Table 4 Unadjusted and adjusted odds of experiencing unmet need or concerns
Location of care | |||||||
|---|---|---|---|---|---|---|---|
Unadjusted (Unadj) and Adjusted1(Adj) Odds ratio (95% confidence interval) | |||||||
Outcomes: | Home | Hospital (acutechronic care) | Hospital palliative unit | Long-term care | |||
Decedent did not receive the desired help for: | Unadj | Adj | Unadj | Adj | Unadj | Adj | |
Pain | Referent | 0.9 (0.5-1.5) | 0.8 (0.5-1.5) | 0.8 (0.3-1.7) | 0.8 (0.4-1.9) | 0.9 (0.5-1.4) | 1.2 (0.7-2.2) |
Dyspnea2 | Referent | 0.4 (0.2-0.7) | 0.3 (0.1-0.6) | 100% had their needs met | 0.3 (0.2-0.6) | 0.2 (0.1-0.5) | |
Emotional support | Referent | 1.3 (0.9-1.9) | 1.1 (0.7-1.7) | 0.6 (0.3-1.1) | 0.6 (0.3-1.1) | 0.8 (0.5-1.1) | 0.7 (0.4-1.1) |
Shared decision making. Informant had concerns with communication | Referent | 1.9 (1.4-2.6) | 2.0 (1.4-2.8) | 1.1 (0.7-1.8) | 1.3 (0.8-2.1) | 1.0 (0.7-1.4) | 1.2 (0.8-1.8) |
Concerns with the decedent being treated with respect | Referent | 3.7 (2.4-5.6) | 3.2 (2.1-5.0) | 2.0 (1.1-3.6) | 2.1 (1.1-3.9) | 2.2 (1.5-3.4) | 2.3 (1.4-3.8) |
Attend to the needs of the family | |||||||
a) Unmet need in obtaining information | Referent | 1.1 (0.9-1.5) | 1.0 (0.8-1.4) | 0.6 (0.4-0.9) | 0.6 (0.4-1.0) | 0.7 (0.5-0.9) | 0.7 (0.5-1.0) |
b) Concerns with knowing what to expect | Referent | 1.2 (0.8-1.6) | 1.1 (0.8-1.5) | 1.0 (0.6-1.5) | 1.1 (0.7-1.7) | 0.6 (0.5-0.9) | 0.7 (0.5-0.9) |
Concerns about support for the emotional and spiritual needs of the family | Referent | 1.0 (0.7-1.4) | 0.9 (0.6-1.2) | 1.0 (0.7-1.5) | 1.0 (0.6-1.6) | 1.0 (0.8-1.4) | 0.7 (0.5-1.0) |
Coordination of care concerns | Referent | 1.4 (0.9-2.0) | 1.4 (0.9-2.0) | 0.5 (0.2-1.0) | 0.5 (0.2-1.0) | 0.8 (0.5-1.1) | 1.0 (0.6-1.6) |
Not completely satisfied with overall care | Referent | 1.8 (1.4-2.5) | 1.6 (1.2-2.3) | 1.1 (0.7-1.6) | 1.1 (0.7-1.7) | 1.3 (1.0-1.8) | 1.2 (0.8-1.6) |