Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model
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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| Veröffentlicht in: | International journal of environmental research and public health 2021-11, Vol.18 (23), p.12307 |
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| creator | Busquet-Duran, Xavier Moreno-Gabriel, Eduard Jiménez-Zafra, Eva Maria Tura-Poma, Magda Bosch-DelaRosa, Olga Moragas-Roca, Anna Martin-Moreno, Susana Martínez-Losada, Emilio Crespo-Ramírez, Silvia Lestón-Lado, Lola Salamero-Tura, Núria Llobera-Estrany, Joana Salvago-Leiracha, Ariadna López-García, Ana Isabel Manresa-Domínguez, Josep María Morandi-Garde, Teresa Persentili-Viure, Eda Sara Torán-Monserrat, Pere |
| 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:
= 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (
< 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%;
= 0.001) and professional caregivers were much more common (40.3% vs. 24.3%;
< 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%;
= 0.011), emotional distress (24.5% vs. 32.8%;
= 0.015), spiritual distress (16.4% vs. 26.4%;
= 0.001), socio-familial distress (62.7% vs. 70.1%;
= 0.036) and location of death (36.0% vs. 49.6%;
< 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90
= 0.000) and "transcendence" OR = 1.52 (1.16-1.98
= 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. |
| doi_str_mv | 10.3390/ijerph182312307 |
| format | Article |
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= 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (
< 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%;
= 0.001) and professional caregivers were much more common (40.3% vs. 24.3%;
< 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%;
= 0.011), emotional distress (24.5% vs. 32.8%;
= 0.015), spiritual distress (16.4% vs. 26.4%;
= 0.001), socio-familial distress (62.7% vs. 70.1%;
= 0.036) and location of death (36.0% vs. 49.6%;
< 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90
= 0.000) and "transcendence" OR = 1.52 (1.16-1.98
= 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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph182312307</identifier><identifier>PMID: 34886027</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Age ; Aged ; Aged, 80 and over ; Cancer ; Caregivers ; Cognitive ability ; Emotions ; Female ; Gender ; Gender differences ; Home Care Services ; Humans ; Male ; Medical treatment ; Neoplasms ; Palliative Care ; Patients ; Professional ethics ; Professionals ; Prospective Studies ; Sex differences ; Social research ; Teams ; Women</subject><ispartof>International journal of environmental research and public health, 2021-11, Vol.18 (23), p.12307</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-4404ff469e185f7da7e6c23f0e57ad40c679586714d45a1e55fddb56b1cdabe73</citedby><cites>FETCH-LOGICAL-c421t-4404ff469e185f7da7e6c23f0e57ad40c679586714d45a1e55fddb56b1cdabe73</cites><orcidid>0000-0002-9865-7427 ; 0000-0003-2441-2651 ; 0000-0001-8184-6232</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656577/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656577/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34886027$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Busquet-Duran, Xavier</creatorcontrib><creatorcontrib>Moreno-Gabriel, Eduard</creatorcontrib><creatorcontrib>Jiménez-Zafra, Eva Maria</creatorcontrib><creatorcontrib>Tura-Poma, Magda</creatorcontrib><creatorcontrib>Bosch-DelaRosa, Olga</creatorcontrib><creatorcontrib>Moragas-Roca, Anna</creatorcontrib><creatorcontrib>Martin-Moreno, Susana</creatorcontrib><creatorcontrib>Martínez-Losada, Emilio</creatorcontrib><creatorcontrib>Crespo-Ramírez, Silvia</creatorcontrib><creatorcontrib>Lestón-Lado, Lola</creatorcontrib><creatorcontrib>Salamero-Tura, Núria</creatorcontrib><creatorcontrib>Llobera-Estrany, Joana</creatorcontrib><creatorcontrib>Salvago-Leiracha, Ariadna</creatorcontrib><creatorcontrib>López-García, Ana Isabel</creatorcontrib><creatorcontrib>Manresa-Domínguez, Josep María</creatorcontrib><creatorcontrib>Morandi-Garde, Teresa</creatorcontrib><creatorcontrib>Persentili-Viure, Eda Sara</creatorcontrib><creatorcontrib>Torán-Monserrat, Pere</creatorcontrib><title>Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><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:
= 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (
< 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%;
= 0.001) and professional caregivers were much more common (40.3% vs. 24.3%;
< 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%;
= 0.011), emotional distress (24.5% vs. 32.8%;
= 0.015), spiritual distress (16.4% vs. 26.4%;
= 0.001), socio-familial distress (62.7% vs. 70.1%;
= 0.036) and location of death (36.0% vs. 49.6%;
< 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90
= 0.000) and "transcendence" OR = 1.52 (1.16-1.98
= 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.</description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer</subject><subject>Caregivers</subject><subject>Cognitive ability</subject><subject>Emotions</subject><subject>Female</subject><subject>Gender</subject><subject>Gender differences</subject><subject>Home Care Services</subject><subject>Humans</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Neoplasms</subject><subject>Palliative Care</subject><subject>Patients</subject><subject>Professional ethics</subject><subject>Professionals</subject><subject>Prospective Studies</subject><subject>Sex differences</subject><subject>Social 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differences</topic><topic>Home Care Services</topic><topic>Humans</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Neoplasms</topic><topic>Palliative Care</topic><topic>Patients</topic><topic>Professional ethics</topic><topic>Professionals</topic><topic>Prospective Studies</topic><topic>Sex differences</topic><topic>Social research</topic><topic>Teams</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Busquet-Duran, Xavier</creatorcontrib><creatorcontrib>Moreno-Gabriel, Eduard</creatorcontrib><creatorcontrib>Jiménez-Zafra, Eva Maria</creatorcontrib><creatorcontrib>Tura-Poma, Magda</creatorcontrib><creatorcontrib>Bosch-DelaRosa, Olga</creatorcontrib><creatorcontrib>Moragas-Roca, Anna</creatorcontrib><creatorcontrib>Martin-Moreno, Susana</creatorcontrib><creatorcontrib>Martínez-Losada, Emilio</creatorcontrib><creatorcontrib>Crespo-Ramírez, Silvia</creatorcontrib><creatorcontrib>Lestón-Lado, 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Pere</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2021-11-23</date><risdate>2021</risdate><volume>18</volume><issue>23</issue><spage>12307</spage><pages>12307-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>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:
= 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (
< 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%;
= 0.001) and professional caregivers were much more common (40.3% vs. 24.3%;
< 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%;
= 0.011), emotional distress (24.5% vs. 32.8%;
= 0.015), spiritual distress (16.4% vs. 26.4%;
= 0.001), socio-familial distress (62.7% vs. 70.1%;
= 0.036) and location of death (36.0% vs. 49.6%;
< 0.000). Men were more complex in the subareas of "practice" OR = 1.544 (1.25-1.90
= 0.000) and "transcendence" OR = 1.52 (1.16-1.98
= 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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>34886027</pmid><doi>10.3390/ijerph182312307</doi><orcidid>https://orcid.org/0000-0002-9865-7427</orcidid><orcidid>https://orcid.org/0000-0003-2441-2651</orcidid><orcidid>https://orcid.org/0000-0001-8184-6232</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Aged Aged, 80 and over Cancer Caregivers Cognitive ability Emotions Female Gender Gender differences Home Care Services Humans Male Medical treatment Neoplasms Palliative Care Patients Professional ethics Professionals Prospective Studies Sex differences Social research Teams Women |
| title | Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model |
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