Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis
Hospital death is associated with poor-quality end-of-life care, and hospital is the most common death location for dementia patients. However, end-of-life care is inappropriate for dementia, which is not a terminal condition. In Japan, dementia patients receive long-term hospital treatment, with fe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-01-01
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| Series: | Cogent Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/2331205X.2018.1483097 |
| _version_ | 1811180363989385216 |
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| author | Kayo Hirooka Miharu Nakanishi Hiroki Fukahori Atsushi Nishida |
| author_facet | Kayo Hirooka Miharu Nakanishi Hiroki Fukahori Atsushi Nishida |
| author_sort | Kayo Hirooka |
| collection | DOAJ |
| description | Hospital death is associated with poor-quality end-of-life care, and hospital is the most common death location for dementia patients. However, end-of-life care is inappropriate for dementia, which is not a terminal condition. In Japan, dementia patients receive long-term hospital treatment, with few opportunities to return home. Therefore, we examined the association between hospital death in dementia patients and regional provision of home-based end-of-life care. We analyzed 12,933 discharged dementia patients’ data from the National Patient Survey, a nationally representative cross-sectional survey examining hospital discharges. Number of patients covered by home-based end-of-life care clinics per 1,000 population in their residential regions were calculated using regional statistics. Of the 12,933 patients, 20.6% died in hospitals (average hospitalization duration: 160 days). Regional provision of home-based end-of-life care was associated with hospital death in dementia patients. However, patients in regions with high numbers of patients covered by home-based end-of-life care clinics were likelier to die in hospital than at home. Such care clinics were unsuccessful in providing end-of-life care. Furthermore, despite regional availability of home-based end-of-life care clinics, patients were likelier to die in hospital than at home. Therefore, specific strategies are needed to improve home-care clinics for dementia patients who require end-of-life care. |
| first_indexed | 2024-04-11T09:02:04Z |
| format | Article |
| id | doaj.art-a18c0809ee90442b8f30dd68715f5a08 |
| institution | Directory Open Access Journal |
| issn | 2331-205X |
| language | English |
| last_indexed | 2024-04-11T09:02:04Z |
| publishDate | 2018-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Medicine |
| spelling | doaj.art-a18c0809ee90442b8f30dd68715f5a082022-12-22T04:32:45ZengTaylor & Francis GroupCogent Medicine2331-205X2018-01-015110.1080/2331205X.2018.14830971483097Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysisKayo Hirooka0Miharu Nakanishi1Hiroki Fukahori2Atsushi Nishida3Tokyo Metropolitan Institute of Medical ScienceTokyo Metropolitan Institute of Medical ScienceKeio UniversityTokyo Metropolitan Institute of Medical ScienceHospital death is associated with poor-quality end-of-life care, and hospital is the most common death location for dementia patients. However, end-of-life care is inappropriate for dementia, which is not a terminal condition. In Japan, dementia patients receive long-term hospital treatment, with few opportunities to return home. Therefore, we examined the association between hospital death in dementia patients and regional provision of home-based end-of-life care. We analyzed 12,933 discharged dementia patients’ data from the National Patient Survey, a nationally representative cross-sectional survey examining hospital discharges. Number of patients covered by home-based end-of-life care clinics per 1,000 population in their residential regions were calculated using regional statistics. Of the 12,933 patients, 20.6% died in hospitals (average hospitalization duration: 160 days). Regional provision of home-based end-of-life care was associated with hospital death in dementia patients. However, patients in regions with high numbers of patients covered by home-based end-of-life care clinics were likelier to die in hospital than at home. Such care clinics were unsuccessful in providing end-of-life care. Furthermore, despite regional availability of home-based end-of-life care clinics, patients were likelier to die in hospital than at home. Therefore, specific strategies are needed to improve home-care clinics for dementia patients who require end-of-life care.http://dx.doi.org/10.1080/2331205X.2018.1483097discharge outcomedementiaplace of deathpalliative careend-of-life care |
| spellingShingle | Kayo Hirooka Miharu Nakanishi Hiroki Fukahori Atsushi Nishida Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis Cogent Medicine discharge outcome dementia place of death palliative care end-of-life care |
| title | Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis |
| title_full | Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis |
| title_fullStr | Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis |
| title_full_unstemmed | Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis |
| title_short | Hospital death in dementia patients and regional provision of palliative and end-of-life care: National patient data analysis |
| title_sort | hospital death in dementia patients and regional provision of palliative and end of life care national patient data analysis |
| topic | discharge outcome dementia place of death palliative care end-of-life care |
| url | http://dx.doi.org/10.1080/2331205X.2018.1483097 |
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