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Transitions between care settings after enrolment in a palliative care service in Italy: a retrospective analysis.
- Source :
- International Journal of Palliative Nursing; Mar2013, Vol. 19 Issue 3, p110-115, 6p, 5 Charts
- Publication Year :
- 2013
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 13576321
- Volume :
- 19
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- International Journal of Palliative Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 86469987
- Full Text :
- https://doi.org/10.12968/ijpn.2013.19.3.110