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What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia
INTRODUCTION: Spending one’s last days and dying at home is a common wish of people with a life-limiting illness. Home-based palliative care is essentially organised at the primary level to meet the needs of palliative patients and their carers. The aim of this study was to identify the characterist...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sciendo
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9837809/ https://www.ncbi.nlm.nih.gov/pubmed/36694795 http://dx.doi.org/10.2478/sjph-2023-0007 |
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author | Homar, Vesna Pogačar, Urša |
author_facet | Homar, Vesna Pogačar, Urša |
author_sort | Homar, Vesna |
collection | PubMed |
description | INTRODUCTION: Spending one’s last days and dying at home is a common wish of people with a life-limiting illness. Home-based palliative care is essentially organised at the primary level to meet the needs of palliative patients and their carers. The aim of this study was to identify the characteristics of home-based palliative care, focusing on those who identify palliative patients, what their needs are and how this affects their length of life and site of death. METHODS: This retrospective cohort study analysed routinely collected notes of patients enrolled in home-based palliative care between 2015 and 2021. Palliative care was provided by a primary health care team in a predominantly rural area. RESULTS: This study included 107 palliative patients, aged 71±11.4 years, 94% of whom had cancer. They were enrolled in palliative care by their primary care team or by hospital staff. The enrolment by hospital staff (3%) resulted in significantly shorter survival (p=0.008). Patients lived an average of 66 days, and 65% of patients died at home. Home-based palliative care was found to respond to both basic and complex palliative medical needs, but was weaker in addressing socio-economic, psychological or spiritual issues. CONCLUSION: This exemplary primary-level palliative team provided home-based palliative care that has improved over the years in terms of all the observed quality indicators: early enrolment, the proportion of patients dying at home and the ability to address needs. Specialised mobile palliative teams, hospitals and other palliative care settings complement home-based palliative care. |
format | Online Article Text |
id | pubmed-9837809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sciendo |
record_format | MEDLINE/PubMed |
spelling | pubmed-98378092023-01-23 What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia Homar, Vesna Pogačar, Urša Zdr Varst Original Scientific Article INTRODUCTION: Spending one’s last days and dying at home is a common wish of people with a life-limiting illness. Home-based palliative care is essentially organised at the primary level to meet the needs of palliative patients and their carers. The aim of this study was to identify the characteristics of home-based palliative care, focusing on those who identify palliative patients, what their needs are and how this affects their length of life and site of death. METHODS: This retrospective cohort study analysed routinely collected notes of patients enrolled in home-based palliative care between 2015 and 2021. Palliative care was provided by a primary health care team in a predominantly rural area. RESULTS: This study included 107 palliative patients, aged 71±11.4 years, 94% of whom had cancer. They were enrolled in palliative care by their primary care team or by hospital staff. The enrolment by hospital staff (3%) resulted in significantly shorter survival (p=0.008). Patients lived an average of 66 days, and 65% of patients died at home. Home-based palliative care was found to respond to both basic and complex palliative medical needs, but was weaker in addressing socio-economic, psychological or spiritual issues. CONCLUSION: This exemplary primary-level palliative team provided home-based palliative care that has improved over the years in terms of all the observed quality indicators: early enrolment, the proportion of patients dying at home and the ability to address needs. Specialised mobile palliative teams, hospitals and other palliative care settings complement home-based palliative care. Sciendo 2023-01-03 /pmc/articles/PMC9837809/ /pubmed/36694795 http://dx.doi.org/10.2478/sjph-2023-0007 Text en © 2023 National Institute of Public Health, Slovenia, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/3.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. |
spellingShingle | Original Scientific Article Homar, Vesna Pogačar, Urša What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title | What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title_full | What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title_fullStr | What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title_full_unstemmed | What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title_short | What Palliative Patients and their Carers Need at Home and what a Primary Health Care Team can Offer – First Pilot Study in Slovenia |
title_sort | what palliative patients and their carers need at home and what a primary health care team can offer – first pilot study in slovenia |
topic | Original Scientific Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9837809/ https://www.ncbi.nlm.nih.gov/pubmed/36694795 http://dx.doi.org/10.2478/sjph-2023-0007 |
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