaths of residents, about whom questionnaires were filled in retrospectively about resource use and quality of the last month of life. A health care perspective was adopted. Direct medical costs, QALYs based on the EQ-5D-5L and costs per quality increase measured with the QOD-LTC were outcome measures. Results Although outcomes on the EQ-5D-5L remained the same, a significant increase on the QOD-LTC (3.19 points, p value 0.00) and significant cost-savings were achieved in the intervention group (€983.28, p value 0.020). The cost reduction mainly resulted from decreased hospitalization-related costs (€919.51, p value 0.018). Conclusions Costs decreased and QoL was retained due to the PACE Steps to Success intervention. Significant cost savings and improvement in quality of end of life (care) as measured with the QOD-LTC were achieved. A clinically relevant difference of almost 3 nights shorter hospitalizations in favour of the intervention group was found. This indicates that timely palliative care in the LTCF setting can prevent lengthy hospitalizations while retaining QoL. In line with earlier findings, we conclude that integrating general palliative care into daily routine in LTCFs can be cost-effective. Trial registration ISRCTN14741671.
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- 2020
9. Advance directives in European long-term care facilities
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PACE consortium, Andreasen, Paula, Finne-Soveri, Ulla Harriet, Deliens, Luc, Van den Block, Lieve, Payne, Sheila, Gambassi, Giovanni, Onwuteaka-Philipsen, Bregje D, Smets, Tinne, Lilja, Eero, Kijowska, Violetta, Szczerbinska, Katarzyna, Family Medicine and Chronic Care, End-of-life Care Research Group, and Clinical sciences
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Advance care planning ,medicine.medical_specialty ,Multivariate analysis ,Palliative care ,Cross-sectional study ,Social Sciences ,Medicine (miscellaneous) ,living wills ,DECISION-MAKING ,PREFERENCES ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Medical–Surgical ,Medicine and Health Sciences ,medicine ,030212 general & internal medicine ,Oncology(nursing) ,palliative care ,Oncology (nursing) ,business.industry ,Do not resuscitate ,Palliative Care ,VIEWS ,ASSOCIATION ,General Medicine ,advance directives ,Directive ,Stratified sampling ,Medical–Surgical Nursing ,Long-term care ,DEFINITION ,Family medicine ,END ,long-term care ,OF-LIFE CARE ,business ,RESIDENTS ,hospice and palliative care nursing - Abstract
BackgroundEnd-of-life care practices in long-term care facilities (LTCFs) are the focus of growing attention in Europe, due to rapidly increasing number of older persons living in LTCFs. The knowledge about end-of-life discussions or existence of written advance directives in the European LTCFs is scarce. This study’s aim is to investigate the prevalence of written advance directives and their sociodemographic associates, among recently deceased LTCF residents, in six European countries.MethodsData from the European Union-funded PACE database were collected from 322 LTCFs in six European countries in 2014. The assessments were performed by using two questionnaires designed for LTCF administrative staff and for staff member.LTCFs were selected within each country by using proportional stratified random sampling procedure. Facilities with certain types and sizes were included from each country.Multilevel multivariate analyses were performed to evaluate associations between written advance directives and selected predictors.ResultsIn total, 32.5 % of the 1384 deceased LTCF residents had a written advance directive with a range from 0% to 77 % between countries. The proportion of the most common advance directive, ‘Do not resuscitate in case of cardiac or respiratory arrest (DNR)’, varied correspondingly from 0% to 75%.LTCF type (OR 2.86 95% CI 1.59 to 5.23) and capability of expressing at the time of admission (OR 3.26 95% CI 2.26 to 4.71) were the independent predictors for advance directive. Residents living in LTCFs where physician was available were less likely to have advance directive compared with residents from LTCFs where physician was not available.ConclusionExtensive differences for prevalence of written advance directive exist between countries among older LTCF residents in Europe. Timely and appropriate response to LTCF resident’s health needs and preferences efforts advance care planning.
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- 2019
10. Comparing palliative care in care homes across Europe (PACE):protocol of a cross-sectional study of deceased residents in six EU countries
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Van den Block, Lieve, Smets, Tinne, van Dop, Nanje, Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danielle, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine Alison, Payne, Sheila Alison, and Sowerby, Elley
- Abstract
Objectives While a growing number of older people are dying in care homes, palliative care has developed in these settings only recently. Crosscountry representative comparative research hardly exists in this area. As part of a large EU-funded project, we aim to undertake representative comparative research in care homes in Europe, to describe and compare six countries in terms of 1) resident outcomes, quality and costs of palliative and end-of-life care; 2) palliative care structures and staff knowledge and attitudes towards palliative care. We also aim to explore country, facility, staff, patient and care characteristics related to better outcomes at resident level. Design and Methods To obtain a representative nationwide sample, we will conduct a large-scale cross-sectional study of deceased residents in care homes in Belgium, Finland, Italy, the Netherlands, Poland and the United Kingdom, using proportional stratified random sampling (taking into account region, facility type and bed capacity). In each country, all participating care homes retrospectively report all deaths of residents in and outside the facilities over the previous three-month period. For each case, structured questionnaires including validated instruments are sent to (1) the administrator/manager, (2) staff member most involved in care, (3) treating physician (GP or elderly care physician), and (4) a closely involved relative. It is estimated that, per country, 50 care homes are needed on average to obtain a minimum of 200 deceased residents. Collected data include clinical and socio-demographic characteristics, quality of dying, quality and costs of palliative care and end-of-life care, and palliative care structures at facility level and country level. To obtain a representative view of staff knowledge and attitudes regarding palliative care, PACE will conduct a cross-sectional study of staff working in the participating care homes. Conclusion Considering the growing challenges associated with aging in all European countries, there is an urgent need to build a robust international comparative evidence-base that can inform the development of policies to target improved palliative care in care homes. By describing this research protocol, we hope to inform international research in care homes on how to perform representative end-of-life care research in these settings and better understand which systems are associated with better outcomes.
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- 2016
11. Comparing Palliative Care in Care Homes Across Europe (PACE): Protocol of a Cross-sectional Study of Deceased Residents in 6 EU Countries
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De Groote, Zeger, Mammarella, Federica, Mercuri, Martina, Oosterveld-Vlug, Mariska, Pac, Agnieszka, Pivodic, Lara, Rossi, Paola, Segat, Ivan, Sowerby, Eleanor, Stodolska, Agata, van Hout, Hein, Wichmann, Anne, Van den Block, Lieve, Smets, Tinne, van Dop, Nanja, Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Kijowska, Violetta, Onwuteaka-Philipsen, Bregje, Pasman, H. Roeline, Payne, Sheila, Piers, Ruth, Szczerbińska, Katarzyna, ten Koppel, Maud, Van Den Noortgate, Nele, van der Steen, Jenny T., Vernooij-Dassen, Myrra, and Deliens, Luc
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- 2016
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12. Comparing Palliative Care in Care Homes Across Europe (PACE): Protocol of a Cross-sectional Study of Deceased Residents in 6 EU Countries.
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Van den Block, Lieve, Smets, Tinne, van Dop, Nanja, Adang, Eddy, Andreasen, Paula, Collingridge Moore, Danni, Engels, Yvonne, Finne-Soveri, Harriet, Froggatt, Katherine, Gambassi, Giovanni, Kijowska, Violetta, Onwuteaka-Philipsen, Bregje, Pasman, H. Roeline, Payne, Sheila, Piers, Ruth, Szczerbińska, Katarzyna, ten Koppel, Maud, Van Den Noortgate, Nele, van der Steen, Jenny T., and Vernooij-Dassen, Myrra
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ATTITUDE (Psychology) , *COMPARATIVE studies , *LONG-term health care , *RESEARCH methodology , *EVALUATION of medical care , *MEDICAL personnel , *MORTALITY , *NURSING home patients , *NURSING care facilities , *NURSING home employees , *PALLIATIVE treatment , *PROFESSIONS , *QUALITY assurance , *STATISTICAL sampling , *TERMINALLY ill , *PROFESSIONAL practice , *SOCIOECONOMIC factors , *CROSS-sectional method , *RETROSPECTIVE studies , *ECONOMICS - Abstract
Objectives Although a growing number of older people are dying in care homes, palliative care has developed in these settings only recently. Cross-country representative comparative research hardly exists in this area. As part of a large EU-funded project, we aim to undertake representative comparative research in care homes in Europe, to describe and compare 6 countries in terms of (1) resident outcomes, quality and costs of palliative and end-of-life care; and (2) palliative care structures and staff knowledge and attitudes toward palliative care. We also aim to explore country, facility, staff, patient, and care characteristics related to better outcomes at resident level. Design and Methods To obtain a representative nationwide sample, we will conduct a large-scale cross-sectional study of deceased residents in care homes in Belgium, Finland, Italy, the Netherlands, Poland, and the United Kingdom, using proportional stratified random sampling (taking into account region, facility type and bed capacity). In each country, all participating care homes retrospectively report all deaths of residents in and outside the facilities over the previous 3-month period. For each case, structured questionnaires, including validated instruments, are sent to (1) the administrator/manager, (2) staff member most involved in care, (3) treating physician (general practitioner or elderly care physician), and (4) a closely involved relative. It is estimated that, per country, 50 care homes are needed on average to obtain a minimum of 200 deceased residents. Collected data include clinical and sociodemographic characteristics, quality of dying, quality and costs of palliative care and end-of-life care, and palliative care structures at the facility level and country level. To obtain a representative view of staff knowledge and attitudes regarding palliative care, PACE will conduct a cross-sectional study of staff working in the participating care homes. Conclusion Considering the growing challenges associated with aging in all European countries, there is an urgent need to build a robust international comparative evidence base that can inform the development of policies to target improved palliative care in care homes. By describing this research protocol, we hope to inform international research in care homes on how to perform representative end-of-life care research in these settings and better understand which systems are associated with better outcomes. [ABSTRACT FROM AUTHOR]
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- 2016
- Full Text
- View/download PDF
13. Advance directives in European long-term care facilities: a cross-sectional survey.
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Andreasen P, Finne-Soveri UH, Deliens L, Van den Block L, Payne S, Gambassi G, Onwuteaka-Philipsen BD, Smets T, Lilja E, Kijowska V, and Szczerbińska K
- Abstract
Background: End-of-life care practices in long-term care facilities (LTCFs) are the focus of growing attention in Europe, due to rapidly increasing number of older persons living in LTCFs. The knowledge about end-of-life discussions or existence of written advance directives in the European LTCFs is scarce. This study's aim is to investigate the prevalence of written advance directives and their sociodemographic associates, among recently deceased LTCF residents, in six European countries., Methods: Data from the European Union-funded PACE database were collected from 322 LTCFs in six European countries in 2014. The assessments were performed by using two questionnaires designed for LTCF administrative staff and for staff member.LTCFs were selected within each country by using proportional stratified random sampling procedure. Facilities with certain types and sizes were included from each country.Multilevel multivariate analyses were performed to evaluate associations between written advance directives and selected predictors., Results: In total, 32.5 % of the 1384 deceased LTCF residents had a written advance directive with a range from 0% to 77 % between countries. The proportion of the most common advance directive, 'Do not resuscitate in case of cardiac or respiratory arrest (DNR)', varied correspondingly from 0% to 75%.LTCF type (OR 2.86 95% CI 1.59 to 5.23) and capability of expressing at the time of admission (OR 3.26 95% CI 2.26 to 4.71) were the independent predictors for advance directive. Residents living in LTCFs where physician was available were less likely to have advance directive compared with residents from LTCFs where physician was not available., Conclusion: Extensive differences for prevalence of written advance directive exist between countries among older LTCF residents in Europe. Timely and appropriate response to LTCF resident's health needs and preferences efforts advance care planning., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2019
- Full Text
- View/download PDF
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