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LATE TRANSITIONS AND BEREAVED FAMILY MEMBER PERCEPTION OF QUALITY OF END-OF-LIFE CARE

The impact on transitions in the last 3 days of life on the quality of end of life care is unknown. Bereaved family member interviews National Health and Aging Trends Study (N=1061; weighted 4.2 million deaths) about unmet needs and perception of the quality of care. Analysis with survey weights exa...

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Bibliographic Details
Published in:Innovation in aging 2017-07, Vol.1 (suppl_1), p.1075-1076
Main Authors: Teno, J.M., Freedman, V.A., Gozalo, P., Kasper, J.D., Mor, V.
Format: Article
Language:English
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Summary:The impact on transitions in the last 3 days of life on the quality of end of life care is unknown. Bereaved family member interviews National Health and Aging Trends Study (N=1061; weighted 4.2 million deaths) about unmet needs and perception of the quality of care. Analysis with survey weights examined the association of late transitions and perception of quality of care after adjusting for age, gender, race, the relationship of the respondent, functional trajectory, and whether the patient had cancer. Eighteen percent experienced a late transition and respondents were more likely to report more unmet needs for spiritual support (AOR 1.8 95% CI 1.2 -2.8), to report concerns with communication (AOR 1.9 95% CI 1.3–2.7), and rated the quality of care lower (AOR 0.74 95% CI 0.51–1.1). Late transitions are associated with more unmet needs and concerns about quality of care. Effort are need to improve these transitions.
ISSN:2399-5300
2399-5300
DOI:10.1093/geroni/igx004.3941