Where do cancer patients in receipt of home-based palliative care prefer to die and what are the determinants of a preference for a home death?
Open accessAbstract
Understanding the preferred place of death may assist to organize and deliver palliative health care services. The study aims to assess preference for place of death among cancer patients in receipt of home-based palliative care, and to determine the variables that affect their preference for a home death. A prospective cohort design was carried out from July 2010 to August 2012. Over the course of their palliative care trajectory, a total of 303 family caregivers of cancer patients were interviewed. Multivariate regression analysis was employed to assess the determinants of a preferred home death. The majority (65%) of patients had a preference of home death. The intensity of home-based physician visits and home-based personal support worker (PSW) care promotes a preference for a home death. Married patients, patients receiving post-graduate education and patients with higher Palliative Performance Scale (PPS) scores were more likely to have a preference of home death. Patients reduced the likelihood of preferring a home death when their family caregiver had high burden. This study suggests that the majority of cancer patients have a preference of home death. Health mangers and policy makers have the potential to develop policies that facilitate those preferences.
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Many patients with terminal cancer and their families prefer palliative care at home rather than in a health-care facility.
“many patients with terminal cancer and their families prefer palliative care delivered at home versus a health-care facility.153”
From Digital health and telehealth in cancer care: A scoping review of reviews (2023) · cites this paper as [153]
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- Authors
- Cai, J., Zhang, L., Guerriere, D., Fan, H., & Coyte, P. C.
- Affiliations
- Beijing Jiaotong University (CN)
- University of Toronto (CA)
- Shandong University of Finance and Economics (CN)
- Corresponding author
- Fan, Hongli
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-12-30
- Volume
- 18
- Issue
- 1
- Pages
- 235
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7796022
- OpenAlex
- W3113426853
- Cited by
- 45
- References
- 37
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 10 · 2023: 9 · 2022: 10 · 2021: 3
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Canadian Institutes of Health Research (74722, PHE-101530, and HPM-303157)
- National Natural Science Foundation of China (71904011)
- National Social Science Fund of China (19CSH073)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- place of death, home death, home-based palliative care, cancer patients, patient preferences, family caregivers, caregiver burden, Palliative Performance Scale, physician home visits, marital status, educational attainment
- MeSH terms
- Female, Home Care Services, Humans, Male, Neoplasms, Palliative Care, Prospective Studies, Caregivers, Patient Preference
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