Gender and observed complexity in palliative home care

Busquet-Duran, Xavier|||0000-0003-2441-2651; Moreno Gabriel, Eduard|||0000-0001-8184-6232; Jiménez-Zafra, Eva Maria; Tura-Poma, Magda; Bosch-de la Rosa, Olga; Moragas-Roca, Anna; Martin-Moreno, Susana; Martínez-Losada, Emilio; Crespo-Ramírez, Silvia; Lestón-Lado, Lola; Salamero-Tura, Nuria; Llobera-Estrany, Joana; Salvago-Leiracha, Ariadna; López-García, Ana Isabel; Manresa, J.M.|||0000-0001-8306-5798; Morandi-Garde, Teresa; Persentili-Viure, Eda Sara; Torán-Monserrat, Pere|||0000-0002-9865-7427

Gender and observed complexity in palliative home care

This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and m...

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Autores:	Busquet-Duran, Xavier\|\|\|0000-0003-2441-2651, Moreno Gabriel, Eduard\|\|\|0000-0001-8184-6232, Jiménez-Zafra, Eva Maria, Tura-Poma, Magda, Bosch-de la Rosa, Olga, Moragas-Roca, Anna, Martin-Moreno, Susana, Martínez-Losada, Emilio, Crespo-Ramírez, Silvia, Lestón-Lado, Lola, Salamero-Tura, Nuria, Llobera-Estrany, Joana, Salvago-Leiracha, Ariadna, López-García, Ana Isabel, Manresa, J.M.\|\|\|0000-0001-8306-5798, Morandi-Garde, Teresa, Persentili-Viure, Eda Sara, Torán-Monserrat, Pere\|\|\|0000-0002-9865-7427
Tipo de recurso:	artículo
Fecha de publicación:	2021
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:271798
Acceso en línea:	https://ddd.uab.cat/record/271798 https://dx.doi.org/urn:doi:10.3390/ijerph182312307
Access Level:	acceso abierto
Palabra clave:	End-of-life Gender Palliative care Home care Complexity

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spelling	Gender and observed complexity in palliative home careA prospective multicentre study using the hexcom modelBusquet-Duran, Xavier\|\|\|0000-0003-2441-2651Moreno Gabriel, Eduard\|\|\|0000-0001-8184-6232Jiménez-Zafra, Eva MariaTura-Poma, MagdaBosch-de la Rosa, OlgaMoragas-Roca, AnnaMartin-Moreno, SusanaMartínez-Losada, EmilioCrespo-Ramírez, SilviaLestón-Lado, LolaSalamero-Tura, NuriaLlobera-Estrany, JoanaSalvago-Leiracha, AriadnaLópez-García, Ana IsabelManresa, J.M.\|\|\|0000-0001-8306-5798Morandi-Garde, TeresaPersentili-Viure, Eda SaraTorán-Monserrat, Pere\|\|\|0000-0002-9865-7427End-of-lifeGenderPalliative careHome careComplexityThis study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90 p = 0.000) and "transcendence" OR = 1.52 (1.16-1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/271798https://dx.doi.org/urn:doi:10.3390/ijerph182312307reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2717982026-06-06T12:50:31Z
dc.title.none.fl_str_mv	Gender and observed complexity in palliative home care A prospective multicentre study using the hexcom model
title	Gender and observed complexity in palliative home care
spellingShingle	Gender and observed complexity in palliative home care Busquet-Duran, Xavier\|\|\|0000-0003-2441-2651 End-of-life Gender Palliative care Home care Complexity
title_short	Gender and observed complexity in palliative home care
title_full	Gender and observed complexity in palliative home care
title_fullStr	Gender and observed complexity in palliative home care
title_full_unstemmed	Gender and observed complexity in palliative home care
title_sort	Gender and observed complexity in palliative home care
dc.creator.none.fl_str_mv	Busquet-Duran, Xavier\|\|\|0000-0003-2441-2651 Moreno Gabriel, Eduard\|\|\|0000-0001-8184-6232 Jiménez-Zafra, Eva Maria Tura-Poma, Magda Bosch-de la Rosa, Olga Moragas-Roca, Anna Martin-Moreno, Susana Martínez-Losada, Emilio Crespo-Ramírez, Silvia Lestón-Lado, Lola Salamero-Tura, Nuria Llobera-Estrany, Joana Salvago-Leiracha, Ariadna López-García, Ana Isabel Manresa, J.M.\|\|\|0000-0001-8306-5798 Morandi-Garde, Teresa Persentili-Viure, Eda Sara Torán-Monserrat, Pere\|\|\|0000-0002-9865-7427
author	Busquet-Duran, Xavier\|\|\|0000-0003-2441-2651
author_facet	Busquet-Duran, Xavier\|\|\|0000-0003-2441-2651 Moreno Gabriel, Eduard\|\|\|0000-0001-8184-6232 Jiménez-Zafra, Eva Maria Tura-Poma, Magda Bosch-de la Rosa, Olga Moragas-Roca, Anna Martin-Moreno, Susana Martínez-Losada, Emilio Crespo-Ramírez, Silvia Lestón-Lado, Lola Salamero-Tura, Nuria Llobera-Estrany, Joana Salvago-Leiracha, Ariadna López-García, Ana Isabel Manresa, J.M.\|\|\|0000-0001-8306-5798 Morandi-Garde, Teresa Persentili-Viure, Eda Sara Torán-Monserrat, Pere\|\|\|0000-0002-9865-7427
author_role	author
author2	Moreno Gabriel, Eduard\|\|\|0000-0001-8184-6232 Jiménez-Zafra, Eva Maria Tura-Poma, Magda Bosch-de la Rosa, Olga Moragas-Roca, Anna Martin-Moreno, Susana Martínez-Losada, Emilio Crespo-Ramírez, Silvia Lestón-Lado, Lola Salamero-Tura, Nuria Llobera-Estrany, Joana Salvago-Leiracha, Ariadna López-García, Ana Isabel Manresa, J.M.\|\|\|0000-0001-8306-5798 Morandi-Garde, Teresa Persentili-Viure, Eda Sara Torán-Monserrat, Pere\|\|\|0000-0002-9865-7427
author2_role	author author author author author author author author author author author author author author author author author
dc.subject.none.fl_str_mv	End-of-life Gender Palliative care Home care Complexity
topic	End-of-life Gender Palliative care Home care Complexity
description	This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90 p = 0.000) and "transcendence" OR = 1.52 (1.16-1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs.
publishDate	2021
dc.date.none.fl_str_mv	2 2021-01-01 2021 2021-01-01
dc.type.none.fl_str_mv	Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/271798 https://dx.doi.org/urn:doi:10.3390/ijerph182312307
url	https://ddd.uab.cat/record/271798 https://dx.doi.org/urn:doi:10.3390/ijerph182312307
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
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dc.source.none.fl_str_mv	reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona
instname_str	Universitat Autònoma de Barcelona
reponame_str	Dipòsit Digital de Documents de la UAB
collection	Dipòsit Digital de Documents de la UAB
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Gender and observed complexity in palliative home care

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