<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Van den Block,L.</style></author><author><style face="normal" font="default" size="100%">Pivodic,L.</style></author><author><style face="normal" font="default" size="100%">Pardon,K.</style></author><author><style face="normal" font="default" size="100%">G.A. Donker</style></author><author><style face="normal" font="default" size="100%">Miccinesi,G.</style></author><author><style face="normal" font="default" size="100%">S Moreels</style></author><author><style face="normal" font="default" size="100%">T. Vega Alonso</style></author><author><style face="normal" font="default" size="100%">Deliens,L.</style></author><author><style face="normal" font="default" size="100%">B.D. Onwuteaka-Philipsen</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Transitions between health care settings in the final three months of life in four EU countries</style></title><secondary-title><style face="normal" font="default" size="100%">Eur.J.Public Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">a</style></keyword><keyword><style  face="normal" font="default" size="100%">age</style></keyword><keyword><style  face="normal" font="default" size="100%">ALL</style></keyword><keyword><style  face="normal" font="default" size="100%">Analyses</style></keyword><keyword><style  face="normal" font="default" size="100%">article</style></keyword><keyword><style  face="normal" font="default" size="100%">AS</style></keyword><keyword><style  face="normal" font="default" size="100%">at</style></keyword><keyword><style  face="normal" font="default" size="100%">Belgium</style></keyword><keyword><style  face="normal" font="default" size="100%">Brussels</style></keyword><keyword><style  face="normal" font="default" size="100%">cancer</style></keyword><keyword><style  face="normal" font="default" size="100%">care</style></keyword><keyword><style  face="normal" font="default" size="100%">Case</style></keyword><keyword><style  face="normal" font="default" size="100%">cause</style></keyword><keyword><style  face="normal" font="default" size="100%">Cause of Death</style></keyword><keyword><style  face="normal" font="default" size="100%">chronic</style></keyword><keyword><style  face="normal" font="default" size="100%">Common</style></keyword><keyword><style  face="normal" font="default" size="100%">community</style></keyword><keyword><style  face="normal" font="default" size="100%">Countries</style></keyword><keyword><style  face="normal" font="default" size="100%">cross-national</style></keyword><keyword><style  face="normal" font="default" size="100%">data</style></keyword><keyword><style  face="normal" font="default" size="100%">Data collection</style></keyword><keyword><style  face="normal" font="default" size="100%">Death</style></keyword><keyword><style  face="normal" font="default" size="100%">deaths</style></keyword><keyword><style  face="normal" font="default" size="100%">Dementia</style></keyword><keyword><style  face="normal" font="default" size="100%">differences</style></keyword><keyword><style  face="normal" font="default" size="100%">electronic</style></keyword><keyword><style  face="normal" font="default" size="100%">end</style></keyword><keyword><style  face="normal" font="default" size="100%">end of life</style></keyword><keyword><style  face="normal" font="default" size="100%">End-of-life</style></keyword><keyword><style  face="normal" font="default" size="100%">EPIDEMIOLOGICAL</style></keyword><keyword><style  face="normal" font="default" size="100%">EU</style></keyword><keyword><style  face="normal" font="default" size="100%">families</style></keyword><keyword><style  face="normal" font="default" size="100%">Family</style></keyword><keyword><style  face="normal" font="default" size="100%">Frequency</style></keyword><keyword><style  face="normal" font="default" size="100%">general</style></keyword><keyword><style  face="normal" font="default" size="100%">GENERAL PRACTITIONER</style></keyword><keyword><style  face="normal" font="default" size="100%">general practitioners</style></keyword><keyword><style  face="normal" font="default" size="100%">GP</style></keyword><keyword><style  face="normal" font="default" size="100%">Group</style></keyword><keyword><style  face="normal" font="default" size="100%">health</style></keyword><keyword><style  face="normal" font="default" size="100%">health care</style></keyword><keyword><style  face="normal" font="default" size="100%">health services</style></keyword><keyword><style  face="normal" font="default" size="100%">Health Services Research</style></keyword><keyword><style  face="normal" font="default" size="100%">HEALTH-CARE</style></keyword><keyword><style  face="normal" font="default" size="100%">Health-services</style></keyword><keyword><style  face="normal" font="default" size="100%">hospital</style></keyword><keyword><style  face="normal" font="default" size="100%">Hospitalization</style></keyword><keyword><style  face="normal" font="default" size="100%">Institute</style></keyword><keyword><style  face="normal" font="default" size="100%">International</style></keyword><keyword><style  face="normal" font="default" size="100%">IS</style></keyword><keyword><style  face="normal" font="default" size="100%">ITALY</style></keyword><keyword><style  face="normal" font="default" size="100%">journal</style></keyword><keyword><style  face="normal" font="default" size="100%">Life</style></keyword><keyword><style  face="normal" font="default" size="100%">medical</style></keyword><keyword><style  face="normal" font="default" size="100%">Medicine</style></keyword><keyword><style  face="normal" font="default" size="100%">method</style></keyword><keyword><style  face="normal" font="default" size="100%">mortality</style></keyword><keyword><style  face="normal" font="default" size="100%">Multivariate</style></keyword><keyword><style  face="normal" font="default" size="100%">Netherlands</style></keyword><keyword><style  face="normal" font="default" size="100%">Network</style></keyword><keyword><style  face="normal" font="default" size="100%">networks</style></keyword><keyword><style  face="normal" font="default" size="100%">OCCUPATIONAL</style></keyword><keyword><style  face="normal" font="default" size="100%">Occupational Health</style></keyword><keyword><style  face="normal" font="default" size="100%">ON</style></keyword><keyword><style  face="normal" font="default" size="100%">p</style></keyword><keyword><style  face="normal" font="default" size="100%">Patient</style></keyword><keyword><style  face="normal" font="default" size="100%">patients</style></keyword><keyword><style  face="normal" font="default" size="100%">People</style></keyword><keyword><style  face="normal" font="default" size="100%">population based</style></keyword><keyword><style  face="normal" font="default" size="100%">population-based</style></keyword><keyword><style  face="normal" font="default" size="100%">Practice</style></keyword><keyword><style  face="normal" font="default" size="100%">practitioner</style></keyword><keyword><style  face="normal" font="default" size="100%">Practitioners</style></keyword><keyword><style  face="normal" font="default" size="100%">prevention</style></keyword><keyword><style  face="normal" font="default" size="100%">public</style></keyword><keyword><style  face="normal" font="default" size="100%">public health</style></keyword><keyword><style  face="normal" font="default" size="100%">Public-health</style></keyword><keyword><style  face="normal" font="default" size="100%">Quality</style></keyword><keyword><style  face="normal" font="default" size="100%">registration</style></keyword><keyword><style  face="normal" font="default" size="100%">Research</style></keyword><keyword><style  face="normal" font="default" size="100%">result</style></keyword><keyword><style  face="normal" font="default" size="100%">results</style></keyword><keyword><style  face="normal" font="default" size="100%">Service</style></keyword><keyword><style  face="normal" font="default" size="100%">Services</style></keyword><keyword><style  face="normal" font="default" size="100%">sex</style></keyword><keyword><style  face="normal" font="default" size="100%">Spain</style></keyword><keyword><style  face="normal" font="default" size="100%">study</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveillance</style></keyword><keyword><style  face="normal" font="default" size="100%">The Netherlands</style></keyword><keyword><style  face="normal" font="default" size="100%">time</style></keyword><keyword><style  face="normal" font="default" size="100%">Times</style></keyword><keyword><style  face="normal" font="default" size="100%">Type</style></keyword><keyword><style  face="normal" font="default" size="100%">Universities</style></keyword><keyword><style  face="normal" font="default" size="100%">university</style></keyword><keyword><style  face="normal" font="default" size="100%">WHO</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2015</style></year><pub-dates><date><style  face="normal" font="default" size="100%">30/3/2015</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">?</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;BACKGROUND: Transitions between care settings may be related to poor quality in end-of-life care. Yet there is a lack of cross-national population-based data on transitions at the end of life. METHOD: International mortality follow-back study with data collection in Belgium, Netherlands, Italy and Spain (2009-11) via existing representative epidemiological surveillance networks of general practitioners (GPs). All general practitioners reported weekly, on a standardized registration form, every deceased patient (&amp;gt;/=18 years) in their practice and identified those who died 'non-suddenly'. RESULTS: Among 4791 non-sudden deaths in Belgium, Netherlands, Italy and Spain, 59%, 55%, 60% and 58%, respectively, were transferred between care settings at least once in the final 3 months of life (10%, 8%, 10% and 13% in final 3 days of life); 10%, 5%, 8% and 12% were transferred three times or more (P &amp;lt; 0.001 in multivariate analyses adjusting for country differences in age, sex, cause of death, presence of dementia). In all countries, transitions were more frequent among patients residing at home (61-73%) than among patients residing in a care home (33-40%). Three months before death 5-7% of patients were in hospital, and this rose to 27-39% on the day of death. Patient wishes were cited as the reason for the last transition before death in 27%, 39%, 9% and 6% of cases in Belgium, Netherlands, Italy and Spain, respectively (P &amp;lt; 0.001). CONCLUSION: End-of-life transitions between health care settings are common across EU countries, in particular late hospitalizations for people residing at home. Frequency, type and reasons for terminal hospitalizations vary between countries&lt;/p&gt;
</style></abstract><custom1><style face="normal" font="default" size="100%">38009</style></custom1></record></records></xml>