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).
Technical Specifications
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
Actions
Date Modified 12 March 2025