A retrospective analysis of preferred and actual place of death for hospice patients

Holdsworth, L.M. and Fisher, S.D. (2010) A retrospective analysis of preferred and actual place of death for hospice patients. International Journal of Palliative Nursing, 16 (9). pp. 424-430. ISSN 1357-6321. (The full text of this publication is not available from this repository)

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Abstract

The purpose of this study was to explore recording rates of preferences, and the preferred and actual place of death among hospice patients. Data was collected retrospectively from a group of three hospices over a 6-month period. Of 298 patients, 174 patients (58.4%) had no expressed preference for place of death. The congruence of preferred and actual place of death was: home 52.5%; hospice 86.2%; hospital 100%; and care home 50%. The overall congruence was 61.7% and kappa value was 0.38 (0.23-0.52, 95% confidence interval). The low rate of expressed preferences suggests that congruence of preferred and actual place of death was a suitable outcome measurement for less than half of hospice patients. A wider range of patient-focused indicators for identifying the quality of end-of life services is needed as preferred place of death may not be the only suitable indicator for all patients.

Item Type: Article
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RT Nursing
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Laura Holdsworth
Date Deposited: 05 Oct 2010 08:44
Last Modified: 08 Oct 2012 09:07
Resource URI: http://kar.kent.ac.uk/id/eprint/25717 (The current URI for this page, for reference purposes)
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