<?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%">Yolanda Wh Penders</style></author><author><style face="normal" font="default" size="100%">Joni Gilissen</style></author><author><style face="normal" font="default" size="100%">S Moreels</style></author><author><style face="normal" font="default" size="100%">Deliens, Luc</style></author><author><style face="normal" font="default" size="100%">Van den Block, Lieve</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Palliative care service use by older people: Time trends from a mortality follow-back study between 2005 and 2014.</style></title><secondary-title><style face="normal" font="default" size="100%">Palliat Med</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">end-of-life care</style></keyword><keyword><style  face="normal" font="default" size="100%">older people</style></keyword><keyword><style  face="normal" font="default" size="100%">Palliative Care</style></keyword><keyword><style  face="normal" font="default" size="100%">primary care</style></keyword><keyword><style  face="normal" font="default" size="100%">trend analysis</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2018 Feb</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">32</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;BACKGROUND: &lt;/b&gt;The need for increased use and timely initiation of palliative care for all people, not just those who die with cancer, has been advocated worldwide over the past decade.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;AIM: &lt;/b&gt;To investigate whether there has been a time trend in the use of palliative care services and the timing of their initiation for older people.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;DESIGN: &lt;/b&gt;Mortality follow-back survey among general practitioners in a nationally representative Sentinel Network in 2005-2010, 2013 and 2014 in Belgium.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;SETTING/PARTICIPANTS: &lt;/b&gt;Of all their patients who died non-suddenly aged 65+ years, general practitioners reported sociodemographic and clinical data, use of any of the palliative care services available in Belgium and when the first of these services was initiated.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;General practitioners identified 5344 deaths. Overall, palliative care service use increased from 39% in 2005 to 63% in 2014 ( p &amp;lt; 0.001). The use of a reference person for palliative care in a care home increased from 12% to 26% ( p &amp;lt; 0.001) and of a palliative homecare team from 14% to 17.5% ( p &amp;lt; 0.01), but hospital-based palliative care services did not increase. Controlling for sociodemographic characteristics, no differences were obtained over time in the proportion of cancer/non-cancer patients for whom they provided care. The timing of initiation of palliative care services remained unchanged at a median of 15 days before death.&lt;/p&gt;

&lt;p&gt;&lt;b&gt;CONCLUSION: &lt;/b&gt;Palliative care service use has increased mostly in care homes, possibly as a result of policy changes, while hospital-based palliative care services lag behind. Contrary to recommendations, access for non-cancer patients may remain difficult and palliative care is often initiated late in the disease trajectory.&lt;/p&gt;
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