Early identification of patients in need of palliative care in slovenian general practice
, , and | Apr 12, 2018
About this article
Article Category: Original scientific article
Published Online: Apr 12, 2018
Page range: 55 - 64
Received: Apr 19, 2017
Accepted: Jan 15, 2018
DOI: https://doi.org/10.2478/sjph-2018-0008
Keywords
© 2018 National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
Figure 2
Figure 3
Figure 4
Proportions of reactive and anticipatory palliative care plans.
| Vignette A | Vignette B | Vignette C | Vignette D | Total | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| R | A | R | A | R | A | R | A | R | A | |
| 88% | 38% | 100% | 50% | 88% | 25% | 63% | 63% | 84% | 44% | |
| 100% | 50% | 100% | 50% | 100% | 25% | 100% | 38% | 100% | 41% | |
| 80% | 80% | 100% | 40% | 100% | 20% | 80% | 40% | 90% | 45% | |
| 100% | 40% | 100% | 80% | 100% | 40% | 80% | 40% | 95% | 50% | |
| 92% | 50% | 100% | 54% | 96% | 27% | 81% | 46% | - | - | |
Multidimensional care.
| Somatic | Social / financial | Care giving /ADL ADL: activities of daily living | Existential /psychological | All domains | |
|---|---|---|---|---|---|
| 84% | 9% | 38% | 16% | 9% | |
| 94% | 25% | 59% | 31% | 6% | |
| 75% | 5% | 25% | 20% | 5% | |
| 95% | 10% | 55% | 15% | 0% | |
| 89% | 8% | 54% | 4% | ||
| 100% | 19% | 54% | 35% | ||
| 96% | 15% | 65% | 8% | ||
| 65% | 12% | 8% | 35% |
Answer combinations to SQ1+SQ2 and mean RADIANT scores per case vignette.
| Group 2 (n=8) | Group 3 (n=5) | Group 4 (n=5) | ||||
|---|---|---|---|---|---|---|
| Answer SQ1 | RADIANT score | Q1+SQ2 | RADIANT score | Answers SQ1+SQ2 | RADIANT score | |
| No (n=8) | 3.63 | No+Yes (n=2) | 3.5 | No+Yes (n=1) | 4.0 | |
| No+No (n=2) | 1.0 | No+No (n=3) | 3.7 | |||
| Yes+No (n=1) | 0 | Yes+No (n=1) | 2.0 | |||
| No (n=8) | 4.0 | No+Yes (n=5) | 3.0 | No+Yes (n=5) | 4.0 | |
| No+No (n=0) | - | No+No (n=0) | - | |||
| Yes+No (n=0) | - | Yes+No (n=0) | - | |||
| No (n=8) | 3.3 | No+Yes (n=0) | - | No+Yes (n=1) | 3.0 | |
| No+No (n=4) | 2.0 | No+No (n=3) | 2.7 | |||
| Yes+No (n=1) | 3.0 | Yes+No (n=1) | 2.0 | |||
| No (n=8) | 3.4 | No+Yes (n=2) | 3.0 | No+Yes (n=1) | 5.0 | |
| No+No (n=1) | 2.0 | No+No (n=4) | 1.8 | |||
| Yes+No (n=2) | 3.0 | Yes+No (n=0) | - | |||
Characteristics of participants.
| 48±10.4 | |
| 36% | |
| 96% | |
| • Employee in Healthcare Center | 56% |
| • Independent contract holder | 20% |
| • Employee in practice of independent contract holder | 20% |
| • Other | 4% |
| • Practice in healthcare center | 56% |
| • Solo practice | 32% |
| • Nursing home | 8% |
| • Other | 4% |
| 64% | |
| 37±11.0 | |
| 20±13.7 | |
| 9.5±4.9 | |
| 0.9±1.0 | |
| 8.4±1.1 | |
| 6.3±1.6 | |
| 93% |
Mean RADIANT scoresRADIANT score: RADboudANTicipatory score, a scoring method to quantify the open text content of palliative care plans made by GPs. per case vignette in groups 1-4.
| Total | |||||||
|---|---|---|---|---|---|---|---|
| Vignette A | Vignette B | Vignette C | Vignette D | A | E | S | |
| 1.9 | 3.3 | 2.0 | 1.5 | 2.2 | 1.7 (n=3) | 2.5 (n=5) | |
| 3.6 | 4.0 | 3.3 | 3.4 | 3.6 | 3.5 (n=4) | 3.6 (n=4) | |
| 1.8 | 3.0 | 2.2 | 2.8 | 2.5 | 2.0 (n=4) | 4.3 (n=1) | |
| 3.4 | 4.0 | 2.6 | 2.4 | 3.1 | 2.8 (n=4) | 4.3 (n=1) | |
| 2.7 | 3.6 | 2.5 | 2.5 | - | - | - | |