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Centre for Policy on Ageing | |
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| Influence of patient preferences and local health system characteristics on the place of death | | Author(s) | Robert S Pritchard, Elliott S Fisher, Joan M Teno |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 10, October 1998 |
| Pages | pp 1242-1250 |
| Keywords | Death ; Living in the community ; Hospital services ; Nursing homes ; United States of America. |
| Annotation | In the US, most people die in acute care hospitals and nursing homes despite a desire to be cared for and die at home. This study examined the degree to which variation in place of death is explained by differences in the characteristics of patients, including preferences for dying at home, and by differences in the characteristics of local health systems. Data were drawn from the observational phase of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT component), and from administrative databases for the Medicare programme (Medicare component). Results showed that in SUPPORT, most patients expressed a preference for dying at home, yet most died in the hospital. The percentage of SUPPORT patients dying in hospital varied by greater than twofold across the five SUPPORT sites. For Medicare beneficiaries, the percentage dying in hospital varied from 23% to 54% across US Hospital Referral Regions. The risk of in-hospital death was increased for residents of regions with greater hospital bed availability and use; the risk of in-hospital death was decreased in regions with greater nursing home and hospice availability and use. (AKM). |
| Accession Number | CPA-981118411 A |
| Classmark | CW: K4: 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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