Funk Laura M, Mackenzie Corey S, Rapaport Li-Elle, Cherba Maria, Cohen S Robin, Krawczyk Marian, Rounce Andrea, Stajduhar Kelli I
University of Manitoba, Winnipeg, Manitoba, Canada.
University of Ottawa, Ottawa, Ontario, Canada.
Healthc Manage Forum. 2025 Mar;38(2):135-140. doi: 10.1177/08404704241297037. Epub 2024 Nov 6.
The purpose of this article is to assess whether COVID-19 shaped Canadians' preferred settings of dying. We compared data collected using the same survey from two independent but comparable sets of panel respondents, prior to and after the onset of the pandemic. A vignette methodology was used to assess preferences for dying in each of four settings: home, acute/intensive care, palliative care, and long-term residential care. Although preferences for dying at home, in acute/intensive care and palliative care units did not change, preferences for dying in nursing homes significantly declined. In the pandemic's first and second waves, the spread of knowledge about problems of poor care, visitation restrictions, and fears of contagion in Canadian long-term residential care may have shaped public perceptions of and preferences for dying these settings. If this change persists, it may influence advance care planning decisions. That preferences for dying at home did not shift is noteworthy.
本文的目的是评估2019冠状病毒病（COVID-19）是否影响了加拿大人对死亡地点的偏好。我们比较了在疫情爆发之前和之后，从两组独立但具有可比性的面板受访者那里，使用相同调查问卷收集到的数据。采用了一种情景描述方法来评估在四种环境中每种环境下的死亡偏好：家中、急性/重症监护、姑息治疗和长期居住护理机构。虽然在家中、急性/重症监护和姑息治疗病房死亡的偏好没有变化，但在养老院死亡的偏好显著下降。在疫情的第一波和第二波期间，关于加拿大长期居住护理机构护理质量差、探访限制以及对感染的恐惧等问题的知识传播，可能塑造了公众对在这些机构死亡的认知和偏好。如果这种变化持续下去，可能会影响预先护理计划的决策。在家中死亡的偏好没有改变这一点值得注意。
