影响临终关怀及非临终关怀癌症患者死亡地点的因素。
Factors affecting place of death of hospice and non-hospice cancer patients.
作者信息
Moinpour C M, Polissar L
机构信息
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98104.
出版信息
Am J Public Health. 1989 Nov;79(11):1549-51. doi: 10.2105/ajph.79.11.1549.
Abstract
We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups of patients, such as the extreme elderly and those diagnosed close to death, to die in an institutional setting. These findings are discussed with respect to the problem of selection bias.
摘要
我们确定了华盛顿州西部13个县的28,828名临终关怀和非临终关怀癌症患者在家中死亡的相关因素。研究发现，参与临终关怀是与在家中死亡最密切相关的变量。对于某些患者亚组，如高龄老人和临终前确诊的患者，入住临终关怀机构似乎克服了他们在机构环境中死亡的倾向。我们针对选择偏倚问题对这些发现进行了讨论。
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