Associations between Length of Stay in Long Term Care Facilities and End of Life Care. Analysis of the PACE Cross-Sectional Study

Danni Collingridge Moore, Sheila Payne, Thomas Keegan, Luc Deliens, Tinne Smets, Giovanni Gambassi, Marika Kylänen, Violetta Kijowska, Bregje Onwuteaka-Philipsen and Lieve Van den Block
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Danni Collingridge Moore: International Observatory on End of Life Care, Lancaster University, Lancaster LA1 4YW, UK
Sheila Payne: International Observatory on End of Life Care, Lancaster University, Lancaster LA1 4YW, UK
Thomas Keegan: Lancaster Medical School, Lancaster University, Lancaster LA1 4YG, UK
Luc Deliens: VUB-UGhent End of Life Care Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
Tinne Smets: VUB-UGhent End of Life Care Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
Giovanni Gambassi: Department of Geriatrics and Orthopaedic Sciences, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Marika Kylänen: National Institute for Health and Welfare, (00)271 Helsinki, Finland
Violetta Kijowska: Unit for Research on Aging Society, Department of Sociology, Faculty of Medicine, Jagiellonian University Medical College, 31-034 Krakow, Poland
Bregje Onwuteaka-Philipsen: Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Expertise Center for Palliative Care, 1081 HV Amsterdam, The Netherlands
Lieve Van den Block: VUB-UGhent End of Life Care Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium

IJERPH, 2020, vol. 17, issue 8, 1-14

Abstract: Long term care facilities (LTCFs) are increasingly a place of care at end of life in Europe. Longer residence in an LTCF prior to death has been associated with higher indicators of end of life care; however, the relationship has not been fully explored. The purpose of this analysis is to explore associations between length of stay and end of life care. The analysis used data collected in the Palliative Care for Older People in care and nursing homes in Europe (PACE) study, a cross-sectional mortality follow-back survey of LTCF residents who died within a retrospective 3-month period, conducted in Belgium, England, Finland, Italy, the Netherlands and Poland. Primary outcomes were quality of care in the last month of life, comfort in the last week of life, contact with health services in the last month of life, presence of advance directives and consensus in care. Longer lengths of stay were associated with higher scores of quality of care in the last month of life and comfort in the last week of life. Longer stay residents were more likely to have advance directives in place and have a lasting power of attorney for personal welfare. Further research is needed to explore the underlying reasons for this trend, and how good quality end of life care can be provided to all LTCF residents.

Keywords: long-term care facility; care home; nursing home; length of stay; palliative care; end of life care; epidemiology (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:8:p:2742-:d:346166

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