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Table 1 Characteristics of hospitals and of hospital-wide integration of specialist PC between 2014 and 2020

From: Development of specialist palliative care in Dutch hospitals between 2014 and 2020: a repeated survey

 

2014

(N = 48)

2017

(N = 58)

2020

(N = 48)

P-value

Number of hospital admissions / year

(median, IQR)

22.242

(13.500) 6

22.299

(14.939)

21.892

(11.920)

0.80

 

n (%)

n (%)

n (%)

 

Type of hospital

   

0.01

 General

23 (48)

24 (41)

21 (44)

 

 Teaching

17 (35)

25 (43)

20 (42)

 Academic

7 (15)

8 (14)

6 (12)

 Specialized

1 (2)

1 (2)

1 (2)

Integration indicators1

 Presence of inpatient PC consultation services

48 (100)

58 (100)

48 (100)

-

 Presence of dedicated PC outpatient clinic

13 (27)

27 (47)

27 (56)

0.01

 Interdisciplinary composition of SPCT 2

30 (63)

39 (67)

38 (79)

0.19

 Routine identification of PC patients 3

na

34 (59)

40 (83)

0.006

 Early referral to SPCT (> 3 months) 4

na

1 (2)

1 (2) 7

0.86

 Presence of didactic PC curriculum 5

46 (96)

57 (98)

44 (98) 7

0.72

PC assignment of the hospital executive board

42 (88)

36 (62)

29 (60)

0.005

Presence of dedicated PC beds

8 (17)

13 (22)

11 (23)

0.70

Presence of physical dedicated PC unit

3 (6)

6 (10)

5 (10)

0.08

Standard referral for specific diagnoses

na

11 (19)

12 (27) 7

0.35

  1. na = not applicable
  2. 1 Level of hospital-wide integration of specialist palliative care (adapted from Hui et al. 2015)
  3. 2 Team consisting of a physician, a nurse and a team member from a psychosocial discipline (psychologist / counsellor, chaplain, social worker)
  4. 3 Routine identification defined as the use of tool for identification of palliative care patients
  5. 4 Early referral to SPCT defined as a need-based referral > 3 months before death
  6. 5 Education provided to nurses, interns, residents and / or fellows hospital-wide
  7. 6N = 35 (13 missings)
  8. 7N = 45 (3 missings)