Palliative care consultation in the last week of life and associated factors: a cross-sectional general population study
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View abstract on PubMed
Summary
This summary is machine-generated.Access to palliative care consultations varied significantly among end-of-life patients. Factors like cancer diagnosis and symptom burden increased likelihood, while older age and hospital deaths decreased it, highlighting access inequities.
Area Of Science
- Palliative Care Research
- Health Services Research
- Sociomedical Sciences
Background
- Access to palliative care services, including consultation teams, is vital for improving healthcare policy and practice.
- Research is needed across diverse populations and healthcare settings to understand palliative care access.
- Identifying disparities in palliative care access is crucial for equitable end-of-life care.
Purpose Of The Study
- To examine factors influencing palliative care consultations for adult patients nearing the end of life.
- To investigate sociodemographic, disease-related, care-related, and care structure-related predictors of palliative care access.
- To identify inequities in the utilization of palliative care consultations.
Main Methods
- A cross-sectional study utilizing linked Swedish national registers and a palliative care quality register.
- Inclusion of all adult patients deceased in Sweden (2013-2019) with anticipated death, not in specialized palliative care.
- Multivariable logistic regression analysis to determine associations with palliative care consultations.
Main Results
- Only 8.2% of patients received a palliative care consultation in their last week of life.
- Neoplasm as a cause of death (OR 8.55) and increased symptom burden (OR 1.35) were associated with higher consultation likelihood.
- Older age, hospital deaths, lower educational attainment, and living alone were linked to reduced access.
Conclusions
- Significant inequities exist in accessing palliative care consultations during the final week of life.
- Findings support the need for policy and clinical practice adjustments to improve equitable access.
- Further research is warranted to address identified disparities in palliative care delivery.
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