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Erschienen in: International Journal of Public Health 2/2013

01.04.2013 | Original Article

Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics

verfasst von: Joanna B. Broad, Merryn Gott, Hongsoo Kim, Michal Boyd, He Chen, Martin J. Connolly

Erschienen in: International Journal of Public Health | Ausgabe 2/2013

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Abstract

Objective

Place of death, specifically the percentage who die in hospital or residential aged care, is largely unreported. This paper presents a cross-national comparison of location of death information from published reports and available data.

Methods

Reports of deaths occurring in hospitals, residential aged care facilities, and other locations for periods since 2001 were compiled.

Results

Over 16 million deaths are reported in 45 populations. Half reported 54 % or more of all deaths occurred in hospitals, ranging from Japan (78 %) to China (20 %). Of 21 populations reporting deaths of older people, a median of 18 % died in residential aged care, with percentages doubling with each 10-year increase in age, and 40 % higher among women.

Conclusions

This place of death study includes more populations than any other known. In many populations, residential aged care was an important site of death for older people, indicating the need to optimise models of end-of-life care in this setting. For many countries, more standardised reporting of place of death would inform policies and planning of services to support end-of-life care.
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Literatur
Zurück zum Zitat AIHW (Australian Institute of Health and Welfare) (2009) 2004–05 Australian hospital separations. AIHW, Canberra AIHW (Australian Institute of Health and Welfare) (2009) 2004–05 Australian hospital separations. AIHW, Canberra
Zurück zum Zitat AIHW (Australian Institute of Health and Welfare) (2011) 2004–05 Permanent and respite care, customised tables provided by AIHW, March 2011. AIHW, Canberra AIHW (Australian Institute of Health and Welfare) (2011) 2004–05 Permanent and respite care, customised tables provided by AIHW, March 2011. AIHW, Canberra
Zurück zum Zitat Beng AK, Fong CW, Shum E, Goh CR, Goh KT, Chew SK (2009) Where the elderly die: the influence of socio-demographic factors and cause of death on people dying at home. Ann Acad Med Singapore 38(8):676–683PubMed Beng AK, Fong CW, Shum E, Goh CR, Goh KT, Chew SK (2009) Where the elderly die: the influence of socio-demographic factors and cause of death on people dying at home. Ann Acad Med Singapore 38(8):676–683PubMed
Zurück zum Zitat Brazil K, Howell D, Bedard M, Krueger P, Heidebrecht C (2005) Preferences for place of care and place of death among informal caregivers of the terminally ill. Palliat Med 19(6):492–499PubMedCrossRef Brazil K, Howell D, Bedard M, Krueger P, Heidebrecht C (2005) Preferences for place of care and place of death among informal caregivers of the terminally ill. Palliat Med 19(6):492–499PubMedCrossRef
Zurück zum Zitat CDC (Centre for Disease Control) (2006) Worktable 307. Deaths from 39 selected causes by place of death, status of decedent when death occurred in hospital or medical center, and age: United States, 2003. National vital statistics, Centers for Disease Control and Prevention, Atlanta. http://www.cdc.gov/nchs/nvss/mortality/gmwk309.htm CDC (Centre for Disease Control) (2006) Worktable 307. Deaths from 39 selected causes by place of death, status of decedent when death occurred in hospital or medical center, and age: United States, 2003. National vital statistics, Centers for Disease Control and Prevention, Atlanta. http://​www.​cdc.​gov/​nchs/​nvss/​mortality/​gmwk309.​htm
Zurück zum Zitat Chen Z (ed) (2008) Third national representative sample survey on causes of death. Peking Union Medical College Press, Beijing Chen Z (ed) (2008) Third national representative sample survey on causes of death. Peking Union Medical College Press, Beijing
Zurück zum Zitat Chi I, Mehta KK, Howe AL (eds) (2001) Long-term care in the 21st Century: perspectives from around the Asia-Pacific Rim. Haworth Press, New York Chi I, Mehta KK, Howe AL (eds) (2001) Long-term care in the 21st Century: perspectives from around the Asia-Pacific Rim. Haworth Press, New York
Zurück zum Zitat Cohen J, Bilsen J, Hooft P, Deboosere P, van der Wal G, Deliens L (2006) Dying at home or in an institution: using death certificates to explore the factors associated with place of death. Health Policy 78(2–3):319–329. doi:10.1016/.2005.11.003 PubMedCrossRef Cohen J, Bilsen J, Hooft P, Deboosere P, van der Wal G, Deliens L (2006) Dying at home or in an institution: using death certificates to explore the factors associated with place of death. Health Policy 78(2–3):319–329. doi:10.​1016/​.​2005.​11.​003 PubMedCrossRef
Zurück zum Zitat Cohen J, Houttekier D, Chambaere K, Bilsen J, Deliens L (2011) The use of palliative care services associated with better dying circumstances. Results from an epidemiological population-based study in the Brussels metropolitan region. J Pain Symptom Manage. doi:10.1016/2011.02.017 Cohen J, Houttekier D, Chambaere K, Bilsen J, Deliens L (2011) The use of palliative care services associated with better dying circumstances. Results from an epidemiological population-based study in the Brussels metropolitan region. J Pain Symptom Manage. doi:10.​1016/​2011.​02.​017
Zurück zum Zitat Croatian National Institute of Public Health (2011) Place of death, Croatia. Croatian National Institute of Public Health, Zagreb Croatian National Institute of Public Health (2011) Place of death, Croatia. Croatian National Institute of Public Health, Zagreb
Zurück zum Zitat CSO (Central Statistics Office) (2010) Places of death by age groups 2000–2010: Ireland. Central Statistics Office, Cork CSO (Central Statistics Office) (2010) Places of death by age groups 2000–2010: Ireland. Central Statistics Office, Cork
Zurück zum Zitat Cyprus Ministry of Health (2011) Deaths by place of death, 2004–2009, Cyprus. Health Monitoring Unit, Nicosia Cyprus Ministry of Health (2011) Deaths by place of death, 2004–2009, Cyprus. Health Monitoring Unit, Nicosia
Zurück zum Zitat Davies E, Higginson IJ (eds) (2004) Better palliative care of older people. World Health Organisation (WHO), Europe Davies E, Higginson IJ (eds) (2004) Better palliative care of older people. World Health Organisation (WHO), Europe
Zurück zum Zitat DEIS, Ministry of Health (2011) Locale of death, Chile 2001–2009. Department of Statistics and Information, Ministry of Health, Santiago DEIS, Ministry of Health (2011) Locale of death, Chile 2001–2009. Department of Statistics and Information, Ministry of Health, Santiago
Zurück zum Zitat Department of Health Information and Research, Malta (2011) 2001–2007 deaths, by place of death. Department of Health Information and Research, Pieta Department of Health Information and Research, Malta (2011) 2001–2007 deaths, by place of death. Department of Health Information and Research, Pieta
Zurück zum Zitat Fischer S, Bosshard G, Zellweger U, Faisst K (2004) Der Sterbeort: “Wo sterben die Menschen heute in der Schweiz?” [Place of death: “Where do people die in Switzerland nowadays?”]. Z Gerontol Geriatr 37(6):467–474. doi:10.1007/00391-004-0216-3 PubMedCrossRef Fischer S, Bosshard G, Zellweger U, Faisst K (2004) Der Sterbeort: “Wo sterben die Menschen heute in der Schweiz?” [Place of death: “Where do people die in Switzerland nowadays?”]. Z Gerontol Geriatr 37(6):467–474. doi:10.​1007/​00391-004-0216-3 PubMedCrossRef
Zurück zum Zitat General Medical Council (2010) Treatment and care towards the end of life: good practice in decision making. General Medical Council, London General Medical Council (2010) Treatment and care towards the end of life: good practice in decision making. General Medical Council, London
Zurück zum Zitat Gott M, Seymour J, Bellamy G, Clark D, Ahmedzai S (2004) Older people’s views about home as a place of care at the end of life. Palliat Med 18(5):460–467PubMedCrossRef Gott M, Seymour J, Bellamy G, Clark D, Ahmedzai S (2004) Older people’s views about home as a place of care at the end of life. Palliat Med 18(5):460–467PubMedCrossRef
Zurück zum Zitat Grover A (2011) Thematic study on the realization of the right to health of older persons by the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, vol A/HRC/18/37. United Nations General Assembly, Geneva Grover A (2011) Thematic study on the realization of the right to health of older persons by the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, vol A/HRC/18/37. United Nations General Assembly, Geneva
Zurück zum Zitat Gysels M, Pell C, Straus L, Pool R (2011) End of life care in sub-Saharan Africa: a systematic review of the qualitative literature. BMC Palliat Care 10(6) Gysels M, Pell C, Straus L, Pool R (2011) End of life care in sub-Saharan Africa: a systematic review of the qualitative literature. BMC Palliat Care 10(6)
Zurück zum Zitat Hagstofa Íslands | Statistics Iceland (2011) Place of death by age 1981–2009. Hagstofa Íslands | Statistics Iceland, Reykjavik Hagstofa Íslands | Statistics Iceland (2011) Place of death by age 1981–2009. Hagstofa Íslands | Statistics Iceland, Reykjavik
Zurück zum Zitat Hall S, Petkova H, Tsouros AD, Costantini M, Higginson IJ (eds) (2011) Palliative care for older people: better practices. World Health Organisation (WHO), Europe Hall S, Petkova H, Tsouros AD, Costantini M, Higginson IJ (eds) (2011) Palliative care for older people: better practices. World Health Organisation (WHO), Europe
Zurück zum Zitat Hashimoto H, Horiguchi H, Matsuda S (2010) Micro data analysis of medical and long-term care utilization among the elderly in Japan. Int J Environ Res Public Health 7(8):3022–3037. doi:10.3390/7083022 PubMedCrossRef Hashimoto H, Horiguchi H, Matsuda S (2010) Micro data analysis of medical and long-term care utilization among the elderly in Japan. Int J Environ Res Public Health 7(8):3022–3037. doi:10.​3390/​7083022 PubMedCrossRef
Zurück zum Zitat Health Data Centre: National Institute of Public Health (2011) Deaths by place of death, Slovenia 2000–2009. National Institute of Public Health, Ljubljana Health Data Centre: National Institute of Public Health (2011) Deaths by place of death, Slovenia 2000–2009. National Institute of Public Health, Ljubljana
Zurück zum Zitat Higginson I (2005) End-of-life care: lessons from other nations. J Palliat Med 8(suppl 1):S-161–S-173 Higginson I (2005) End-of-life care: lessons from other nations. J Palliat Med 8(suppl 1):S-161–S-173
Zurück zum Zitat Houttekier D, Cohen J, Bilsen J, Deboosere P, Verduyckt P, Deliens L (2009) Determinants of the place of death in the Brussels metropolitan region. J Pain Symptom Manage 37(6):996–1005. doi:10.1016/2008.05.014 PubMedCrossRef Houttekier D, Cohen J, Bilsen J, Deboosere P, Verduyckt P, Deliens L (2009) Determinants of the place of death in the Brussels metropolitan region. J Pain Symptom Manage 37(6):996–1005. doi:10.​1016/​2008.​05.​014 PubMedCrossRef
Zurück zum Zitat Houttekier D, Cohen J, Van den Block L, Bossuyt N, Deliens L (2010) Involvement of palliative care services strongly predicts place of death in Belgium. J Palliat Med 13(12):1461–1468. doi:10.1089/2010.0279 PubMedCrossRef Houttekier D, Cohen J, Van den Block L, Bossuyt N, Deliens L (2010) Involvement of palliative care services strongly predicts place of death in Belgium. J Palliat Med 13(12):1461–1468. doi:10.​1089/​2010.​0279 PubMedCrossRef
Zurück zum Zitat INSEE (Institut National de la Statistique et des Études Économiques) (2010) Table 75. Deaths by place of death and age group reached during the year 2005. INSEE Resultas publication, Paris. http://www.sd2005_t75_fm.xls INSEE (Institut National de la Statistique et des Études Économiques) (2010) Table 75. Deaths by place of death and age group reached during the year 2005. INSEE Resultas publication, Paris. http://​www.​sd2005_​t75_​fm.​xls
Zurück zum Zitat INSEE (Institut National de la Statistique et des Études Économiques) (2011) Table 75. Deaths by place of death and age group reached during the year 2006. INSEE Resultas publication, Paris. http://www.sd2006_t75_fm.xls INSEE (Institut National de la Statistique et des Études Économiques) (2011) Table 75. Deaths by place of death and age group reached during the year 2006. INSEE Resultas publication, Paris. http://​www.​sd2006_​t75_​fm.​xls
Zurück zum Zitat INSTAT (Instituti I Statisitkave) (2010) Shkaqet e Vdekjeve për Vitin 2009 [Causes of Death for the Year 2009]. Instituti I Statisitkave, Tiranë, Albania, p Supplied by Director of Publication, Dr. Ines Nurja INSTAT (Instituti I Statisitkave) (2010) Shkaqet e Vdekjeve për Vitin 2009 [Causes of Death for the Year 2009]. Instituti I Statisitkave, Tiranë, Albania, p Supplied by Director of Publication, Dr. Ines Nurja
Zurück zum Zitat Institute of Hygiene, Lithuania (2011) Deaths according to place of death by gender and age groups in Lithuania, 2010. Institute of Hygiene, Lithuania, Vilnius Institute of Hygiene, Lithuania (2011) Deaths according to place of death by gender and age groups in Lithuania, 2010. Institute of Hygiene, Lithuania, Vilnius
Zurück zum Zitat Lazenby M, Ma T, Moffat H, Funk M, Knobf M, McCorkle R (2010) Influences on place of death in Botswana. Palliat Support Care 8:177–185PubMedCrossRef Lazenby M, Ma T, Moffat H, Funk M, Knobf M, McCorkle R (2010) Influences on place of death in Botswana. Palliat Support Care 8:177–185PubMedCrossRef
Zurück zum Zitat Lin H-C, Lin Y-J, Liu T-C, Chen C-S, Lin C-C (2007) Urbanization and place of death for the elderly: a 10-year population-based study. Palliat Med 21:705–711PubMedCrossRef Lin H-C, Lin Y-J, Liu T-C, Chen C-S, Lin C-C (2007) Urbanization and place of death for the elderly: a 10-year population-based study. Palliat Med 21:705–711PubMedCrossRef
Zurück zum Zitat Machado MdC et al (2010) From 15 to 115 years of life: mortality trends in Portugal 2000–2008. Ministry of Health, Lisbon Machado MdC et al (2010) From 15 to 115 years of life: mortality trends in Portugal 2000–2008. Ministry of Health, Lisbon
Zurück zum Zitat Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD (2005) Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ 83:171–177PubMed Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD (2005) Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ 83:171–177PubMed
Zurück zum Zitat Menec VH, Lix L, Nowicki S, Ekuma O (2007) Health care use at the end of life among older adults: does it vary by age? J Gerontol A Biol Sci Med Sci 62(4):400–407. doi:62/4/400 PubMedCrossRef Menec VH, Lix L, Nowicki S, Ekuma O (2007) Health care use at the end of life among older adults: does it vary by age? J Gerontol A Biol Sci Med Sci 62(4):400–407. doi:62/​4/​400 PubMedCrossRef
Zurück zum Zitat Ministry of Health (2011) Total number of deaths by place of death category, sex and age group, 2003–2007: New Zealand. Ministry of Health, Wellington Ministry of Health (2011) Total number of deaths by place of death category, sex and age group, 2003–2007: New Zealand. Ministry of Health, Wellington
Zurück zum Zitat Motiwala SS, Croxford R, Guerriere DN, Coyte PC (2006) Predictors of place of death for seniors in Ontario: a population-based cohort analysis. Can J Aging 25(4):363–371PubMedCrossRef Motiwala SS, Croxford R, Guerriere DN, Coyte PC (2006) Predictors of place of death for seniors in Ontario: a population-based cohort analysis. Can J Aging 25(4):363–371PubMedCrossRef
Zurück zum Zitat National End-of-Life Care Programme (2010b) Variations in place of death in England. Inequalities or appropriate consequences of age, gender and cause of death? National Health Service, Bristol National End-of-Life Care Programme (2010b) Variations in place of death in England. Inequalities or appropriate consequences of age, gender and cause of death? National Health Service, Bristol
Zurück zum Zitat Q: Statistick Austria (2011) Vital statistics. Q: Statistick Austria, Vienna Q: Statistick Austria (2011) Vital statistics. Q: Statistick Austria, Vienna
Zurück zum Zitat Ruiz-Ramos M, Javier Garcis-Leon F, Mendez-Martinez C (2011) Place of death in Andulasia: influence of age, gender and cause of death. Revista Clinica Espanola 211(3):127–132 Ruiz-Ramos M, Javier Garcis-Leon F, Mendez-Martinez C (2011) Place of death in Andulasia: influence of age, gender and cause of death. Revista Clinica Espanola 211(3):127–132
Zurück zum Zitat Seale C (2000) Changing patterns of death and dying. Soc Sci Med 51(6):917–930 pii:S027795360000071PubMedCrossRef Seale C (2000) Changing patterns of death and dying. Soc Sci Med 51(6):917–930 pii:S027795360000071PubMedCrossRef
Zurück zum Zitat Statistical Office of the Republic of Serbia (2010) Statistical Yearbook of Serbia 2010. Statistical Office of the Republic of Serbia, Belgrade. http://www.god2010.zip Statistical Office of the Republic of Serbia (2010) Statistical Yearbook of Serbia 2010. Statistical Office of the Republic of Serbia, Belgrade. http://​www.​god2010.​zip
Zurück zum Zitat Statistisk sentralbyrå | Statistics Norway (2010) Deaths, by place of death, time and contents. Statistics Norway, Oslo Statistisk sentralbyrå | Statistics Norway (2010) Deaths, by place of death, time and contents. Statistics Norway, Oslo
Zurück zum Zitat UK Statistics Authority (2009) Mortality statistics: deaths registered in 2008. Review of the National Statistician on deaths in England and Wales. Office for National Statistics, Newport UK Statistics Authority (2009) Mortality statistics: deaths registered in 2008. Review of the National Statistician on deaths in England and Wales. Office for National Statistics, Newport
Zurück zum Zitat United Nations Department of Economic and Social Affairs SD (2001) Principles and recommendations for a vital statistics system, Revision 2. United Nations, New York United Nations Department of Economic and Social Affairs SD (2001) Principles and recommendations for a vital statistics system, Revision 2. United Nations, New York
Zurück zum Zitat Yun YH, Lim MK, Choi KS, Rhee YS (2006) Predictors associated with the place of death in a country with increasing hospital deaths. Palliat Med 20(4):455–461PubMedCrossRef Yun YH, Lim MK, Choi KS, Rhee YS (2006) Predictors associated with the place of death in a country with increasing hospital deaths. Palliat Med 20(4):455–461PubMedCrossRef
Metadaten
Titel
Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics
verfasst von
Joanna B. Broad
Merryn Gott
Hongsoo Kim
Michal Boyd
He Chen
Martin J. Connolly
Publikationsdatum
01.04.2013
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
International Journal of Public Health / Ausgabe 2/2013
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-012-0394-5

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