Journal
HEALTH & PLACE
Volume 16, Issue 1, Pages 132-139Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.healthplace.2009.09.005
Keywords
Metropolitan populations; Terminally ill; Terminal care; Palliative care; Place of death; Location of death
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Place of death is an important societal indicator of end-of-life quality for the terminally ill. Using death certificate data, we examined metropolitan/non-metropolitan variation in place of death of patients with life-limiting conditions in Belgium, The Netherlands and England. Metropolitan patients were less likely to die at home and, in England, less likely to die in care homes, than non-metropolitan terminally ill. We found a lesser degree of social support and lower availability of care home beds as partial explanations of the metropolitan/non-metropolitan discrepancy. These findings warrant specific approaches to end-of-life care in metropolitan areas. (C) 2009 Elsevier Ltd. All rights reserved.
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