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Centre for Policy on Ageing | |
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Factors associated with home versus institutional death among cancer patients in Connecticut | Author(s) | William T Gallo, Matthew J Baker, Elizabeth H Bradley |
Journal title | Journal of the American Geriatrics Society, vol 49, no 6, June 2001 |
Pages | pp 771-777 |
Keywords | Death ; Living in the community ; Terminal care ; Hospital services ; Nursing homes ; United States of America. |
Annotation | 6,813 people in Connecticut died of a cancer-related cause in 1994. 29% of the sample died at home, 42% in hospital, 17% in a nursing home, and 11% in a hospice. Multivariate analysis indicated that demographic characteristics (being married, female, white, and living in a higher income area), disease-related factors (type of cancer, longer survival post-diagnosis), and health resource factors (greater availability of hospice providers, less availability of hospital beds) were associated with dying at home rather than in a hospital or hospice. The findings indicate groups (men, unmarried individuals, and those living in lower income areas) at higher risk for institutionalised death could be targeted for possible interventions promoting dying at home when that is preferred by patients and their families. The findings suggest that site of death is influenced by available health system resources. If home death is to be supported, the relative availability of hospital beds and hospice providers may be an effective policy tool for promoting dying at home. (RH). |
Accession Number | CPA-020115229 A |
Classmark | CW: K4: LV: LD: LHB: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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