Abstract
Background/aims: In the Netherlands hospice care (HC) is provided in three different types of facilities with their own organizational structures.Volunteer-driven hospices (VDH) where care is provided by trained volunteers, family members and medical care by the patient’s own general practitioner (GP) and district nurses.
1. Professional-driven hospices:
a. Hospice Unit Nursing Homes (PU), specialized wards in nursing homes.
b. Stand Alone Hospices (SAH), small scale care-organizations in which care is provided by a multidisciplinary team of nursing staff physicians specialized in palliative care and trained volunteers
Aim: Gain insight into the characteristics of the different hospice facilities in the Netherlands.
Methods: A survey to 32 randomly selected hospices.
Descriptive analyses were used.
Results: Response rate was 91% (10 VDH, 13 SAH, 6 PU). Four core values were mentioned: respect, safe environment, homely atmosphere and quality of life. With the SAH an added value is expertise. Volunteers and nurses working all hospices and 21 hospices have a chaplain. 7 VDH work with the patients own general practitioner, while in SAH and PU medical care is provided by a hospice physician or specialist geriatric medicine.
Conclusions: Hospice facilities differ in number of beds, in the way they organize care and in the main provider of care. The composition of the MDC differs which may lead to differences provided care and patient outcomes on quality of life and bereavement.
1. Professional-driven hospices:
a. Hospice Unit Nursing Homes (PU), specialized wards in nursing homes.
b. Stand Alone Hospices (SAH), small scale care-organizations in which care is provided by a multidisciplinary team of nursing staff physicians specialized in palliative care and trained volunteers
Aim: Gain insight into the characteristics of the different hospice facilities in the Netherlands.
Methods: A survey to 32 randomly selected hospices.
Descriptive analyses were used.
Results: Response rate was 91% (10 VDH, 13 SAH, 6 PU). Four core values were mentioned: respect, safe environment, homely atmosphere and quality of life. With the SAH an added value is expertise. Volunteers and nurses working all hospices and 21 hospices have a chaplain. 7 VDH work with the patients own general practitioner, while in SAH and PU medical care is provided by a hospice physician or specialist geriatric medicine.
Conclusions: Hospice facilities differ in number of beds, in the way they organize care and in the main provider of care. The composition of the MDC differs which may lead to differences provided care and patient outcomes on quality of life and bereavement.
| Original language | English |
|---|---|
| Article number | P02-321 |
| Journal | Palliative Medicine |
| Volume | 34 |
| Issue number | Suppl_1 |
| Publication status | Published - 21 Sept 2020 |
| Event | EAPC World Research Congress 2020 - online Duration: 7 Oct 2020 → 9 Oct 2020 |