Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - The rapidly changing location of death in Canada, 1994-2004.
AU - Wilson, Donna
AU - Truman, Corinne D.
AU - Thomas, Roger
AU - Faisinger, Robin
AU - Kovacs-Burns, Kathy
AU - Froggatt, Katherine
AU - Justice, Christopher
PY - 2009/5
Y1 - 2009/5
N2 - This 2008 study assessed location-of-death changes in Canada during 1994–2004, after previous research had identified a continuing increase to 1994 in hospital deaths. The most recent (1994–2004) complete population and individual-level Statistics Canada mortality data were analyzed, involving 1,806,318 decedents of all Canadian provinces and territories except Quebec. A substantial and continuing decline in hospitalized deaths was found (77.7%–60.6%). This decline was universal among decedents regardless of age, gender, marital status, whether they were born in Canada or not, across urban and rural provinces, and for all but two (infrequent) causes of death. This shift occurred in the absence of policy or purposive healthcare planning to shift death or dying out of hospital. In the developed world, recent changing patterns in the place of death, as well as the location and type of care provided near death appear to be occurring, making location-of-death trends an important topic of investigation. Canada is an important case study for highlighting the significance of location-of-death trends, and suggesting important underlying causal relationships and implications for end-of-life policies and practices.
AB - This 2008 study assessed location-of-death changes in Canada during 1994–2004, after previous research had identified a continuing increase to 1994 in hospital deaths. The most recent (1994–2004) complete population and individual-level Statistics Canada mortality data were analyzed, involving 1,806,318 decedents of all Canadian provinces and territories except Quebec. A substantial and continuing decline in hospitalized deaths was found (77.7%–60.6%). This decline was universal among decedents regardless of age, gender, marital status, whether they were born in Canada or not, across urban and rural provinces, and for all but two (infrequent) causes of death. This shift occurred in the absence of policy or purposive healthcare planning to shift death or dying out of hospital. In the developed world, recent changing patterns in the place of death, as well as the location and type of care provided near death appear to be occurring, making location-of-death trends an important topic of investigation. Canada is an important case study for highlighting the significance of location-of-death trends, and suggesting important underlying causal relationships and implications for end-of-life policies and practices.
KW - Palliative care
KW - End-of-life care
KW - Location of death
KW - Place of death
KW - Hospital
KW - Canada
U2 - 10.1016/j.socscimed.2009.03.006
DO - 10.1016/j.socscimed.2009.03.006
M3 - Journal article
VL - 68
SP - 1752
EP - 1758
JO - Social Science and Medicine
JF - Social Science and Medicine
SN - 0277-9536
IS - 10
ER -