From: Quality of end-of-life care in general practice – a pre–post comparison of a two-tiered intervention
Item | t0 | t1 | |||
---|---|---|---|---|---|
n | % | n | % | ||
Systematic identification in the case file | Never | 21 | 46.7 | 13 | 28.9 |
Sometimes | 11 | 24.4 | 11 | 24.4 | |
Mostly | 8 | 17.8 | 16 | 35.6 | |
Always | 5 | 11.1 | 5 | 11.1 | |
Yes [n (%)] | No [n (%)] | Yes [n (%)] | No [n (%)] | ||
Inclusion criteria for PC register | Cancer diagnosis | 37 (82.2) | 8 (17.8) | 40 (88.9) | 5 (11.1) |
Life-limiting non-malignant disease | 35 (77.8) | 10 (22.2) | 44 (97.8) | 1 (2.2) | |
Terminal disease | 43 (95.6) | 2 (4.4) | 45 (100.0) | 0 (0.0) | |
Increasing need for nursing and help in everyday life | 11 (24.4) | 34 (75.6) | 14 (31.1) | 31 (68.9) | |
None of these | 1 (2.2) | 44 (97.8) | 0 (0.0) | 45 (100.0) | |
Multi-disciplinary forum for discussing PC patients | Formal regular meeting | 3 (6.7) | 42 (93.3) | 7 (15.6) | 38 (84.4) |
Formal occasional meeting | 3 (6.7) | 42 (93.3) | 9 (20.0) | 36 (80.0) | |
Informal regular discussions | 6 (13.3) | 39 (86.7) | 10 (22.2) | 35 (77.8) | |
Ad hoc liaison | 28 (62.2) | 17 (37.8) | 25 (55.6) | 20 (44.4) | |
None of these | 11 (24.4) | 34 (75.6) | 7 (15.6) | 38 (84.4) | |
System for coordinating PC | 15 (33.3) | 30 (66.7) | 17 (37.8) | 28 (62.2) | |
Named coordinator for PC | 6 (13.3) | 39 (86.7) | 7 (15.6) | 38 (84.4) | |
Unified regional record of PC patients | 13 (28.9) | 32 (71.1) | 10 (22.2) | 35 (77.8) | |
System to ensure 24 h availability of anticipatory med. | 35 (77.8) | 10 (22.2) | 38 (84.4) | 7 (15.6) | |
Use of a protocol for the care of dying cancer patients | 14 (31.1) | 31 (68.9) | 13 (28.9) | 32 (71.1) | |
Use of a symptom assessment tool for PC patients | 5 (11.1) | 40 (88.9) | 6 (13.3) | 39 (86.7) |