Congruence between Preferred and Actual Place of Death for Those in Receipt of Home-Based Palliative Care

被引:28
|
作者
Cai, Jiaoli [1 ]
Zhang, Li [1 ]
Guerriere, Denise [2 ]
Coyte, Peter C. [2 ]
机构
[1] Beijing Jiaotong Univ, Sch Econ & Management, 3 Shangyuancun, Beijing 100044, Peoples R China
[2] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
基金
中国国家自然科学基金;
关键词
congruence; home-based care; palliative care; preferred place of death; CANCER-PATIENTS; FAMILY CAREGIVERS; PERFORMANCE SCALE; PREDICTORS; ONTARIO; DIE; SURVIVAL; LOCATION; SERVICES; BURDEN;
D O I
10.1089/jpm.2019.0582
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Understanding the factors that affect the congruence between preferred and actual place of death may help providers offer clients customized end-of-life care settings. Little is known about this congruence for cancer patients in receipt of home-based palliative care. Objectives: This study aims to determine the congruence between preferred and actual place of death among cancer patients in home-based palliative care programs. Design: A longitudinal prospective cohort study was conducted. Congruence between preferred and actual place of death was measured. Both univariate and multivariate analyses were used to assess the determinants of achieving a preferred place of death. From July 2010 to August 2012, a total of 290 caregivers were interviewed biweekly over the course of their palliative care trajectory from entry to the program and death. Results: The overall congruence between preferred and actual place of death was 71.72%. Home was the most preferred place of death. The intensity of home-based nursing visits and hours of care from personal support workers (PSWs) increased the likelihood of achieving death in a preferred setting. Conclusions: The provision of care by home-based nurse visits and PSWs contributed to achieving a greater congruence between preferred and actual place of death. This finding highlights the importance of formal care providers in signaling and executing the preferences of clients in receipt of home-based palliative care.
引用
收藏
页码:1460 / 1467
页数:8
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