Currow David C, Burns Catherine M, Abernethy Amy P
Department of Palliative and Supportive Services, Flinders University, Bedford Park, South Australia.
J Palliat Care. 2008 Autumn;24(3):144-50.
A large representative population survey of 9,500 households reports the association between place of death, diagnosis (cancer vs. noncancer), and use of palliative care services of terminally ill South Australians. Thirty-one percent (1,920) indicated that someone close to them had died of a terminal illness in the preceding five years; 18% had died of noncancer illness and 82% of cancer. Sixty-two percent of deceased individuals accessed palliative care services. More patients with cancer than noncancer had had palliative care (65% vs. 48%; p < 0.0001). Compared with cancer patients, those with noncancer illness had died in hospices less frequently (9% vs. 15%; p = 0.0015) and in nursing homes more frequently (15% vs. 5%; p < 0.0001). Similar proportions had died in hospital (60%) and at home (16%-20%). Palliative care service involvement did not reduce institutional deaths, but shifted them from hospital to hospice.
一项对9500户家庭进行的大型代表性人口调查，报告了南澳大利亚绝症患者的死亡地点、诊断（癌症与非癌症）以及姑息治疗服务的使用之间的关联。31%（1920户）表示，在过去五年中，他们身边有人死于绝症；其中18%死于非癌症疾病，82%死于癌症。62%的逝者接受了姑息治疗服务。接受姑息治疗的癌症患者比非癌症患者更多（65%对48%；p<0.0001）。与癌症患者相比，非癌症疾病患者在临终关怀机构死亡的频率较低（9%对15%；p=0.0015），而在疗养院死亡的频率较高（15%对5%；p<0.0001）。在医院（60%）和家中（16%-20%）死亡的比例相似。姑息治疗服务的参与并没有减少在机构中的死亡，但将死亡地点从医院转移到了临终关怀机构。
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