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Gaceta Sanitaria
Print version ISSN 0213-9111
Abstract
ORTIZ-GONCALVES, Belén et al. Typologies of Madrid's citizens (Spain) at the end-of-life: cluster analysis. Gac Sanit [online]. 2018, vol.32, n.4, pp.346-351. Epub Dec 07, 2020. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2017.10.016.
Objective
To establish typologies within Madrid's citizens (Spain) with regard to end-of-life by cluster analysis.
Method
The SPAD 8 programme was implemented in a sample from a health care centre in the autonomous region of Madrid (Spain). A multiple correspondence analysis technique was used, followed by a cluster analysis to create a dendrogram. A cross-sectional study was made beforehand with the results of the questionnaire.
Results
Five clusters stand out. Cluster 1: a group who preferred not to answer numerous questions (5%). Cluster 2: in favour of receiving palliative care and euthanasia (40%). Cluster 3: would oppose assisted suicide and would not ask for spiritual assistance (15%). Cluster 4: would like to receive palliative care and assisted suicide (16%). Cluster 5: would oppose assisted suicide and would ask for spiritual assistance (24%).
Conclusions
The following four clusters stood out. Clusters 2 and 4 would like to receive palliative care, euthanasia (2) and assisted suicide (4). Clusters 4 and 5 regularly practiced their faith and their family members did not receive palliative care. Clusters 3 and 5 would be opposed to euthanasia and assisted suicide in particular. Clusters 2, 4 and 5 had not completed an advance directive document (2, 4 and 5). Clusters 2 and 3 seldom practiced their faith. This study could be taken into consideration to improve the quality of end-of-life care choices.
Keywords : General population; End-of-life; Cluster analysis; Typology.