Predictors of Place of Death for Seniors in Ontario: A Population-Based Cohort Analysis
- 1 January 2006
- journal article
- Published by Cambridge University Press (CUP) in Canadian Journal on Aging / La Revue canadienne du vieillissement
- Vol. 25 (4), 363-371
- https://doi.org/10.1353/cja.2007.0019
Abstract
Place of death was determined for all 58,689 seniors (age ≥ 66 years) in Ontario who died during fiscal year 2001/2002. The relationship of place of death to medical and socio-demographic characteristics was examined using a multinomial logit model. Half (49.2%) of these individuals died in hospital, 30.5 per cent died in a long-term care facility, 9.6 per cent died at home while receiving home care, and 10.7 per cent died at home without home care. Co-morbidities were the strongest predictors of place of death (p< 0.0001). A cancer diagnosis increased the chances of death at home while receiving home care; seniors with dementia were most likely to die in LTC facilities; and those with major acute conditions were most likely to die in hospitals. Higher socio-economic status was associated with greater probability of dying at home but contributed little to the model. Appropriate planning and resource allocation may help move place of death from hospitals to nursing homes or the community, in accordance with individual preferences.Keywords
This publication has 28 references indexed in Scilit:
- Sociodemographic determinants of cancer treatment health literacyCancer, 2005
- Factors Associated With Site of DeathMedical Care, 2003
- Dementia in Ontario: Prevalence and Health Services UtilizationCanadian Journal on Aging / La Revue canadienne du vieillissement, 2003
- Location of Death in CanadaEvaluation & the Health Professions, 2001
- Insights About Dying from the SUPPORT ProjectJournal of the American Geriatrics Society, 2000
- Geographical variations of place of death among Italian communities suggest an inappropriate hospital use in the terminal phase of cancer diseasePublic Health, 2000
- Effect of home care on the place of death of advanced cancer patientsEuropean Journal Of Cancer, 1996
- Psychiatric and Physical Morbidity Effects of Dementia Caregiving: Prevalence, Correlates, and CausesThe Gerontologist, 1995
- A note on a general definition of the coefficient of determinationBiometrika, 1991
- Terminal cancer care and patients' preference for place of death: a prospective study.BMJ, 1990