A Cross-Sectional Survey of the Activity of Palliative Care Teams in Portugal

Gonçalves, Ferraz; Almeida, Ana; Antunes, Catarina; Cardoso, Alice; Carvalho, Manuela; Claro, María; Coimbra, F; Diniz, Inês; Fonseca, Bruno; Fradique, Emília; Gonçalves, Edna; Gonçalves, Florbela; Gonçalves, Maria Eduarda; Magalhães, Américo; Pina, Paulo; Pires, Conceição; Silva, Paula; Silva, Ricardo; Silva, Rui; Tavares, Filipa; Teixeira, Laura

doi:10.1177/1049909112469718

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…We verified in this study that three patients had and social support, adherence to community service, residual symptoms and social skills (9,14) .…”

Section: Discussionsupporting

confidence: 62%

“…The deficiency of these services can hinder integration of services, so necessary to psychosocial rehabilitation, which allow people functional psychiatric recovery (13)(14)18) .…”

Section: Discussionmentioning

confidence: 99%

“…disorders, including medical and nursing services, social work, psychological and occupational care, and leisure among others (1,5,11,14) .…”

Section: Discussionmentioning

confidence: 99%

“…Hence, the responsibility to care for these patients in the daily routine lies with the families (6)(7)14) . Therefore, appropriate treatment implies the rational use of hospitalization, consisting of pharmacological, psychological and social interventions, which should be clinically significant, balanced and integrated with better quality care (15) .…”

Section: When a Medical Diagnosis Is Defined In Psychiatricmentioning

confidence: 99%

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Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Castro

Furegato

Santos

2010

Rev. Latino-Am. Enfermagem

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Segregated individuals with mental disorders, families without support or guidance concerning disease and treatment, and unprepared professionals are some of the factors that can contribute to re-hospitalizations. This study identifies sociodemographic variables, clinical conditions, diagnoses and treatments in order to identify their relationship with psychiatric re-hospitalizations. This is an exploratory and descriptive study. A form was used to search data in patients' files from 2006 and 2007 in a regional psychiatric facility. A total of 681 re-hospitalizations were identified, the majority due to treatment abandonment.Length of hospitalization was higher for women between 40 and 49 years of age. Positive associations of sociodemographic data with previous hospitalizations were found, such as type of discharge, and physical and mental condition, which is in accordance with the literature. Readmissions are associated with sociodemographic and clinical indicators. These findings can guide care and public policies regarding mental health. Caracterización sociodemográfica y clínica de reinternaciones psiquiátricasAlgunos de los factores que pueden contribuir para las reinternaciones psiquiátricas son los trastornos mentales que ocurren en familias sin apoyo u orientación acerca de la enfermedad y tratamientos y, por causa de profesionales mal preparados. El objetivo de este estudio fue identificar las variables sociodemográficos, las condiciones clínicas, los diagnósticos médicos, los tratamientos y su relación con las reinternaciones psiquiátricas.Se trata de un estudio exploratorio y descriptivo, en el cual se utilizó un guía para recolectar datos en los registros médicos de 2006 y 2007, en un hospital psiquiátrico regional.Fueron identificadas 681 reinternaciones, la mayoría por abandono de tratamiento. El tiempo de permanencia en la internación fue mayor para la mujeres que tenían de 40 a 49 años. Se encontró asociaciones positivas de los datos sociodemográficos con internaciones anteriores, tipo de alta, estado físico y mental, los cuales están de acuerdo con otros datos de la literatura. Se concluye que las reinternaciones están asociadas con indicadores sociodemográficos y clínicos; conocimiento que puede ser utilizado en las políticas públicas en salud mental sobre el cuidado.

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“…We verified in this study that three patients had and social support, adherence to community service, residual symptoms and social skills (9,14) .…”

Section: Discussionsupporting

confidence: 62%

“…The deficiency of these services can hinder integration of services, so necessary to psychosocial rehabilitation, which allow people functional psychiatric recovery (13)(14)18) .…”

Section: Discussionmentioning

confidence: 99%

“…disorders, including medical and nursing services, social work, psychological and occupational care, and leisure among others (1,5,11,14) .…”

Section: Discussionmentioning

confidence: 99%

Section: When a Medical Diagnosis Is Defined In Psychiatricmentioning

confidence: 99%

See 2 more Smart Citations

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Castro

Furegato

Santos

2010

Rev. Latino-Am. Enfermagem

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“…Other demographic data were presented elsewhere. 6,7 Symptoms were directly assessed in 136 (83%) of the patients, whereas 28 patients could not report their symptoms due to cognitive failure.…”

Section: Resultsmentioning

confidence: 99%

Symptoms Other Than Pain in Palliative Care in Portugal

Gonçalves

Almeida

Antunes

et al. 2014

Am J Hosp Palliat Care

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Risk factors for hospital death in conditions needing palliative care: Nationwide population-based death certificate study

et al. 2017

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Background:Most people would prefer to die at home as opposed to hospital; therefore, understanding mortality patterns by place of death is essential for health resources allocation.Aim:We examined trends and risk factors for hospital death in conditions needing palliative care in a country without integrated palliative care.Design:This is a death certificate study. We examined factors associated with hospital death using logistic regression.Setting/participants:All adults (1,045,381) who died between 2003 and 2012 in Portugal were included. We identified conditions needing palliative care from main causes of death: cancer, heart/cerebrovascular, renal, liver, respiratory and neurodegenerative diseases, dementia/Alzheimer’s/senility and HIV/AIDS.Results:Conditions needing palliative care were responsible for 70.7% deaths (N = 738,566, median age 80); heart and cerebrovascular diseases (43.9%) and cancer (32.2%) accounted for most. There was a trend towards hospital death (standardised percentage: 56.3% in 2003, 66.7% in 2012; adjusted odds ratio: 1.04, 95% confidence interval: 1.04–1.04). Hospital death risk was higher for those aged 18–39 years (3.46, 3.25–3.69 vs aged 90+), decreasing linearly with age; lower in dementia/Alzheimer’s/senility versus cancer (0.13, 0.13–0.13); and higher for the married and in HIV/AIDS (3.31, 3.00–3.66). Effects of gender, working status, weekday and month of death, hospital beds availability, urbanisation level and deprivation were small.Conclusion:The upward hospital death trend and fact that being married are risk factors for hospital death suggest that a reliance on hospitals may coexist with a tradition of extended family support. The sustainability of this model needs to be assessed within the global transition pattern in where people die.

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A Cross-Sectional Survey of the Activity of Palliative Care Teams in Portugal

Cited by 4 publications

References 9 publications

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Symptoms Other Than Pain in Palliative Care in Portugal

Risk factors for hospital death in conditions needing palliative care: Nationwide population-based death certificate study

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