Perceptions and knowledge regarding medical situations at the end of life among older adults in Switzerland

Details

Serval ID
serval:BIB_4899CF98A656
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perceptions and knowledge regarding medical situations at the end of life among older adults in Switzerland
Journal
Journal of Palliative Medicine
Author(s)
Meier Clément, Vilpert Sarah, Borasio Gian Domenico, Maurer Jürgen, Jox Ralf J.
Publication state
Published
Issued date
29/06/2022
Peer-reviewed
Oui
Language
english
Abstract
Background:
Perceptions and knowledge regarding end-of-life health and healthcare can influence individuals' advance care planning, such as the completion and content of advance directives.
Objectives:
To assess older adults’ perceptions of medical end-of-life situations in Switzerland along with their accuracy and corresponding associations with sociodemographic characteristics.
Design:
Observational study.
Setting/study subjects:
A nationally representative sample of adults aged 58 years and older who participated in wave 8 (2019/20) of the Swiss part of the Survey of Health, Ageing, and Retirement in Europe (cooperation rate: 94,3%).
Measurements:
Subjective likelihood of 11 end-of-life situations on a four-point scale: very unlikely (0-25%), rather unlikely (26-50%), rather likely (51-75%), very likely (76-100%).
Results:
Older adults' perceptions of end-of-life medical situations in Switzerland were rather heterogeneous and often inaccurate. Study subjects overestimated the success of cardiopulmonary resuscitation, the utility of a fourth-line chemotherapy, of hospital admission for pneumonia for patients with advanced dementia and for artificial nutrition and hydration in the dying phase, while underestimating the effectiveness of pain management in this situation. Less than 28% of older adults correctly assessed the likelihood of dying in a nursing home, hospital or at home, respectively. Inaccurate views were more frequent in men (p < 0.01) and individuals with financial difficulties (p < 0.05), while adults aged 75+ (p < 0.01) and respondents from the German-speaking part of Switzerland (p < 0.01) had more accurate perceptions.
Conclusions:
The wide variation and low accuracy of end-of-life perceptions suggest considerable scope for communication interventions about the reality of end-of-life health and healthcare in Switzerland.
Keywords
End of life, perceptions, knowledge, population-based study, older adults, Switzerland, SHARE Study
Create date
25/05/2022 23:08
Last modification date
30/06/2022 6:38
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