Dying in hospital: a study of incidence and factors related to hospital death using death certificate data

European Journal of Public Health
Dirk HouttekierLuc Deliens

Abstract

Most people prefer not to die in a hospital, and for those with palliative care needs, doing so may result in inappropriate care and poor outcomes. We examined place of death and factors associated with hospital death in a population eligible for palliative care. We used death certificate data to identify deaths from conditions eligible for palliative care and to examine place of death and demographic, socioeconomic and environmental characteristics associated with hospital death in Belgium in 2008. Of all people eligible for palliative care (N = 44 229, i.e. 43.5% of all deaths), 51% died in hospital, 25% at home and 24% in long-term care settings. Of those officially living at home at the time of death, hospital death occurred in >60%; of those living in long-term care settings, this was 16%. Nine percent of those living at home alone at the time of death died in long-term care settings; of those living with others, this was 5%. In both, those living at home and those living in long-term care settings, hospital death was more likely in areas with higher availability of hospital beds and less likely in areas with higher availability of skilled nursing beds in long-term care settings. Hospital death is still common among those ...Continue Reading

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Citations

Jan 22, 2015·Age and Ageing·Lucas MorinRégis Aubry
Nov 21, 2015·Journal of Epidemiology and Community Health·Lara PivodicLieve Van den Block
Jul 9, 2016·Geriatrics & Gerontology International·Miharu NakanishiAtsushi Nishida
Jul 22, 2015·Scandinavian Journal of Public Health·Cecilia HåkansonJoachim Cohen
Dec 5, 2018·Death Studies·Chi-Yeon LimSung Joon Shin
Jan 3, 2019·European Journal of Public Health·María José Cabañero-MartínezJulio Cabrero-García
Mar 26, 2019·Internal Medicine Journal·Ninya MaubachImogen Mitchell
Sep 29, 2017·European Journal of Public Health·Anouk OverbeekJudith A C Rietjens
Mar 9, 2019·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Donna M WilsonStephen Birch
Aug 18, 2020·BMC Health Services Research·Hiroyoshi IwataYasuki Fujinuma

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