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Predictors of place of death for seniors in Ontario
 — a population-based cohort analysis
Author(s)Sanober S Motiwala, Ruth Croxford, Denise N Guerriere
Journal titleCanadian Journal on Aging, vol 25, no 4, Winter 2006
Pagespp 363-372
Sourcehttp://www.utpjournals.com
KeywordsDeath ; Living in the community ; Hospital services ; Terminal care ; Death rate [statistics] ; Canada.
AnnotationPlace of death was determined for all 58689 older people aged 66+ in Ontario who died during fiscal year 1001/2002. The relationship of place of death to medical and socio-demographic characteristics was examined using a multinomial logit model. Half (49.2%) of these individuals died in hospital. 30.5% died in a long-term care facility; 9.6% died at home while receiving home care; and 10.7% died at home without home care. Co-morbidities were the strongest predictors of place of death. A cancer diagnosis increased the chances of death at home while receiving home care, while those with dementia were most likely to die in LTC facilities, and those with major acute conditions were most likely to die in hospitals. Higher socio-economic status was associated with greater probability of dying at home, but contributed little to this model. Appropriate planning and resource allocation may help move place of death from hospitals to nursing homes or the community, in accordance with individual preferences. (RH).
Accession NumberCPA-070508215 A
ClassmarkCW: K4: LD: LV: S5: 7S

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