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Early identification of patients in need of palliative care in slovenian general practice Cover

Early identification of patients in need of palliative care in slovenian general practice

Open Access
|Apr 2018

Figures & Tables

Figure 1

Problems square (Thoonsen et al. 2011 (18)).
Problems square (Thoonsen et al. 2011 (18)).

Figure 2

Score form.
Score form.

Figure 3

The process of inclusion of general practitioners.
The process of inclusion of general practitioners.

Figure 4

Statements about the usefulness of the first and second surprise questions.
Statements about the usefulness of the first and second surprise questions.

Proportions of reactive and anticipatory palliative care plans_

Vignette AVignette BVignette CVignette DTotal
RARARARARA
Group 1 (n=8)88%38%100%50%88%25%63%63%84%44%
Group 2 (n=8)100%50%100%50%100%25%100%38%100%41%
Group 3 (n=5)80%80%100%40%100%20%80%40%90%45%
Group 4 (n=5)100%40%100%80%100%40%80%40%95%50%
Total (n = 26)92%50%100%54%96%27%81%46%--

Multidimensional care_

SomaticSocial / financialCare giving /ADL

ADL: activities of daily living

Existential /psychologicalAll domains
Group 184%9%38%16%9%
Group 294%25%59%31%6%
Group 375%5%25%20%5%
Group 495%10%55%15%0%
Vignette A89%8%54%4%
Vignette B100%19%54%35%
Vignette C96%15%65%8%
Vignette D65%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 SQ1RADIANT scoreQ1+SQ2RADIANT scoreAnswers SQ1+SQ2RADIANT score
Vignette ANo (n=8)3.63No+Yes (n=2)3.5No+Yes (n=1)4.0
No+No (n=2)1.0No+No (n=3)3.7
Yes+No (n=1)0Yes+No (n=1)2.0
Vignette BNo (n=8)4.0No+Yes (n=5)3.0No+Yes (n=5)4.0
No+No (n=0)-No+No (n=0)-
Yes+No (n=0)-Yes+No (n=0)-
Vignette CNo (n=8)3.3No+Yes (n=0)-No+Yes (n=1)3.0
No+No (n=4)2.0No+No (n=3)2.7
Yes+No (n=1)3.0Yes+No (n=1)2.0
Vignette DNo (n=8)3.4No+Yes (n=2)3.0No+Yes (n=1)5.0
No+No (n=1)2.0No+No (n=4)1.8
Yes+No (n=2)3.0Yes+No (n=0)-

Characteristics of participants_

Age (years±SD)48±10.4
Gender: male36%
Vocational training96%
Function
• Employee in Healthcare Center56%
• Independent contract holder20%
• Employee in practice of independent contract holder20%
• Other4%
Type of practice
• Practice in healthcare center56%
• Solo practice32%
• Nursing home8%
• Other4%
Teaching practice64%
Workload (hours per week ±SD)37±11.0
After hours work (hours per month ±SD)20±13.7
Consultation time (minutes per patient ±SD)9.5±4.9
Home visits (no. per week ±SD)0.9±1.0
Interest in palliative care (scale 1-10 ±SD)8.4±1.1
Palliative care skills ( scale 1-10 ±SD)6.3±1.6
Plans to improve PC skills93%

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 AVignette BVignette CVignette DAES
Group 1 (n=8)1.93.32.01.52.21.7 (n=3)2.5 (n=5)
Group 2 (n=8)3.64.03.33.43.63.5 (n=4)3.6 (n=4)
Group 3 (n=5)1.83.02.22.82.52.0 (n=4)4.3 (n=1)
Group 4 (n=5)3.44.02.62.43.12.8 (n=4)4.3 (n=1)
Total (n = 26)2.73.62.52.5---
DOI: https://doi.org/10.2478/sjph-2018-0008 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 55 - 64
Submitted on: Apr 19, 2017
|
Accepted on: Jan 15, 2018
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Published on: Apr 12, 2018
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Lisette Klok, Yvonne Engels, Carel Veldhoven, Danica Rotar Pavlič, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.