Primary Care Continuity and Location of Death for Those with Cancer

Burge, Fred; Lawson, Beverley; Johnston, Grace; Cummings, Ina

doi:10.1089/109662103322654794

Cited by 67 publications

(78 citation statements)

References 20 publications

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“…7,[20][21][22] Contrary to these studies, the model was adjusted by including time at home in the palliative period. This was because dying at home often demands more home visits and more home care, and the patient has to be at home to receive these visits.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Associations between home death and GP involvement in palliative cancer care

et al. 2009

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BackgroundMost cancer patients die at institutions despite their wish for home death. GP-related factors may be crucial in attaining home death. AimTo describe cancer patients in palliative care at home and examine associations between home death and GP involvement in the palliative pathway. Design of studyPopulation-based, combined register and questionnaire study. SettingAarhus County, Denmark. MethodPatient-specific questionnaires were sent to GPs of 599 cancer patients who died during a 9-month period in 2006. The 333 cases that were included comprised information on sociodemography and GP-related issues; for example knowledge of the patient, unplanned home visits, GPs providing their private phone number, and contact with relatives. Register data were collected on patients' age, sex, cancer diagnosis, place of death, and number of GP home visits. Associations with home death were analysed in a multivariable regression model with prevalence ratios (PR) as a measure of association.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Associations between home death and GP involvement in palliative cancer care

et al. 2009

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“…The last 6 months are commonly used to represent the end of life in studies focusing on care. [10][11][12][13][14][15] Administrative health databases are useful when providing information about service delivery. 16 Cancer registry and death certificate information demonstrate a high degree of accuracy and excellent agreement with respect to cancer deaths.…”

Section: Datamentioning

confidence: 99%

A Population-based Study of Age Inequalities in Access to Palliative Care Among Cancer Patients

Lawson¹,

Johnston²,

Grunfeld³

2008

Medical Care

101

102

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“…8 Where someone dies depends on factors related to their medical condition, their sociodemographic characteristics, their personal preferences, their health care use, and their environment, including the social support and health care resources available. [10][11][12][13][14][15][16] The association between involvement of palliative care services and place of death has not been investigated extensively before. The findings of the studies that do exist are equivocal, probably due to the heterogeneity of palliative care services, study populations, settings, and designs.…”

Section: Introductionmentioning

confidence: 99%

Involvement of Palliative Care Services Strongly Predicts Place of Death in Belgium

Houttekier

Cohen

Block

et al. 2010

Journal of Palliative Medicine

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Introduction: Place of death is considered a quality indicator of end-of-life care and enabling people to die were they choose is an important aspiration of palliative care. This study aims to examine the association between involvement of palliative care services and place of death. Methods: Data about patient characteristics, use of general health care, and involvement of palliative care services in nonsudden or expected deaths in all health care settings in 2005-2006 (N ¼ 1690) were collected by a surveillance network of general practitioners (GPs) in Belgium. Bivariate and multivariate associations between involvement of palliative care services and dying at home, in hospital, in a care home, or in a palliative care unit were examined using w 2 tests and Wald tests. Results: Palliative care services were involved in 21.8% of deaths of those living at home, in 29.1% of those living in care homes, and in 12.4% of deaths in hospital. People were more likely to die in their usual residence rather than in hospital if multidisciplinary palliative home care teams (odds ratio [OR]: 8.4, confidence interval [CI]: 4.7-15.1) or the palliative care reference persons of their care home (OR: 9.4, CI: 3.3-26.7) were involved. Involvement of multidisciplinary palliative support teams in hospitals was associated with lower chances of dying at home (OR: 0.3, CI: 0.1-0.9). High involvement of GPs was not directly associated with out-of-hospital death. Discussion: Involving multidisciplinary palliative home care teams and palliative care reference persons in care homes could support people in dying out-of-hospital. Health care policy-makers should consider strategies to improve involvement of palliative care services in all health care settings.

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Primary Care Continuity and Location of Death for Those with Cancer

Abstract: This study demonstrates an association between family physician continuity of care and the location of death for those with advanced cancer. Such continuity should be fostered in the development of models of integrated service delivery for end-of-life care.

Cited by 67 publications

References 20 publications

Associations between home death and GP involvement in palliative cancer care

Associations between home death and GP involvement in palliative cancer care

A Population-based Study of Age Inequalities in Access to Palliative Care Among Cancer Patients

Involvement of Palliative Care Services Strongly Predicts Place of Death in Belgium

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