Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea; Department of Social and Behavioral Science, Harvard T.H. CHAN School of Public Health, Boston, MA, USA.
Arch Gerontol Geriatr. 2018 Sep-Oct;78:196-202. doi: 10.1016/j.archger.2018.07.006. Epub 2018 Jul 7.
Previous research has revealed that many people wish to die at home; however, most die in healthcare institutions. This study explored factors related to the place of death and gender differences in this regard among older adults in South Korea. Participants included older adults from the Korean Longitudinal Study of Ageing. Multinomial logistic regression was used to examine relationships between place of death and relevant factors. Most older adults died in hospitals, followed by at home and in assisted living residences. Hospital and assisted living residence deaths increased while home deaths decreased. In both men and women, higher daily living dependency increased the probability of dying in an assisted living residence. Women were more likely to die in assisted living residences than men, and for persons living in urban areas, there was a decreased likelihood of home death only in women. Findings support that end-of-life care is performed mostly by institutions in Korea and there are gendered patterns. To achieve aging in place, the place of death and community-based terminal care should be more considered when implementing long-term care policies.
先前的研究表明，许多人希望在家中离世；然而，大多数人却在医疗机构中去世。本研究旨在探讨韩国老年人的死亡地点及与该地点相关的性别差异的影响因素。参与者为韩国老龄化纵向研究中的老年人。采用多项逻辑回归分析来检验死亡地点与相关因素之间的关系。大多数老年人在医院去世，其次是在家里和辅助生活机构中。医院和辅助生活机构的死亡人数增加，而在家中去世的人数减少。在男性和女性中，日常生活依赖度越高，在辅助生活机构中去世的可能性就越大。与男性相比，女性更有可能在辅助生活机构中去世，而对于居住在城市地区的人来说，只有女性在家中去世的可能性降低。研究结果表明，在韩国，临终关怀主要由医疗机构提供，且存在性别模式。为了实现原地老龄化，在实施长期护理政策时，应更多地考虑死亡地点和基于社区的临终关怀。
