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  Vol. 298 No. 14, October 10, 2007 TABLE OF CONTENTS
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Transitions Between Care Settings at the End of Life in Belgium

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: Transitions between care settings at the end of life can be burdensome for patients and their families. They also pose challenges to the continuity of care, jeopardizing patient safety and quality of care.1 Previous research was limited to specific populations or settings or investigated single transitions (eg, hospital [re]admissions), often without specific end-of-life focus.1-3 To our knowledge, no nationwide studies have examined transitions between end-of-life care settings for a population-based sample of dying persons. This study investigated the prevalence, types, and timing of transitions between end-of-life care settings in Belgium.

Methods

We performed a 1-year nationwide mortality follow-back study in 2005. Data were collected within the Sentinel Network Monitoring End-of-Life Care (SENTI-MELC) study. This study monitors end-of-life care in Belgium via the nationwide Sentinel Network of General Practitioners, an epidemiologic surveillance system representative (for age, sex, and region) of all 10 578 Belgian general practitioners.4-5

All 205 general practitioners . . . [Full Text of this Article]

Lieve Van den Block, MA
lvdblock@vub.ac.be

Reginald Deschepper, PhD
End-of-Life Care Research Group
Vrije Universiteit Brussel
Brussels, Belgium

Johan Bilsen, PhD
Bioethics Institute
Ghent University
Ghent, Belgium

Viviane Van Casteren, MD
Unit of Epidemiology
Scientific Institute of Public Health
Brussels, Belgium

Luc Deliens, PhD
Department of Public and Occupational Health and EMGO Institute
VU University Medical Centre
Amsterdam, the Netherlands



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Euthanasia and other end of life decisions and care provided in final three months of life: nationwide retrospective study in Belgium
Van den Block et al.
BMJ 2009;339:b2772-b2772.
ABSTRACT | FULL TEXT  

Continuity of Care and Intensive Care Unit Use at the End of Life
Sharma et al.
Arch Intern Med 2009;169:81-86.
ABSTRACT | FULL TEXT  

Care for Patients in the Last Months of Life: The Belgian Sentinel Network Monitoring End-of-Life Care Study
Van den Block et al.
Arch Intern Med 2008;168:1747-1754.
ABSTRACT | FULL TEXT  





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