Patients Who Expressed a Specific Wish About a Medical Treatment

Identifying Attributes

Care Settings
Palliative Care
Country
Belgium, Italy, Spain
Publishing Organisation
European Sentinel General Practitioner Networks Monitoring End-of-Life Care (EURO-SENTIMELC)
Type of Quality Indicator
Process
IOM Quality Dimension
Person-Centredness
Domain
Ethical and Legal Aspects of Care

Defining Attributes

Definition

Question: Did the patient ever express specific wishes about a medical treatment that he/she would or would not want in the final phase of life? Answer: Yes; No; Don't know Positive score: Yes | The answers 'don't know' were considered as 'no', as this QI focuses on GP-patient discussion.

Numerator

Number of patients who expressed a specific wish about a medical treatment (i.e. 'Yes').

Denominator

All patients for whom this question was answered.

Exclusions

None

Use of Risk Adjustment
Yes
Risk Adjustments

Original QPAC had a number of adjustments. In EURO-SENTIMELC studies the adjustments have included: age, sex, cause of death, longest place of residence in last year of life and accounted for clustering by GPs.

Stratifications

None

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

Questionnaires.

Frequency of Data Collection
Weekly
Frequency of Data Collection in Days
7
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Introduction to EURO-SENTIMELC: spcare.bmj.com/content/10/4/462.long (with more detail).

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025