Factors influencing the death of the elderly at home in an institution specializing home medical care -Analysis of survey of the bereaved family-

Home death is associated with frequency of physician home medical care visits: A questionnaire survey on communications in home medical care settings

“…[3][4][5][6][7][8][9][10][13][14][15][16][17][18][19][20][21]23,24 The model included the following elements: 1 In order to test our first hypothesis, "frequency of doctor visits" and "mean duration of a doctor visit" were included in the model. [3][4][5][6][7][8][9][10][13][14][15][16][17][18][19][20][21]23,24 The model included the following elements: 1 In order to test our first hypothesis, "frequency of doctor visits" and "mean duration of a doctor visit" were included in the model.…”

“…13 2 In order to test our second hypothesis, "experiences of DPC without family" and "experiences of DFC without patient" were also included in the model. [3][4][5][6][7][8][9][10]24 For this analysis, the primary disease was categorized as either "malignant tumor" or "other than malignant tumor." 23 4 "Malignant tumor as the primary disease," "level of care required," "use experience of home-visit nursing services" and "existence of family's anxieties and/or questions about patient's symptoms" were also included as factors previously identified in the literature associated with place of death.…”

“…[3][4][5][6][7][8][9] Doctors should have sufficient communication with the patient and their family, to allow them to be fully aware of both parties' preferences regarding home death. pain), and explanations about the dying process/death given to the patient and the family; and (iv) health system-related factors, such as the home-visit nursing system and referral support system.…”

Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan

“…In a Japanese study, an important factor for dying at home was the preference expressed by the patient, the patient's family, and medical staff 11 . Another study in Japan showed the most significant determining factor associated with death at home was that both the caregiver and patient had preferred home as the place of death 12 . These studies indicated that not only patient characteristics but also communication between patients and their families and caregivers affected the actual place of death.…”

“…Helliwell and Putnam 15 analyzed the quality and quantities of community social networks using an index of "social capital (SC)", which is based on a fundamental concept encompassing "trust", "rules" and "networks" for promoting cooperative behavior among individuals. It was reported that SC was associated with mortality 12,16 , physical activity 17,18 , mental health 19 , and self-rated health 20e24 .…”