English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective The coverage of need for palliative care is in the heart of national and local concerns. This feasibility study of an assessment of needs from SNDS data was done to check if this type of data permit to obtain a diagnosis of the management of the need and how measurement accuracy SNDS data used in the valuation model may be a decision-making tool. Study design In this observational descriptive and analytical retrospective cohort study, the use of palliative care was identified by a code “palliative care” when there was a contact while a sliding twelve-month period before death with an establishment of care in France. Patients: Patients dead in 2014 residing in Hauts-de-France were included if causes of death were identical to a defined list of diseases. Methods Factors influences on palliative care access was analysed by logistic regression. Among other analyzes, survival was studied by cox model. Results In medicine obstetric surgery, 28,4% of the 37502 insured adults had palliative care. For the adults, palliative care access was multipied by a factor of 0.94 (p = 0.02798) when men, 0.78 (p = 0.00483) with AME or CMU, 0.97 (p &amp;lt; 2e-16) with age, 0.90 (p &amp;lt; 2e-16) with the increase of the deprivation index, 1,01 (p &amp;lt; 2e-16) with interventional act and instantaneous death rate was multiplied by a factor of 1,0035 (p &amp;lt; 2e-16) with the use of palliative care. Conclusions The estimation model of the need has probably induced a selection bias. The lack of code in primary care, the modality to be authorized to offer palliative care and the coding advocated by the health insurance have probably induced a ranking bias. Those results consistent with the literature have suggested that the SNDS was reliable for this type of assessment. Key messages Coverage of need for palliative care was identified. The SNDS (French Insurance Database) was reliable for this type of assessment.

Feasability of a regional assessment of needs for palliative care