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The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Faculty of Public Health, Inland Norway University of Applied Science.
Faculty of Public Health, Inland Norway University of Applied Science.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
Högskolan i Östfold, Norge.
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2017 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, no 66Article in journal (Refereed) Published
Abstract [en]

Background:Little is known about the combination of person- and organization- related conditions and the relationshipswith patients'perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity ofclinical practice, and enhance individualized care. The aim wasto investigate the relationships between the combination ofperson- and organization-related conditions and patients'perceptions of palliative care quality.Methods:A cross-sectional study, including 191 patients in the latepalliative phase (73% response rate) admitted to hospiceinpatient care (n= 72), hospice day care (n= 51), palliative units in nursing homes (n= 30) and home care (n=38),wasconducted between November 2013 and December 2014, using the instrument Quality from the Patients'Perspectivespecific to palliative care (QPP-PC). Data were analysed, using analysis of covariance, to explore the amount of the variancein the dependent variables (QPP-PC) that could be explained by combination of the independent variables–Person- andorganization-related conditions,−while controlling for differences in covariates.Results:Patients scored the care received and the subjective importance as moderate to high. The combination of person-and organization - related conditions revealed that patients with a high sense of coherence, lower age (person–relatedconditions) and being in a ward with access to and availabilityof physicians (organization-related condition) might beassociated with significantly higher scores for the quality ofcare received. Gender (women), daily contact with family andfriends, and low health-related qualityof life (person-related conditions) might be associated with higher scores forsubjective importance of the aspects of care quality.Conclusion:Healthcare personnel, leaders and policy makers need to pay attention to person- and organization-relatedconditions in order to provide person-centered palliative care ofhigh quality. Further studies from palliative care contexts areneeded to confirm the findings and to investigate additional organizational factors that might influence patients'perceptions of care quality.

Place, publisher, year, edition, pages
London: BioMed Central, 2017. Vol. 16, no 66
Keywords [en]
Organization, Palliative care, Patient p erception, Person-related conditions, Quality of healthcare, Quality from the patients'
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-65334DOI: 10.1186/s12904-017-0240-xISI: 000417539600001OAI: oai:DiVA.org:kau-65334DiVA, id: diva2:1163783
Available from: 2017-12-08 Created: 2017-12-08 Last updated: 2018-09-07Bibliographically approved

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Publisher's full texthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719731/pdf/12904_2017_Article_240.pdf

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Sandsdalen, TuvaRystedt, IngridAbrahamsen Grøndahl, VigdisHov, ReidunWilde-Larsson, Bodil
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