Table 4 GP-EoLC-I clinical care subscale items [25, 26] at t0 and t1 (N = 45 GPs)
From: Quality of end-of-life care in general practice – a pre–post comparison of a two-tiered intervention
t0 n (%) | t1 n (%) | |||||||
|---|---|---|---|---|---|---|---|---|
Item | Always | Mostly | Sometimes | Rarely/never | Always | Mostly | Sometimes | Rarely/never |
Record care plans for PPC* | 15 (33.3) | 15 (33.3) | 6 (13.3) | 9 (20.0) | 23 (51.1) | 17 (37.8) | 2 (4.4) | 3 (6.7) |
Encourage PPC in preparing for death in an active manner* | 12 (26.7) | 21 (46.7) | 8 (17.8) | 4 (8.9) | 14 (31.1) | 21 (46.7) | 10 (22.2) | 0 (0.0) |
Assist PPC by addressing unfinished business | 7 (15.6) | 29 (64.4) | 5 (11.1) | 4 (8.9) | 12 (26.7) | 20 (44.4) | 13 (28.9) | 0 (0.0) |
Assist PPC by preparing advance directives* | 16 (35.6) | 19 (42.2) | 8 (17.8) | 2 (4.4) | 10 (22.2) | 29 (64.4) | 6 (13.3) | 0 (0.0) |
Record PPC wishes or spiritual beliefs | 8 (17.8) | 13 (28.9) | 10 (22.2) | 14 (31.1) | 12 (26.7) | 13 (28.9) | 11 (24.4) | 9 (20.0) |
Record preferred place of care at the end of life / death* | 9 (20.0) | 11 (24.4) | 9 (20.0) | 16 (35.6) | 15 (33.3) | 14 (31.1) | 10 (22.2) | 6 (13.3) |
Routinely assess and discontinue inappropriate interventions (incl. med.) | 26 (57.8) | 16 (35.6) | 1 (2.2) | 2 (4.4) | 27 (60.0) | 18 (40.0) | 0 (0.0) | 0 (0.0) |
Record of a named family carer for discussion and coordination of care* | 23 (51.1) | 15 (33.3) | 3 (6.7) | 4 (8.9) | 23 (51.1) | 20 (44.4) | 2 (4.4) | 0 (0.0) |
Disseminate appropriate written information to family and carers | 4 (8.9) | 5 (11.1) | 11 (24.4) | 25 (55.6) | 4 (8.9) | 12 (26.7) | 18 (40.0) | 11 (24.4) |
Document the family’s or carers’ insights into the patient’s condition | 4 (8.9) | 18 (40.0) | 13 (28.9) | 10 (22.2) | 8 (17.8) | 17 (37.8) | 11 (24.4) | 9 (20.0) |
Dispatch a handover form for out-of-hours care for PPC* | 11 (24.4) | 15 (33.3) | 13 (28.9) | 6 (13.3) | 11 (24.4) | 17 (37.8) | 11 (24.4) | 6 (13.3) |
Out-of-hours availability to PPC in terminal stages of illness | 17 (37.8) | 12 (26.7) | 11 (24.4) | 5 (11.1) | 18 (40.0) | 12 (26.7) | 9 (20.0) | 6 (13.3) |
Routine documentation of impending death* | 8 (17.8) | 11 (24.4) | 11 (24.4) | 15 (33.3) | 13 (28.9) | 14 (31.1) | 6 (13.3) | 12 (26.7) |