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Factors influencing place of death in Germany.
J Pain Symptom Manage. 2011 May; 41(5):893-903.JP

Abstract

CONTEXT

Knowledge about factors influencing the place of death may be very useful for the planning of public health strategies to improve the situation of terminally ill patients.

OBJECTIVES

The aim of our study was to determine where people died in the German federal state of Rhineland-Palatinate in 2008. We further wanted to detect which factors had an influence on the place of death.

METHODS

Our cross-sectional survey was based on a random sample of 5000 inhabitants of Rhineland-Palatinate who had died between May 25, 2008 and August 24, 2008. Relatives of these randomly drawn deceased persons were interviewed by means of a written survey.

RESULTS

After removing duplicates, 4967 questionnaires were sent out. In total, 3832 questionnaires were delivered and 1378 completed, leading to a response rate of 36.0%. Of this group, 38.2% of the deceased died at home, 39.3% in a hospital, 13.4% in a nursing home, 7.5% in a palliative care facility, and 1.6% elsewhere. Suffering from cancer (adjusted odds ratio [AOR]: 1.30; 95% confidence interval [CI]: 1.01-1.68), social support (AOR being married: 1.33; 95% CI: 1.04-1.70; AOR having a nonworking relative: 1.71; 95% CI: 1.28-2.29), a high care level (AOR Care Level II: 2.79; 95% CI: 2.06-3.79, AOR Care Level III: 4.96; 95% CI: 3.40-7.24), and living in a rural municipality (AOR: 1.36; 95% CI: 1.01-1.84) were major factors favoring home death compared with institutional death.

CONCLUSION

Compared with other European countries, home death is still a frequent event in the federal state of Rhineland-Palatinate. Regional health policy should consider the actual distribution of place of death and corresponding predicting factors when establishing specialized palliative care home services as designed by recent German health legislation.

Authors+Show Affiliations

Institute of Occupational, Social and Environmental Medicine, University Medical Center of Johannes Gutenberg University of Mainz, Mainz, Germany. escobar@uni-mainz.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21330098

Citation

Escobar Pinzón, Luis Carlos, et al. "Factors Influencing Place of Death in Germany." Journal of Pain and Symptom Management, vol. 41, no. 5, 2011, pp. 893-903.
Escobar Pinzón LC, Weber M, Claus M, et al. Factors influencing place of death in Germany. J Pain Symptom Manage. 2011;41(5):893-903.
Escobar Pinzón, L. C., Weber, M., Claus, M., Fischbeck, S., Unrath, M., Martini, T., & Münster, E. (2011). Factors influencing place of death in Germany. Journal of Pain and Symptom Management, 41(5), 893-903. https://doi.org/10.1016/j.jpainsymman.2010.07.016
Escobar Pinzón LC, et al. Factors Influencing Place of Death in Germany. J Pain Symptom Manage. 2011;41(5):893-903. PubMed PMID: 21330098.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors influencing place of death in Germany. AU - Escobar Pinzón,Luis Carlos, AU - Weber,Martin, AU - Claus,Matthias, AU - Fischbeck,Sabine, AU - Unrath,Michael, AU - Martini,Tanja, AU - Münster,Eva, Y1 - 2011/02/18/ PY - 2010/05/28/received PY - 2010/07/28/revised PY - 2010/07/29/accepted PY - 2011/2/19/entrez PY - 2011/2/19/pubmed PY - 2011/9/29/medline SP - 893 EP - 903 JF - Journal of pain and symptom management JO - J Pain Symptom Manage VL - 41 IS - 5 N2 - CONTEXT: Knowledge about factors influencing the place of death may be very useful for the planning of public health strategies to improve the situation of terminally ill patients. OBJECTIVES: The aim of our study was to determine where people died in the German federal state of Rhineland-Palatinate in 2008. We further wanted to detect which factors had an influence on the place of death. METHODS: Our cross-sectional survey was based on a random sample of 5000 inhabitants of Rhineland-Palatinate who had died between May 25, 2008 and August 24, 2008. Relatives of these randomly drawn deceased persons were interviewed by means of a written survey. RESULTS: After removing duplicates, 4967 questionnaires were sent out. In total, 3832 questionnaires were delivered and 1378 completed, leading to a response rate of 36.0%. Of this group, 38.2% of the deceased died at home, 39.3% in a hospital, 13.4% in a nursing home, 7.5% in a palliative care facility, and 1.6% elsewhere. Suffering from cancer (adjusted odds ratio [AOR]: 1.30; 95% confidence interval [CI]: 1.01-1.68), social support (AOR being married: 1.33; 95% CI: 1.04-1.70; AOR having a nonworking relative: 1.71; 95% CI: 1.28-2.29), a high care level (AOR Care Level II: 2.79; 95% CI: 2.06-3.79, AOR Care Level III: 4.96; 95% CI: 3.40-7.24), and living in a rural municipality (AOR: 1.36; 95% CI: 1.01-1.84) were major factors favoring home death compared with institutional death. CONCLUSION: Compared with other European countries, home death is still a frequent event in the federal state of Rhineland-Palatinate. Regional health policy should consider the actual distribution of place of death and corresponding predicting factors when establishing specialized palliative care home services as designed by recent German health legislation. SN - 1873-6513 UR - https://www.unboundmedicine.com/medline/citation/21330098/Factors_influencing_place_of_death_in_Germany_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0885-3924(10)01060-2 DB - PRIME DP - Unbound Medicine ER -