2019
DOI: 10.1177/0898264319848582
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Variation in Hospital Use at the End of Life Among New South Wales Residents Who Died in Hospital or Soon After Discharge

Abstract: Objective: Hospital use increases in the last 3 months of life. We aimed to examine its association with where people live and its variation across a large health jurisdiction. Methods: We studied a number of emergency department presentations and days spent in hospital, and in-hospital deaths among decedents who were hospitalized within 30 days of death across 153 areas in New South Wales (NSW), Australia, during 2010-2015. Results: Decedents’ demographics and health status were associated with hospital use. … Show more

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Cited by 3 publications
(3 citation statements)
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References 56 publications
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“…As previously mentioned in the literature (2)(3) , a growing number of studies investigate people's preferred place to end their days. In those studies (7)(8)(9) , end-of-life experiences at the hospital and at home are verified, the preferences of rural residents as compared to urban residents, all indicating that the house is the least stressful and the most dignified environment to experience end of life and death. Additionally, primary health care and home care services are considered powerful settings for developing the principle of palliative care and for people's follow-up until death, because they are incorporated into everyday life, thus facilitating the governing of people and favoring the effectiveness of public policies for end of life care (10) .…”
Section: Introductionmentioning
confidence: 93%
“…As previously mentioned in the literature (2)(3) , a growing number of studies investigate people's preferred place to end their days. In those studies (7)(8)(9) , end-of-life experiences at the hospital and at home are verified, the preferences of rural residents as compared to urban residents, all indicating that the house is the least stressful and the most dignified environment to experience end of life and death. Additionally, primary health care and home care services are considered powerful settings for developing the principle of palliative care and for people's follow-up until death, because they are incorporated into everyday life, thus facilitating the governing of people and favoring the effectiveness of public policies for end of life care (10) .…”
Section: Introductionmentioning
confidence: 93%
“…[5][6][7][8] More patients overall would choose to die at or near home than do, and fewer rural than urban patients die at (or near) home. [9][10][11][12][13][14] When family members are engaged as informal providers of palliative care this responsibility can result in negative consequences to their well-being. 15 Approximately half of informal carers report that caring for a loved one nearing the end of life was worse, or much worse, than they expected.…”
Section: Introductionmentioning
confidence: 99%
“…While approximately 30% of those who die in Australia receive specialist palliative care at some point in their journey, those from regional, rural and Indigenous populations undergo worse end‐of‐life care, characterised by ‘poor access, relocation and hardship’ 4 and barriers to specialised support services 5–8 . More patients overall would choose to die at or near home than do, and fewer rural than urban patients die at (or near) home 9–14 …”
Section: Introductionmentioning
confidence: 99%