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International variation in place of death of older people who died from dementia in 14 European and non-European countries

T. Reyniers, L. Deliens, HR. Pasman, L. Morin, J. Addington-Hall, L. Frova, M. Cardenas-Turanzas, B. Onwuteaka-Philipsen, W. Naylor, M. Ruiz-Ramos, DM. Wilson, M. Loucka, A. Csikos, YJ. Rhee, J. Teno, J. Cohen, D. Houttekier,

. 2015 ; 16 (2) : 165-71. [pub] 20141218

Jazyk angličtina Země Spojené státy americké

Typ dokumentu srovnávací studie, časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc16000419

OBJECTIVES: The objective of this study was to examine variation in place of death of older people dying from dementia in countries across 4 continents. DESIGN: Study of death certificate data. METHODS: We included deaths of older (65 + years) people whose underlying cause of death was a dementia-related disease (ICD-10: F01, F02, F03, G30) in Belgium, the Netherlands, England, Wales, France, Italy, Spain, Czech Republic, Hungary, New Zealand, United States, Canada, Mexico and South Korea. We examined associations between place of death and sociodemographic factors, social support, and residential and health care system factors. RESULTS: Overall, 4.8% of all deaths were from a dementia-related disease, ranging from 0.4% in Mexico to 6.9% in Canada. Of those deaths, the proportion occurring in hospital varied from 1.6% in the Netherlands to 73.6% in South Korea. When controlling for potential confounders, hospital death was more likely for men, those younger than 80, and those married or living in a region with a higher availability of long-term care beds, although this could not be concluded for each country. Hospital death was least likely in the Netherlands compared with other countries. CONCLUSIONS: Place of death of older people who died from a dementia-related disease differs substantially between countries, which might point to organizational differences in end-of-life care provision. Increasing the availability of long-term care beds might be important to reduce the number of hospital deaths, while focusing specialized end-of-life care services on married people or those aged 65 to 79 might be crucial for achieving home death. However, proper end-of-life care needs to be ensured in hospitals, should this be the most appropriate end-of-life care setting.

Citace poskytuje Crossref.org

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$a Reyniers, Thijs $u Department of Family Medicine & Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium. Electronic address: Thijs.reyniers@vub.ac.be.
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$a Deliens, Luc $u Department of Family Medicine & Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium; Department of Medical Oncology, Ghent University Hospital, Ghent, Belgium.
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$a Pasman, H Roeline $u Department of Public and Occupational Health, EMGO Institute for Health and Care Research and Expertise Center for Palliative Care, VU University Medical Center, Amsterdam, The Netherlands.
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$a Morin, Lucas $u Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden; French National Observatory on End-of-Life Care, Paris, France.
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$a Addington-Hall, Julia $u Faculty of Health Sciences, University of Southampton, Southampton, Hampshire, UK. $7 gn_A_00001686
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$a Frova, Luisa $u National Institute of Statistics, Rome, Italy.
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$a Cardenas-Turanzas, Marylou $u MD Anderson Cancer Center Department of Leukemia, University of Texas, Houston, TX.
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$a Onwuteaka-Philipsen, Bregje $u Department of Public and Occupational Health, EMGO Institute for Health and Care Research and Expertise Center for Palliative Care, VU University Medical Center, Amsterdam, The Netherlands.
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$a Naylor, Wayne $u Hospice Waikato, Hillcrest, Hamilton, New Zealand.
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$a Wilson, Donna M $u Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
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$a Loucka, Martin $u Center for Palliative Care, Prague, Czech Republic.
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$a Csikos, Agnes $u University of Pécs Medical School, Pécs, Hungary.
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$a Rhee, Yong Joo $u Department of Health Sciences, Dongduk Women's University, Seoul, South Korea.
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$a Teno, Joan $u Brown University, School of Public Health, Providence, RI.
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$a Cohen, Joachim $u Department of Family Medicine & Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
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