Publications by authors named "Anne-Floor Dijxhoorn"
Potentially Inappropriate End of Life Care and Healthcare Costs in the Last 30 Days of Life in Regions Providing Integrated Palliative Care in the Netherlands: A Registration-based Study.
Int J Integr Care
July 2024
Introduction: This study aimed to assess the effect of integrated palliative care (IPC) on potentially inappropriate end- of-life care and healthcare-costs in the last 30 days of life in the Netherlands.
Methods: Nationwide health-insurance claims data were used to assess potentially inappropriate end-of-life care (≥2 emergency room visits; ≥2 hospital admissions; >14 days hospitalization; chemotherapy; ICU admission; hospital death) and healthcare-costs in all deceased adults in IPC regions pre- and post- implementation and in those receiving IPC compared to a 1:2 matched control group.
Results: In regions providing IPC deceased adults (n = 37,468) received significantly less potentially inappropriate end-of-life care post-implementation compared to pre-implementation (26.
Aim: To gain insight into the perceived emotional impact of providing palliative care among nursing assistants in Dutch nursing homes, their strategies in coping with this impact and associated needs.
Design: Exploratory qualitative study.
Methods: In 2022, 17 semistructured interviews with nursing assistants working in Dutch nursing homes were conducted.
Objectives: Many aspects of palliative care, such as managing (complicated) symptoms, conducting goals-of-care conversations, and repeated exposure to loss, can be stressful to clinicians. Previous research on the emotional impact of providing palliative care was mainly done in specialist settings. However, the majority of palliative care is provided by clinicians who are not specialized in palliative care, and can be supported by palliative care specialists only when needed.
View Article and Find Full Text PDFIn a predominantly biomedical healthcare model focused on cure, providing optimal, person-centred palliative care is challenging. The general public, patients, and healthcare professionals are often unaware of palliative care's benefits. Poor interdisciplinary teamwork and limited communication combined with a lack of early identification of patients with palliative care needs contribute to sub-optimal palliative care provision.
View Article and Find Full Text PDFContext: Providing palliative care can lead to work-related stress and ultimately to burnout. The need for palliative care will further increase due to population aging and people living longer with life-threatening diseases. Therefore, a healthy palliative care workforce is vital.
View Article and Find Full Text PDFArticle Synopsis
- There is a growing concern about burnout among healthcare professionals in palliative care, with prevalence rates varying between 3% to 66% across different studies.
- A systematic literature review identified 59 studies that assessed burnout levels and examined interventions, showing no significant difference in burnout rates between nurses and physicians but higher rates in general settings compared to specialized ones.
- Effective interventions to reduce burnout symptoms included meditation, communication skills training, peer-coaching, and art-therapy supervision, although the long-term effectiveness of these methods remains unclear.