1 Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
2 Comprehensive Cancer Center the Netherlands, Utrecht, The Netherlands.
Palliat Med. 2018 Feb;32(2):347-356. doi: 10.1177/0269216317710383. Epub 2017 Jun 7.
Previous studies on factors influencing the place of death have focused on cancer patients dying at home. However, home is not always the preferred place.
To provide insight into the extent to which patients with various diseases die in their preferred place and into factors associated with dying in the preferred place.
A secondary analysis of the data set of the evaluation study of the National Quality Improvement Programme for Palliative Care was undertaken to explore factors related to 'dying in the preferred place'.
SETTING/PARTICIPANTS: A total of 797 bereaved relatives filled in the Consumer Quality Index Palliative Care, a validated and reliable questionnaire.
Two-thirds of the patients died in the preferred place. A preference for dying at home and having had a stroke decreased the likelihood of dying in the preferred place, while having a partner, dementia, contact with the general practitioner in the last week before death, and continuity of care between professionals increased the likelihood of dying in the preferred place. Furthermore, people who wanted to die at home and also had dementia were more likely to die elsewhere than people without dementia who wanted to die at home.
Positive associations were found between continuity of care between healthcare professionals and contact with the general practitioner and the chance of people dying in their preferred place. Moreover, special attention for people who have had a stroke and for people with dementia who want to die at home seems indicated as their diagnosis is negatively associated with dying in their preferred place.
先前关于影响死亡地点的因素的研究主要集中在癌症患者在家中死亡的情况。然而，家并不总是首选的地点。
深入了解患有各种疾病的患者在其首选地点死亡的程度，以及与在首选地点死亡相关的因素。
对姑息治疗国家质量改进计划评估研究数据集进行二次分析，以探讨与“在首选地点死亡”相关的因素。
设置/参与者：共有 797 名失去亲人的亲属填写了消费者质量指数姑息护理调查问卷，该问卷经过验证和可靠。
三分之二的患者在首选地点死亡。在家中死亡的偏好和中风降低了在首选地点死亡的可能性，而有伴侣、痴呆症、在死亡前一周与全科医生的接触以及专业人员之间的护理连续性则增加了在首选地点死亡的可能性。此外，那些希望在家中死亡且患有痴呆症的人比那些希望在家中死亡但没有痴呆症的人更有可能在其他地方死亡。
医疗保健专业人员之间的护理连续性以及与全科医生的接触与人们在首选地点死亡的机会之间存在正相关关系。此外，对于患有中风的人和希望在家中死亡的痴呆症患者，似乎需要特别关注，因为他们的诊断与在首选地点死亡呈负相关。
