{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:46:03Z","timestamp":1787071563477,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n Integrating the \u201cTime, Place, and Person\u201d (TPP) framework into palliative care has been shown to improve patient satisfaction and quality of life by addressing key aspects of end-of-life care. This approach considers the time remaining, preferred location for death, and the presence of loved ones, all of which contribute to a more holistic and compassionate care experience.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To identify the most important factors in end-of-life care for palliative care patients, with a focus on the Time, Place, and Person (TPP) triad.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Analytical study using a survey method to gather data on patient preferences regarding key end-of-life care factors. Statistical analysis was performed using Chi-Square tests to assess the significance of responses.<\/jats:p>\n <\/jats:sec>\n \n Setting\/Participants:<\/jats:title>\n The study was conducted at Kalyan Singh Super Specialty Cancer Institute in Uttar Pradesh, India, from January to November 2024 using convenience sampling. Fifty-three patients with confirmed malignancy who were enrolled in the Palliative Care Outpatient Department participated in the study.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The most frequently selected factors were \u201cTime remaining\u201d (23 responses), \u201cPlace of death\u201d (21 responses), and \u201cPresence of loved ones\u201d (18 responses). Chi-square analysis (\u03c7\u00b2 =7.7,\n P<\/jats:italic>\n = 0.0055) confirmed that these top three factors were significantly more important than the others.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The Time-Place-Person (TPP) triad plays a crucial role in improving the quality of end-of-life care. Early discussions on time remaining, preferred place of death, and the presence of loved ones can help tailor care plans that enhance patient satisfaction and comfort during the final stages of life.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_219_25","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T15:04:34Z","timestamp":1758639874000},"page":"3305-3308","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The TPP (time, place, person) triad: A framework for compassionate end-of-life care"],"prefix":"10.4103","volume":"14","author":[{"given":"Himanshu","family":"Prince","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, UPUMS, Saifai, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, UPUMS, Saifai, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit Raj","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Palliative Medicine, Kalyan Singh Super Speciality Cancer Institute and Hospital, Chak Kajehra, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brajesh Kumar","family":"Ratre","sequence":"additional","affiliation":[{"name":"Department of Onco-Anaesthesia and Palliative Care, DR. B.R.A. Institute Rotary Cancer Hospital-AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit Kumar","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Palliative Care, VCSG Government Medical College, Srinagar, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"R1-20250924","doi-asserted-by":"crossref","first-page":"c1345","DOI":"10.1136\/bmj.c1345","article-title":"The impact of advance care planning on end-of-life care in elderly patients:Randomised controlled trial","volume":"340","author":"Detering","year":"2010","journal-title":"BMJ"},{"key":"R2-20250924","doi-asserted-by":"crossref","first-page":"2104","DOI":"10.1001\/jama.2016.16840","article-title":"Association between palliative care and patient and caregiver outcomes:a systematic review and meta-analysis","volume":"316","author":"Kavalieratos","year":"2016","journal-title":"Jama"},{"key":"R3-20250924","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1177\/1049909113482039","article-title":"Methods for improving the quality of palliative care delivery:a systematic review","volume":"31","author":"Lau","year":"2014","journal-title":"American Journal of Hospice and Palliative Medicine\u00ae"},{"key":"R4-20250924","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.12688\/f1000research.11902.1","article-title":"Advancing psychosocial care in cancer patients","volume":"6","author":"Grassi","year":"2017","journal-title":"F1000Research"},{"key":"R5-20250924","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1007\/s11864-022-00957-1","article-title":"Family meetings in palliative care:benefits and barriers","volume":"23","author":"Glajchen","year":"2022","journal-title":"Current treatment options in oncology"},{"key":"R6-20250924","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1001\/jama.291.1.88","article-title":"Family perspectives on end-of-life care at the last place of care","volume":"291","author":"Teno","year":"2004","journal-title":"Jama"},{"key":"R7-20250924","first-page":"348","article-title":"The role of palliative care at the end of life","volume":"11","author":"Rome","year":"2011","journal-title":"Ochsner Journal"},{"key":"R8-20250924","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1089\/jpm.2012.9610","article-title":"End-of-Life Care and Pragmatic Decision Making [book review]","volume":"15","author":"Weingarten","year":"2012","journal-title":"J Palliat Med"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_219_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:48:21Z","timestamp":1787068101000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_219_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_219_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-02-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}