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Table 4 Results from logistic regression analyses estimating the association between PaTz-participation and characteristics of palliative care provided to their most recently deceased patient by 235 Dutch healthcare providers

From: The association between PaTz and improved palliative care in the primary care setting: a cross-sectional survey

Care characteristicsa

Total (n = 235)

PaTz (n = 93)

No PaTz (n = 142)

Crude OR (95% CI)

Adjusted ORb (95% CI)

Number of topics discussed with another healthcare provider

 0–1 topics

63 (27%)

26 (28%)

37 (26%)

1

1

 2–4 topics

78 (33%)

26 (28%)

52 (37%)

0.71 (0.26–1.42)

1.31 (0.57–2.99)

 5–8 topics

94 (40%)

41 (44%)

53 (37%)

1.10 (0.58–2.10)

2.55 (1.11–5.88)*

Topics discussed with another healthcare provider

 Life expectancy

150 (64%)

60 (65%)

90 (63%)

1.05 (0.61–1.81)

1.75 (0.91–3.37)

 Expected complications

137 (58%)

57 (61%)

80 (56%)

1.23 (0.72–2.09)

1.41 (0.75–2.63)

 (Wishes regarding) palliative sedation

137 (58%)

57 (61%)

80 (56%)

1.23 (0.72–2.09)

3.85 (1.71–8.66)**

 (Wishes regarding) hospital admission

113 (48%)

46 (50%)

67 (47%)

1.10 (0.65–1.85)

1.60 (0.86–2.98)

 Treatment options

107 (46%)

40 (43%)

67 (47%)

0.85 (0.50–1.43)

1.24 (0.66–2.30)

 Preferred place of death

102 (43%)

43 (46%)

59 (42%)

1.21 (0.71–2.05)

1.70 (0.91–3.17)

 (Wishes regarding) euthanasia

82 (35%)

37 (40%)

45 (32%)

1.42 (0.83–2.46)

2.97 (1.48–5.97)**

 Spiritual issues

45 (19%)

17 (18%)

28 (20%)

0.91 (0.47–1.78)

1.41 (0.66–3.01)

Number of topics discussed with patient

 0–1 topics

28 (12%)

5 (5%)

23 (16%)

1

1

 2–4 topics

31 (13%)

10 (11%)

21 (15%)

2.19 (0.64–7.46)

2.95 (0.77–11.3)

 5–8 topics

176 (75%)

78 (84%)

98 (69%)

3.66 (1.33–10.1)*

3.16 (1.04–9.64)*

Topics discussed with patient

 Life expectancy

191 (81%)

79 (85%)

112 (79%)

1.51 (0.75–3.03)

1.21 (0.56–2.63)

 Expected complications

161 (69%)

71 (76%)

90 (63%)

1.87 (1.04–3.36)*

1.60 (0.84–3.07)

 (Wishes regarding) hospital admission

185 (79%)

82 (88%)

103 (73%)

2.82 (1.36–5.85)**

1.68 (0.75–3.74)

 Preferred place of death

185 (79%)

80 (86%)

105 (74%)

2.17 (1.08–4.35)*

2.05 (0.95–4.41)

 (Wishes regarding) palliative sedation

168 (72%)

75 (81%)

93 (66%)

2.20 (1.18–4.08)*

1.70 (0.86–3.36)

 Spiritual issues

155 (66%)

62 (67%)

93 (66%)

1.05 (0.61–1.83)

1.17 (0.63–2.18)

 Treatment options

164 (70%)

72 (77%)

92 (65%)

1.86 (1.03–3.38)*

1.24 (0.64–2.43)

 (Wishes regarding) euthanasia

144 (61%)

68 (73%)

76 (54%)

2.36 (1.34–4.16)**

1.56 (0.83–2.94)

Healthcare provider expecting the patient’s death

 More than 6 months in advance (ref)

52 (22%)

23 (25%)

29 (21%)

1

1

 3–6 months in advance

68 (29%)

29 (31%)

39 (28%)

0.94 (0.45–1.94)

1.19 (0.51–2.74)

 1–2 months in advance

41 (18%)

14 (15%)

27 (19%)

0.65 (0.28–1.52)

0.83 (0.31–2.17)

 In the final month

45 (19%)

17 (18%)

28 (20%)

0.77 (0.34–1.73)

1.63 (0.64–4.13)

 In the final week

27 (12%)

10 (11%)

17 (12%)

0.74 (0.29–1.93)

1.53 (0.52–4.51)

Hospital admission in the final 2 weeks

45 (19%)

20 (22%)

25 (18%)

1.26 (0.65–2.43)

1.60 (0.77–3.35)

Preferred place of death known

226 (96%)

89 (96%)

137 (96%)

1.30 (0.23–7.24)

0.95 (0.15–5.93)

 Died at preferred place of death

219 (93%)

85 (91%)

134 (94%)

0.48 (0.10–2.18)

0.76 (0.15–3.95)

Place of death

 Home (ref)

175 (75%)

72 (78%)

103 (74%)

1

1

 Residential care home

18 (8%)

5 (5%)

13 (9%)

0.55 (0.19–1.61)

0.59 (0.18–1.93)

 Hospice

27 (12%)

10 (11%)

17 (12%)

0.84 (0.36–1.94)

0.76 (0.30–1.93)

 Hospital

8 (3%)

4 (4%)

4 (3%)

1.43 (0.35–5.91)

0.88 (0.18–4.26)

 Other/don’t know

4 (2%)

1 (1%)

3 (2%)

0.48 (0.05–4.67)

0.33 (0.03–3.95)

  1. aMissing data < 2% for all variables
  2. bAdjusted for healthcare providers’ profession (GP or DN) and employment (part-time or full-time)
  3. * p <0.05 ** p <0.01