期刊
HEALTH POLICY
卷 78, 期 2-3, 页码 319-329出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.healthpol.2005.11.003
关键词
Belgium; causes of death; death certificates; end-of-life care; home care; hospital mortality; palliative care; place of death
Introduction: The knowledge of determinants of place of death is important for public health policy aimed at improving the quality of end-of-life care. Methods: We investigated the influence of clinical, socio-demographic, residential and health care system factors on the place of death, using data from all 55,759 deaths in 2001 in Flanders (Belgium), gathered via official death certificates and data from anonymously linked health care statistics. A multivariate logistic regression was used to examine the associated factors (home versus hospital as dependent categories). Results: Of all deaths in Flanders, 53.7% took place in hospital, 24.3% at home and 19.8% in a care home. The probability of home deaths varied by region, by rural or urban residence and by the hospital bed availability in the region and dying at home was less likely among those suffering from certain non-malignant chronic diseases, the less educated and those living alone. Conclusion: Although most people wish to die at home, most deaths in Flanders (Belgium) in 2001 did not take place there. The clinical, socio-demographic and residential factors found to be associated with the place of death could serve as focal points for a policy to facilitate dying in the place of choice, including at home. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据