Table 4. Associations of care characteristics with the two quality indicators per country.
BELGIUM | THE NETHERLANDS | ITALY | SPAIN | |||||
Home death | Preference met | Home death | Preference met | Home death | Preference met | Home death | Preference met | |
(N = 1036) | (N = 437) | (N = 512) | (N = 303) | (N = 1639) | (N = 485) | (N = 565) | (N = 165) | |
OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | OR (95% CI) | |
GP provided palliative care † | 8.37 (5.7–12.2)** | 4.14 (2.4–7.1)** | 13.23 (7.2–24.4)** | 6.63 (2.6–17.1)** | 1.55 (1.2–2.0)* | 2.30 (1.4–3.9)* | 3.80 (2.3–6.3)** | 3.87 (0.9–16.8) |
Cure is a (very) important care goal in week 2–4 before death ‡ | 0.57 (0.3–1.0) | 0.80 (0.4–1.8) | 0.43 (0.2–1.2) | 1.42 (0.2–8.1) | 0.81 (0.6–1.2) | 0.88 (0.4–1.8) | 0.48 (0.2–0.9) | 0.39 (0.1–2.3) |
Prolonging life is a (very) important care goal in week 2–4 before death ‡ | 0.75 (0.5–1.1) | 0.78 (0.4–1.5) | 0.56 (0.3–1.1) | 0.52 (0.2–1.6) | 0.75 (0.6–1.0) | 0.65 (0.4–1.8) | 0.41 (0.2–0.7)* | 0.58 (0.1–3.3) |
Palliation is a (very) important care goal in week 2–4 before death ‡ | 0.93 (0.6–1.4) | 0.94 (0.5–1.8) | 1.01 (0.4–2.4) | 0.89 (0.2–3.8) | 1.03 (0.8–1.3) | 1.25 (0.7–2.1) | 0.90 (0.5–1.5) | 0.32 (0.1–1.7) |
In this multivariable regression analyses, we corrected for gender, age at death, cause of death, diagnosis of dementia.
Odds ratios marked in bold are significant p<0.05.
Odds ratios marked in bold, with 1*are significant p<0.01.
Odds ratios marked in bold, with 2 **are significant p<0.001.
Reference category = no palliative care provided by the GP.
Reference category = care goal considered as not so important.