From: Hospice care in the Netherlands: who applies and who is admitted to inpatient care?
All applicants (n = 10254) | Admitted to inpatient hospice facility (n = 7966) | Not admitted to inpatient hospice facility (n = 2288) | P value | ||||
---|---|---|---|---|---|---|---|
Type of institution | n | % | n | % | n | % | |
Standalone hospice facility | 3512 | 34.3 | 2685 | 33.7 | 827 | 36.1 | |
PCU in/with Nursing Home | 3322 | 32.4 | 2514 | 31.6 | 808 | 35.3 | |
Bijna Thuis Huis | 3420 | 33.4 | 2767 | 34.7 | 653 | 28.6 | <.001 |
Patient applied from | |||||||
Hospital | 5210 | 52.4 | 4077 | 51.2 | 1133 | 57.4 | |
Home | 3948 | 39.7 | 3237 | 40.6 | 711 | 36.0 | |
Nursing Home | 296 | 3.0 | 252 | 3.2 | 44 | 2.2 | |
Care Home | 287 | 2.9 | 231 | 2.9 | 56 | 2.8 | |
Inpatient hospice | 56 | 0.6 | 47 | 0.6 | 9 | 0.5 | |
Other | 142 | 1.5 | 121 | 1.5 | 21 | 1.1 | <.001 |
Reason for applicationa | |||||||
Wish to die in a hospice | 6948 | 70.5 | 5571 | 70.0 | 1377 | 72.9 | .111 |
Intensive care/support | 5144 | 52.2 | 4331 | 54.4 | 813 | 43.1 | <.001 |
Relief for caregivers | 4081 | 41.4 | 3443 | 43.2 | 638 | 33.8 | <.001 |
Pain and symptom control | 3933 | 39.9 | 3413 | 42.9 | 520 | 27.5 | <.001 |
Time span of intended care | |||||||
Until death | 9534 | 96.2 | 7616 | 95.6 | 1918 | 98.5 | |
Respite | 379 | 3.8 | 350 | 4.4 | 29 | 1.5 | <.001 |
Desired timing | |||||||
ASAP | 5379 | 52.5 | 4413 | 55.4 | 966 | 42.2 | |
Within 1 month | 4210 | 41.1 | 3352 | 44.6 | 658 | 28.8 | |
Just-in-case | 665 | 6.5 | 1 | 0 | 664 | 29.0 | <.001 |
Who referred | |||||||
GP | 3021 | 29.5 | 2577 | 32.3 | 444 | 19.4 | |
Nurse (hospital) | 3872 | 37.8 | 3034 | 38.1 | 838 | 36.6 | |
Patient or Family | 1104 | 10.8 | 762 | 9.6 | 342 | 15.0 | |
Nursing home staff | 947 | 9.2 | 805 | 10.1 | 142 | 6.2 | |
District nurse | 466 | 4.5 | 419 | 5.3 | 47 | 2.1 | |
Care mediation service | 154 | 1.5 | 151 | 1.9 | 3 | 0.1 | |
Other | 690 | 6.7 | 218 | 2.7 | 472 | 20.6 | <.001 |