title: Predictors of Place of Death for Those in Receipt of Home-Based Palliative Care Services in Ontario, Canada.
abstract: Many cancer patients die in institutional settings despite their preference to die at home. A longitudinal, prospective cohort study was conducted to comprehensively assess the determinants of home death for patients receiving home-based palliative care. Data collected from biweekly telephone interviews with caregivers (n = 302) and program databases were entered into a multivariate logistic model. Patients with high nursing costs (odds ratio [OR]: 4.3; confidence interval [CI]: 1.8-10.2) and patients with high personal support worker costs (OR: 2.3; CI: 1.1-4.5) were more likely to die at home than those with low costs. Patients who lived alone were less likely to die at home than those who cohabitated (OR: 0.4; CI: 0.2-0.8), and those with a high propensity for a home-death preference were more likely to die at home than those with a low propensity (OR: 5.8; CI: 1.1-31.3). An understanding of the predictors of place of death may contribute to the development of effective interventions that support home death.
authors.forename: Denise
authors.initials: D
authors.lastname: Guerriere
authors.forename: Amna
authors.initials: A
authors.lastname: Husain
authors.forename: Denise
authors.initials: D
authors.lastname: Marshall
authors.forename: Brandon
authors.initials: B
authors.lastname: Zagorski
authors.forename: Hsien
authors.initials: H
authors.lastname: Seow
authors.forename: Kevin
authors.initials: K
authors.lastname: Brazil
authors.forename: Julia
authors.initials: J
authors.lastname: Kennedy
authors.forename: Robin
authors.initials: R
authors.lastname: McLernon
authors.forename: Sheri
authors.initials: S
authors.lastname: Burns
authors.forename: Peter C
authors.initials: PC
authors.lastname: Coyte
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003643:Death; D005260:Female; D006699:Home Care Services; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing*; D009864:Ontario; D010166:Palliative Care; D011446:Prospective Studies; D019452:Terminally Ill / Q000706:statistics & numerical data*