The Impact of Hospice Care Structures on Care Processes: A Retrospective Cohort Study

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Abstract

Background: Palliative care is subject to substantial variations in care, which may be shaped through adapting the organisational structures through which care is provided. Whilst the goal of these structures is to improve patient care, there is a lack of evidence regarding their effect on care processes and patient outcomes. Aims: This study aims to describe the relationship between care structures and the quantity and domains of care processes in hospice care. Design: Retrospective cohort study. Settings/Participants: Data were collected from Dutch hospice patient’s clinical records and hospice surveys, detailing hospice structures, patient clinical characteristics and care processes. Results: 662 patients were included from 42 hospices, mean age 76.1 years. Hospices were categorised according to their care structures - structured clinical documentation and multidisciplinary meetings. Patients receiving care in hospices with structured multidisciplinary meetings had an increased quantity of documented care processes per patient on admission through identification (median 4 vs 3, P

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APA

de Graaf, E., Grant, M., van der Baan, F., Ausems, M., Leget, C., & Teunissen, S. (2024). The Impact of Hospice Care Structures on Care Processes: A Retrospective Cohort Study. American Journal of Hospice and Palliative Medicine. https://doi.org/10.1177/10499091241228254

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