De Vleminck Aline, Pardon Koen, Roelands Marc, Houttekier Dirk, Van den Block Lieve, Vander Stichele Robert, Deliens Luc
1 Family Medicine and Chronic Care, End-of-Life Care Research group, Ghent University & Vrije Universiteit Brussel (VUB), Ghent, Belgium
2 Family Medicine and Chronic Care, End-of-Life Care Research group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium.
Eur J Public Health. 2015 Jun;25(3):532-8. doi: 10.1093/eurpub/cku158. Epub 2014 Sep 22.
Giving the public and the patients good information enables them to make effective choices about their care. This study describes public preferences for both themselves and their relatives on receiving information on end-of-life care topics when faced with a life-limiting illness and to identify associated factors.
This study used data from the cross-sectional Health Interview Study (HIS) 2008 that collected data from a representative sample (N = 9651) of the Belgian population.
Around 82% of respondents wanted to be informed always about diagnosis, chances of cure and available treatments, 77% wanted to be informed on life expectancy, 72% on options regarding palliative care and 67% on possibilities of prolonging or shortening life. Around 55% wanted their relative to be informed always about diagnosis, chances of cure, life expectancy and different treatments available, whereas 50% wanted this in relation to the options regarding palliative care and 46% on the possibilities of prolonging or shortening life. Younger adults, people with more education and people with a regular GP were more likely to want to be informed always. Younger adults and women were less likely to want their relatives to be informed always.
The majority of the Belgian population wants to be informed always about end-of-life care topics when faced with a life-limiting illness. Physicians should be aware of the desired level of information and tailor information to individual patient preferences. Understanding population preferences may help to tailor patient education and health promotion programmes appropriately.
向公众和患者提供良好的信息能使他们就自身医疗做出有效的选择。本研究描述了公众在面临生命有限的疾病时,对于自己和亲属接受临终关怀主题信息的偏好,并确定相关因素。
本研究使用了2008年横断面健康访谈研究(HIS)的数据,该研究从比利时人口的代表性样本(N = 9651)中收集数据。
约82%的受访者希望始终了解诊断、治愈几率和可用治疗方法;77%希望了解预期寿命;72%希望了解姑息治疗的选择;67%希望了解延长或缩短生命的可能性。约55%希望其亲属始终了解诊断、治愈几率、预期寿命和可用的不同治疗方法,而50%希望了解姑息治疗的选择,46%希望了解延长或缩短生命的可能性。年轻人、受教育程度较高的人和有固定全科医生的人更有可能希望始终得到信息。年轻人和女性不太可能希望其亲属始终得到信息。
大多数比利时人希望在面临生命有限的疾病时始终了解临终关怀主题。医生应了解所需的信息水平,并根据患者的个人偏好提供信息。了解人群偏好可能有助于适当地调整患者教育和健康促进计划。