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Terminal home care in the Netherlands: An overview
A J Schrijvers1, P J Dingemans
1Vakgroep Algemene Gezondheidszorg en Epidemiologie, Universiteit te Utrecht, Bijlhouwerstraat 6, 3511 ZC, Utrecht, The Netherlands.
Interest in terminal home care surged in the Netherlands in the late 1980s. This article details Dutch health services, defines terminal home care, and presents findings from recent studies and guidelines.
Area of Science:
- Palliative Care
- Health Services Research
Background:
- Declining interest in home care for the terminally ill preceded a resurgence in the Netherlands.
- The Dutch health services landscape and the definition of terminal home care are outlined.
Purpose of the Study:
- To describe the trend of renewed interest and initiatives in terminal home care in the Netherlands.
- To present findings from recent studies on terminal home care projects.
- To discuss guidelines for quality terminal home care.
Main Methods:
- Descriptive analysis of trends in terminal home care.
- Review of statistical data on home care types in the Netherlands.
- Presentation of findings from three recent studies.
Main Results:
- Several projects and experiments in terminal home care were initiated in the late 1980s.
- Guidelines for good terminal home care were formulated by the Dutch Health Council in 1991.
- Statistical information on various home care types is provided.
Conclusions:
- The Netherlands experienced a revival in terminal home care starting in the late 1980s.
- Recent studies and official guidelines inform the provision of quality terminal home care.
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