Place of death for people with noncancer and cancer illness in South Australia: a population-based survey

J Palliat Care. Autumn 2008;24(3):144-50.

Abstract

A large representative population survey of 9,500 households reports the association between place of death, diagnosis (cancer vs. noncancer), and use of palliative care services of terminally ill South Australians. Thirty-one percent (1,920) indicated that someone close to them had died of a terminal illness in the preceding five years; 18% had died of noncancer illness and 82% of cancer. Sixty-two percent of deceased individuals accessed palliative care services. More patients with cancer than noncancer had had palliative care (65% vs. 48%; p < 0.0001). Compared with cancer patients, those with noncancer illness had died in hospices less frequently (9% vs. 15%; p = 0.0015) and in nursing homes more frequently (15% vs. 5%; p < 0.0001). Similar proportions had died in hospital (60%) and at home (16%-20%). Palliative care service involvement did not reduce institutional deaths, but shifted them from hospital to hospice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cause of Death
  • Community Health Planning
  • Community Health Services / organization & administration
  • Health Care Surveys
  • Health Policy
  • Health Services Accessibility / organization & administration
  • Health Services Needs and Demand
  • Home Care Services / statistics & numerical data*
  • Hospices / statistics & numerical data*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Neoplasms* / mortality
  • Nursing Homes / statistics & numerical data*
  • Palliative Care / statistics & numerical data*
  • South Australia / epidemiology
  • Surveys and Questionnaires
  • Terminally Ill / statistics & numerical data