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Choice of where we die: a classification reform to discern diversity in individual end of life pathways

Opis projektu

Lepsza klasyfikacja miejsc umierania

Uszanowanie preferencji dotyczących miejsca umierania to istotna kwestia. Wymaga to przede wszystkim sklasyfikowania takich miejsc (dom, szpital itp.) w powszechnie zrozumiały sposób. W związku z tym zespół finansowanego ze środków UE projektu EOLinPLACE przygotuje solidne podstawy na potrzeby pierwszego międzynarodowego narzędzia do klasyfikacji preferowanych i faktycznych miejsc umierania. Badanie wykorzysta różne metody i zostanie przeprowadzone w czterech krajach reprezentujących istniejącą zmienność warunków. Jego celem będzie poznanie niuansów i podobieństw losów ludzi pod koniec ich życia. Ustalenia badaczy pozwolą poprawić opiekę nad umierającymi.

Cel

All humans die, >60% from a chronic disease. Whenever possible, this should happen where that individual feels it is the right place to be, so they feel empowered and safe. We know that most would prefer dying at home but many die in hospital. To help achieve preferences we must dig deeper. Until now, science has failed to capture the dynamics and diversity of preferences and places where people are cared for at the end of life. Current classifications of dying places are incomplete and inconsistent. I am driven by the vision of reforming the way dying places are classified and understood, refining and shifting the focus from the end-point (place of death) to the pathway that precedes it.
I want to develop a strong foundation for a pioneering international classification tool that maps preferred and actual places towards death grounded on what they mean for individuals (beyond a purely physical or medical view). To achieve this I combine classic methods of developing health classifications with a bottom-up participatory research approach, working with patient and family representatives. First, I conduct a novel mixed-methods study (ethnography followed by longitudinal study) in 4 countries covering existing target variation, to explore nuances and commonalities in the experiences of patients with life-threatening conditions and their families. Based on this, I build a contemporary classification and assess its content validity in focus groups with patients, carers and other stakeholders. I then test it in varied settings to examine construct validity, reliability, responsiveness, data quality and interpretability. All data are integrated to deepen understanding of different end of life pathways in caring environments and what influences them.
Prompted by my discoveries on preferences and concern with unfit classifications for a fast-growing need in a changed social world with limited care resources, my research will open new directions in how to care for the dying.

System finansowania

ERC-STG - Starting Grant

Instytucja przyjmująca

UNIVERSIDADE DE COIMBRA
Wkład UE netto
€ 1 874 391,00
Adres
PACO DAS ESCOLAS
3004-531 Coimbra
Portugalia

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Region
Continente Centro (PT) Região de Coimbra
Rodzaj działalności
Higher or Secondary Education Establishments
Linki
Koszt całkowity
€ 1 874 391,00

Beneficjenci (1)