IAGG/IAGG GARN International Survey of End-of-Life Care in Nursing Homes

Mario Barbagallo, Birong Dong, Iva Holmerova, Bruno Vellas, Jean Woo, Ashish Goel, Samia A. Abdul-Rahman, Luis Miguel Gutierrez Robledo, Cara L. Wallace, Heung Bong Cha, Marcello Russo, Juan Cuadros Moreno, Andrea Moser, Hidenori Arai, Birong Dong, Angela M. Abbatecola, Jiro Okochi, Daniel Swagerty, Alfonso J. Cruz-Jentoft, Ramzi HajjarRenuka Visvanathan, Raymond Koopmans, Yves Rolland, John E. Morley

Research output: Contribution to journalArticle

6 Citations (Scopus)


This article reports the findings of a survey on end-of-life (EOL) care in nursing homes of 18 long-term care experts across 15 countries. The experts were chosen as a convenience-based sample of known experts in each country. The survey was administered in 2016 and included both open-ended responses for defining hospice care, palliative care, and “end of life,” and a series of questions related to the following areas—attitudes toward EOL care, current practice and EOL interventions, structure of care, and routine barriers. Overall experts strongly agreed that hospice and palliative care should be available in long-term care facilities and that both are defined by holistic, interdisciplinary approaches using measures of comfort across domains. However, it appears the experts felt that in most countries the reality fell short of what they believed would be ideal care. As a result, experts call for increased training, communication, and access to specialized EOL services within the nursing home.
Original languageEnglish
Pages (from-to)465-469
Number of pages5
JournalJournal of the American Medical Directors Association
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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    Barbagallo, M., Dong, B., Holmerova, I., Vellas, B., Woo, J., Goel, A., Abdul-Rahman, S. A., Gutierrez Robledo, L. M., Wallace, C. L., Cha, H. B., Russo, M., Moreno, J. C., Moser, A., Arai, H., Dong, B., Abbatecola, A. M., Okochi, J., Swagerty, D., Cruz-Jentoft, A. J., ... Morley, J. E. (2017). IAGG/IAGG GARN International Survey of End-of-Life Care in Nursing Homes. Journal of the American Medical Directors Association, 18, 465-469.