Awareness of general practitioners concerning cancer patients' preferences for place of death: Evidence from four European countries

Winne Ko, Monica Beccaro, Guido Miccinesi, Viviane Van Casteren, Gé A. Donker, Bregje Onwuteaka-Philipsen, María Teresa Miralles Espí, Luc Deliens, Massimo Costantini, Lieve Van Den Block

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: General Practitioners (GPs) are at the first level of contact in many European healthcare systems and they supposedly have a role in supporting cancer patients in achieving their desired place of death. A four-country (Belgium, the Netherlands, Italy and Spain) study was carried out exploring current practices. Patients and Methods: EURO SENTI-MELC adopted a retrospective study design and data for this study were collected in 2010 through representative GPs' networks in four countries. In the current study all non-sudden cancer deaths were included with weekly GP registrations. Results: The main study sample included 930 deceased cancer patients: preference for place of death was known by GPs for only 377. GP awareness on the preferred place of death varied across countries, 27% in Italy, 36% in Spain, 45% in Belgium and 72% in the Netherlands (p <0.01). The general level of preferences met was high, from 68% (Italy) to 92% (Spain). Conclusions: Despite the importance of being able to die in a preferred location, GPs were often unaware about patient preferences, especially in Italy and Spain. If GPs were informed, the preference was often met in all countries, indicating room for improvement in end-of-life care.

Original languageEnglish
Pages (from-to)1967-1974
Number of pages8
JournalEuropean Journal of Cancer
Volume49
Issue number8
DOIs
Publication statusPublished - May 2013

Fingerprint

Patient Preference
General Practitioners
Spain
Italy
Neoplasms
Belgium
Netherlands
Terminal Care
Retrospective Studies
Delivery of Health Care

Keywords

  • Advanced cancer patients
  • General Practitioners
  • Palliative care
  • Place of death
  • Preference met
  • Sentinel network

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Ko, W., Beccaro, M., Miccinesi, G., Van Casteren, V., Donker, G. A., Onwuteaka-Philipsen, B., ... Van Den Block, L. (2013). Awareness of general practitioners concerning cancer patients' preferences for place of death: Evidence from four European countries. European Journal of Cancer, 49(8), 1967-1974. https://doi.org/10.1016/j.ejca.2013.01.006

Awareness of general practitioners concerning cancer patients' preferences for place of death : Evidence from four European countries. / Ko, Winne; Beccaro, Monica; Miccinesi, Guido; Van Casteren, Viviane; Donker, Gé A.; Onwuteaka-Philipsen, Bregje; Miralles Espí, María Teresa; Deliens, Luc; Costantini, Massimo; Van Den Block, Lieve.

In: European Journal of Cancer, Vol. 49, No. 8, 05.2013, p. 1967-1974.

Research output: Contribution to journalArticle

Ko, W, Beccaro, M, Miccinesi, G, Van Casteren, V, Donker, GA, Onwuteaka-Philipsen, B, Miralles Espí, MT, Deliens, L, Costantini, M & Van Den Block, L 2013, 'Awareness of general practitioners concerning cancer patients' preferences for place of death: Evidence from four European countries', European Journal of Cancer, vol. 49, no. 8, pp. 1967-1974. https://doi.org/10.1016/j.ejca.2013.01.006
Ko, Winne ; Beccaro, Monica ; Miccinesi, Guido ; Van Casteren, Viviane ; Donker, Gé A. ; Onwuteaka-Philipsen, Bregje ; Miralles Espí, María Teresa ; Deliens, Luc ; Costantini, Massimo ; Van Den Block, Lieve. / Awareness of general practitioners concerning cancer patients' preferences for place of death : Evidence from four European countries. In: European Journal of Cancer. 2013 ; Vol. 49, No. 8. pp. 1967-1974.
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