title: Factors enabling home death of the elderly in an institution specializing in home medical care: analysis of apprehension of the bereaved family.
abstract: OBJECTIVE
  To determine the factors enabling home death despite caregiver apprehension about home medical care.
  
  
  METHODS
  This study was an anonymous mailed survey of bereaved family members (the caregiver) of patients who died in a home medical care setting provided by an institution specializing in home medical care in Japan (home death rate, approximately 80%). We analyzed the relationships between caregiver apprehension about home medical care, overall satisfaction with home medical care and the place of death.
  
  
  RESULTS
  Higher caregiver apprehension about home medical care and lower overall satisfaction with home medical care were significantly associated with dying in a hospital. In addition, the home death group with apprehension about home medical care significantly rated higher overall satisfaction with home medical care than the hospital death group. Meanwhile, there was no difference in the overall satisfaction with home medical care between those with or without apprehension about home medical care in the home death group. Factors influencing overall satisfaction with home medical care in the home death group with apprehension about home medical care were: (i) being free from pain or symptoms (partial regression coefficient: 0.83); and (ii) fulfilled medical care service system (partial regression coefficient: 0.40).
  
  
  CONCLUSIONS
  These results suggest that caregiver satisfaction with home medical care is an essential factor to enable home death of the patient despite the caregiver apprehension about home medical care.
authors: Division of Heath Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
authors: Akiko
authors: A
authors: Akiyama
authors: Kumiko
authors: K
authors: Numata
authors: Hiroshi
authors: H
authors: Mikami
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology*; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D003625:Data Collection; D003643:Death; D005192:Family Health; D005260:Female; D006699:Home Care Services / Q000592:standards; D006801:Humans; D008875:Middle Aged; D010549:Personal Satisfaction; D013727:Terminal Care / Q000523:psychology*