Predictors of Home Care Expenditures and Death at Home for Cancer Patients in an Integrated Comprehensive Palliative Home Care Pilot Program

Howell, Doris; Abernathy, Tom; Cockerill, Rhonda; Brazil, Kevin; Wagner, Frank; Librach, Larry

doi:10.12927/hcpol.2011.22179

Cited by 8 publications

(21 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Current literature notes that the presence of certain clinical factors, such as a hematological tumour (9,38) or the need for greater pain and symptom control, decrease one's likelihood of dying in one's preferred place (7). Social factors, such as medical costs and the burden placed on others, were cited as indicators of equitable access to palliative care services (8,39,40). For instance, some patients cannot afford even small out-of-pocket costs for palliative care services, and the availability of informal caregivers can vary.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Fulfilling the Preference for Dying at Home among Cancer Patients: The role of General Practitioners

Miccinesi

Beccaro

et al. 2014

J Palliat Care

View full text Add to dashboard Cite

Aim: This study aimed to explore clinical and care-related factors associated with fulfilling cancer patients' preference for home death across four countries: Belgium (BE), the Netherlands (NL), Italy (IT), and Spain (ES). Methods: A mortality follow-back study was undertaken from 2009 to 2011 via representative networks of general practitioners (GPs). The study included all patients aged 18 and over who had died of cancer and whose home death

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Associated with Fulfilling the Preference for Dying at Home among Cancer Patients: The role of General Practitioners

Miccinesi

Beccaro

et al. 2014

J Palliat Care

View full text Add to dashboard Cite

show abstract

“…Access to care in the home has also been associated with home death. Previous studies investigating the availability and utilization of home care and home visits found that patients were more likely to die at home or out of acute care if they lived in an area with more home hospice providers [ 10 ], received home care in the last 6 months of life [ 15 ], or received more nursing and personal support worker visits [ 6 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

The interaction of socioeconomic status with place of death: a qualitative analysis of physician experiences

2018

View full text Add to dashboard Cite

BackgroundHome is a preferred place of death for many people; however, access to a home death may not be equitable. The impact of socioeconomic status on one’s ability to die at home has been documented, yet there remains little literature exploring mechanisms that contribute to this disparity. By exploring the experiences and insights of physicians who provide end-of-life care in the home, this study aims to identify the factors perceived to influence patients’ likelihood of home death and describe the mechanisms by which they interact with socioeconomic status.MethodsIn this exploratory qualitative study, we conducted interviews with 9 physicians who provide home-based care at a specialized palliative care centre. Participants were asked about their experiences caring for patients at the end of life, focusing on factors believed to impact likelihood of home death with an emphasis on socioeconomic status, and opportunities for intervention. We relied on participants’ perceptions of SES, rather than objective measures. We used an inductive content analysis to identify and describe factors that physicians perceive to influence a patient’s likelihood of dying at home.ResultsFactors identified by physicians were organized into three categories: patient characteristics, physical environment and support network. Patient preference for home death was seen as a necessary factor. If this was established, participants suggested that having a strong support network to supplement professional care was critical to achieving home death. Finally, safe and sustainable housing were also felt to improve likelihood of home death. Higher SES was perceived to increase the likelihood of a desired home death by affording access to more resources within each of the categories. This included better health and health care understanding, a higher capacity for advocacy, a more stable home environment, and more caregiver support.ConclusionsSES was not perceived to be an isolated factor impacting likelihood of home death, but rather a means to address shortfalls in the three identified categories. Identifying the factors that influence ability is the first step in ensuring home death is accessible to all patients who desire it, regardless of socioeconomic status.

show abstract

“…Forward planning using instruments to measure functional status, combined with as needed home visits to pre‐empt crises provided a solid platform on which to deliver quality community palliative care. Better care coordination has been demonstrated to improve rates of home death in the international setting …”

Section: Discussionmentioning

confidence: 99%

“…The National Health and Hospitals Reform Commission recommends ‘ integrating multi‐disciplinary primary health care services…better coordination and continuity of care… [and] strengthening consumer…empowerment ’ . High‐quality end‐of‐life care involves managing multiple co‐morbidities, symptom control and ‘psychological, social, loss/grief, practical and end‐of‐life preparation’ . Strategies include:…”

Section: Introductionmentioning

confidence: 99%

Reducing avoidable admissions in rural community palliative care: a pilot study of care coordination by General Practice registrars

Mortel

Marr

Burmeister

et al. 2016

Aust. J. Rural Health

View full text Add to dashboard Cite

show abstract

Predictors of Home Care Expenditures and Death at Home for Cancer Patients in an Integrated Comprehensive Palliative Home Care Pilot Program

Abstract: Facteurs de prévision des dépenses pour les soins à domicile et les décès à domicile chez les patients atteints du cancer dans le cadre d'un programme pilote de soins palliatifs complets à domicile

Cited by 8 publications

References 57 publications

Factors Associated with Fulfilling the Preference for Dying at Home among Cancer Patients: The role of General Practitioners

Factors Associated with Fulfilling the Preference for Dying at Home among Cancer Patients: The role of General Practitioners

The interaction of socioeconomic status with place of death: a qualitative analysis of physician experiences

Reducing avoidable admissions in rural community palliative care: a pilot study of care coordination by General Practice registrars

Contact Info

Product

Resources

About