Care and Decision-Making at the End of Life for Patients With a Non-Western Migration Background Living in The Netherlands: A Nationwide Mortality Follow-Back Study
| العنوان: | Care and Decision-Making at the End of Life for Patients With a Non-Western Migration Background Living in The Netherlands: A Nationwide Mortality Follow-Back Study |
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| المؤلفون: | Bregje D. Onwuteaka-Philipsen, Agnes van der Heide, M Torensma, Jeanine Suurmond |
| المساهمون: | Graduate School, APH - Aging & Later Life, APH - Global Health, APH - Health Behaviors & Chronic Diseases, APH - Personalized Medicine, Public and occupational health, APH - Quality of Care, APH - Methodology, Public Health |
| المصدر: | Torensma, M, Suurmond, J L, van der Heide, A & Onwuteaka-Philipsen, B D 2020, ' Care and Decision-Making at the End of Life for Patients With a Non-Western Migration Background Living in The Netherlands : A Nationwide Mortality Follow-Back Study ', Journal of Pain and Symptom Management, vol. 59, no. 5, pp. 990-1000.e5 . https://doi.org/10.1016/j.jpainsymman.2019.11.026 Journal of pain and symptom management, 59(5), 990-1000.e5. Elsevier Inc. Journal of Pain and Symptom Management, 59(5), 990-1000.e5. Elsevier Inc. Journal of Pain and Symptom Management, 59(5), 990-1000. Elsevier Inc. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Adolescent, Decision Making, Context (language use), Palliative sedation, 03 medical and health sciences, end-of-life decision-making, 0302 clinical medicine, Surveys and Questionnaires, Medicine, Humans, 030212 general & internal medicine, General Nursing, Netherlands, Terminal Care, business.industry, Euthanasia, migrant patients, Stratified sampling, Non western, Death, Europe, Anesthesiology and Pain Medicine, End-of-life care, Curative treatment, 030220 oncology & carcinogenesis, Emergency medicine, Neurology (clinical), business |
| الوصف: | Context: Migrant populations across Europe are aging and will increasingly need end-of-life care. Objective: The objectives of this study were to gain insight into end-of-life care and decision-making for patients with a non-western migration background and assess differences compared to patients with a Dutch or western migration background. Methods: A mortality follow-back study was conducted using a stratified sample of death certificates of persons who died between August and December 2015, obtained from the central death registry of Statistics Netherlands. Questionnaires were sent to the attending physician (n = 9351; response 78%). Patients aged ≥18 years who died a nonsudden death were included in this study (n = 5327). Results: Patients with a non-western migration background are more likely than patients with a Dutch or western migration background to be admitted to and die in hospital (51.6% vs. 33.9% [OR 1.74; 95% CI 1.26–2.41]; 39.1% vs. 20.1% [OR 1.96; 95% CI 1.39–2.78]); less likely to receive morphine or morphine-like medication and continuous deep sedation (72.8% vs. 80.1% [OR 0.62; 95% CI 0.43–0.89]; 16.8% vs. 25.2% [OR 0.52; 95% CI 0.34–0.80]); and more likely to receive end-of-life care that, according to physicians, is directed at curation for too long (6.8% vs. 1.7% [OR 3.61; 95% CI 1.83–7.12]). End-of-life decisions are made less frequently for patients with a non-western migration background (71.6% vs. 79.2% [OR 0.64; 95% CI 0.45–0.91]). Characteristics of decision-making are similar. Conclusion: End-of-life care for patients with a non-western migration background focuses more, or longer on maximum, curative treatment and end-of-life decisions are made less often. |
| تدمد: | 1873-6513 0885-3924 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::815ba4c925ab0ae65a271a4355d9e92c https://pubmed.ncbi.nlm.nih.gov/31837456 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.doi.dedup.....815ba4c925ab0ae65a271a4355d9e92c |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 18736513 08853924 |
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