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Who finds the road to palliative home care support? : a nationwide analysis on the use of supportive measures for palliative home care using linked administrative databases

(2019) PLOS ONE. 14(3).
Author
Organization
Abstract
Background : Many countries developed supportive measures for palliative home care, such as financial incentives or multidisciplinary palliative home care teams. For policy makers, it is important to evaluate the use of these national palliative home care supportive measures on a population level. Methods and findings : Using routinely-collected data on all deaths in Belgium in 2012 (n = 107,847) we measured the use of four statutory supportive measures, specifically intended for patients who have obtained the legal palliative status, and three non-statutory supportive measures. Factors associated with uptake were analysed using multivariable logistic regression. Of all deaths of adult home-dwelling persons in Belgium (n = 87,007), 17.9 percent used at least one statutory supportive measure and 51.5 percent used at least one non-statutory supportive measure. In those who died of an illness indicative of palliative care needs 33.1 percent used at least one statutory supportive measure and 62.2 percent used at least one non-statutory supportive measure. Younger people and persons dying from cancer were more likely to use a statutory policy measure. Older people and persons dying from COPD were most likely to use a non-statutory policy measure. Women, non-single people, and those living in less urbanised areas were most likely to use any supportive measure. Conclusions : Statutory supportive measures for palliative home care are underused, even in a subpopulation of persons with potential palliative care needs. Policy makers should stimulate an equitable uptake, and reducing the observed inequalities is an important focus for health care policy.
Keywords
OBSTRUCTIVE PULMONARY-DISEASE, OLDER-ADULTS, LAST YEAR, LIFE, SERVICES, SURVIVAL, CANCER, DEATH, END, TRAJECTORIES

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MLA
Maetens, Arno et al. “Who Finds the Road to Palliative Home Care Support? : a Nationwide Analysis on the Use of Supportive Measures for Palliative Home Care Using Linked Administrative Databases.” PLOS ONE 14.3 (2019): n. pag. Print.
APA
Maetens, A., Beernaert, K., Deliens, L., Gielen, B., & Cohen, J. (2019). Who finds the road to palliative home care support? : a nationwide analysis on the use of supportive measures for palliative home care using linked administrative databases. PLOS ONE, 14(3).
Chicago author-date
Maetens, Arno, Kim Beernaert, Luc Deliens, Birgit Gielen, and Joachim Cohen. 2019. “Who Finds the Road to Palliative Home Care Support? : a Nationwide Analysis on the Use of Supportive Measures for Palliative Home Care Using Linked Administrative Databases.” Plos One 14 (3).
Chicago author-date (all authors)
Maetens, Arno, Kim Beernaert, Luc Deliens, Birgit Gielen, and Joachim Cohen. 2019. “Who Finds the Road to Palliative Home Care Support? : a Nationwide Analysis on the Use of Supportive Measures for Palliative Home Care Using Linked Administrative Databases.” Plos One 14 (3).
Vancouver
1.
Maetens A, Beernaert K, Deliens L, Gielen B, Cohen J. Who finds the road to palliative home care support? : a nationwide analysis on the use of supportive measures for palliative home care using linked administrative databases. PLOS ONE. 2019;14(3).
IEEE
[1]
A. Maetens, K. Beernaert, L. Deliens, B. Gielen, and J. Cohen, “Who finds the road to palliative home care support? : a nationwide analysis on the use of supportive measures for palliative home care using linked administrative databases,” PLOS ONE, vol. 14, no. 3, 2019.
@article{8608170,
  abstract     = {Background : Many countries developed supportive measures for palliative home care, such as financial incentives or multidisciplinary palliative home care teams. For policy makers, it is important to evaluate the use of these national palliative home care supportive measures on a population level. 
Methods and findings : Using routinely-collected data on all deaths in Belgium in 2012 (n = 107,847) we measured the use of four statutory supportive measures, specifically intended for patients who have obtained the legal palliative status, and three non-statutory supportive measures. Factors associated with uptake were analysed using multivariable logistic regression. Of all deaths of adult home-dwelling persons in Belgium (n = 87,007), 17.9 percent used at least one statutory supportive measure and 51.5 percent used at least one non-statutory supportive measure. In those who died of an illness indicative of palliative care needs 33.1 percent used at least one statutory supportive measure and 62.2 percent used at least one non-statutory supportive measure. Younger people and persons dying from cancer were more likely to use a statutory policy measure. Older people and persons dying from COPD were most likely to use a non-statutory policy measure. Women, non-single people, and those living in less urbanised areas were most likely to use any supportive measure. 
Conclusions : Statutory supportive measures for palliative home care are underused, even in a subpopulation of persons with potential palliative care needs. Policy makers should stimulate an equitable uptake, and reducing the observed inequalities is an important focus for health care policy.},
  articleno    = {e0213731},
  author       = {Maetens, Arno and Beernaert, Kim and Deliens, Luc and Gielen, Birgit and Cohen, Joachim},
  issn         = {1932-6203},
  journal      = {PLOS ONE},
  keywords     = {OBSTRUCTIVE PULMONARY-DISEASE,OLDER-ADULTS,LAST YEAR,LIFE,SERVICES,SURVIVAL,CANCER,DEATH,END,TRAJECTORIES},
  language     = {eng},
  number       = {3},
  pages        = {13},
  title        = {Who finds the road to palliative home care support? : a nationwide analysis on the use of supportive measures for palliative home care using linked administrative databases},
  url          = {http://dx.doi.org/10.1371/journal.pone.0213731},
  volume       = {14},
  year         = {2019},
}

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