Patients With Whom the General Practitioner Discussed at Least Three of the Illness Related Topics With a Relative: Diagnosis, Prognosis, Disease Progression, Advantages and Disadvantages of Treatments and Palliative Care Options
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Question: Put a cross against topics you have discussed with the relative: Diagnosis; course of the disease/prognosis; the approaching end of life; advantages and disadvantages of the treatments; options in terms of end-of-life care Positive score: If the GP communicated about at least three of the five illness-related topics.
Numerator
Number of patients with whom the GP discussed at least three of the listed topics with relatives.
Denominator
All patients for whom this question was answered.
Exclusions
None
Use of Risk Adjustment
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
Data Collection Methods
Questionnaires.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Introduction to EURO-SENTIMELC: spcare.bmj.com/content/10/4/462.long (with more detail).