Universität zu Köln

Fegg, Martin, Lehner, Marc, Simon, Steffen T., Gomes, Barbara ORCID: 0000-0001-8149-1806, Higginson, Irene J. and Bausewein, Claudia ORCID: 0000-0002-0958-3041 (2015). What influences end-of-life decisions? Results of a representative German survey. Bundesgesundheitsblatt-Gesund., 58 (10). S. 1118 - 1124. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Because of demographic changes of an aging society, palliative care is becoming increasingly important. It is therefore necessary to evaluate preferences at the end of life at an early stage to meet the needs and requests of future patients. The aim of this study was to find out preferences in a theoretical scenario (If you developed a serious medical condition such as cancer and you had less than a year to liveaEuro broken vertical bar aEuroe) regarding the desired involvement in decision-making at the end of life and the preferred place of death. As part of the international PRISMA project, a representative telephone survey was carried out in Germany. A total of 1,363 Germans took part in the survey (response rate 29.0 %, 47.1 +/- 15.7 years, 42 % male). 90.8 % wanted to make their own decisions with regard to end-of-life care, which was most important for people with higher education. 83.3 % wanted to predetermine decisions by means of an advance directive in case they are no longer able to make them at the time. This was again more important for individuals with higher education and for older subjects (a parts per thousand yenaEuro parts per thousand 65 years). The preferred place of death was their own home (63.3 %), and the least preferred place for death was in hospital in 48.2 %. In particular, women did not want to die in a hospital. These results should be considered when planning health care structures to meet the wishes of people at the end of their life, in particular to strengthen the importance of patient provision and the desire for their own home to be the preferred place to die.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fegg, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehner, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gomes, Barbara UNSPECIFIED orcid.org/0000-0001-8149-1806 UNSPECIFIED Higginson, Irene J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bausewein, Claudia UNSPECIFIED orcid.org/0000-0002-0958-3041 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-391500
DOI:	10.1007/s00103-015-2219-1
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	58
Number:	10
Page Range:	S. 1118 - 1124
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PALLIATIVE CARE; ADVANCED CANCER; PREFERENCES; DEATH; POPULATION; INFORMATION; ATTITUDES; AWARENESS; ADVANCE; PLACE Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39150