Patient Preferences versus Family Physicians' Perceptions Regarding the Place of End-of-Life Care and Death: A Nationwide Study in Taiwan.
J Palliat Med
; 18(7): 625-30, 2015 Jul.
Article
en En
| MEDLINE
| ID: mdl-25927818
ABSTRACT
BACKGROUND:
Enabling people to die in their preferred place is important for providing high-quality end-of-life care.OBJECTIVE:
The study objective was to explore patients' preferences regarding the place of end-of-life care and death and to compare these preferences with the perceptions of their family physicians.METHODS:
This cross-sectional study used stratified random sampling, surveying 400 registered patients and 200 of their family physicians nationwide, with a five-part, structured, self-report questionnaire.RESULTS:
Of the selected population, 310 patients (response rate 77.5%) and 169 physicians (response rate 84.5%) responded. Regarding the preferred place for end-of-life care, most of the patients would choose to receive care at home (60.6%) if home care services were available. Additionally, home was the most frequently preferred (66.5%) place of death. The family physicians' survey showed that a higher proportion of physicians selected home as the preferred place for end-of-life care and death (71.6% and 87.2%, respectively). The results of logistic regression analysis showed that patients younger than 50 years of age who believed in Chinese folk religion and who resided in a rural area were more likely to prefer to die at home.CONCLUSIONS:
The most commonly preferred place for end-of-life care and death is the patient's home. Establishing a community-based palliative care system should be encouraged to allow more individuals to die in their preferred locations. There were discrepancies in the preferred place of end-of-life care and death between the patients' preferences and their family physicians' perceptions. More effective physician-patient communication regarding end-of-life care is needed.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Médicos de Familia
/
Cuidado Terminal
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Conocimientos, Actitudes y Práctica en Salud
/
Muerte
/
Prioridad del Paciente
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Palliat Med
Año:
2015
Tipo del documento:
Article
País de afiliación:
Taiwán