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A Study of the Association Between Multidisciplinary Home Care and Home Death Among Thai Palliative Care Patients.
- Source :
-
The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2017 Jun; Vol. 34 (5), pp. 397-403. Date of Electronic Publication: 2016 Feb 17. - Publication Year :
- 2017
-
Abstract
- Purpose: Many terminally ill patients would prefer to stay and die in their own homes, but unfortunately, some may not be able to do so. Although there are many factors associated with successful home deaths, receiving palliative home visits from the multidisciplinary care teams is one of the key factors that enable patients to die at home. Our study was aimed to find whether there was any association between our palliative home care program and home death.<br />Methods: A retrospective study was conducted in the Department of Family Medicine at Ramathibodi Hospital between January 2012 and May 2014. All of the patients who were referred to multidisciplinary palliative care teams were included. The data set comprised of patient's profile, disease status, functional status, patient's symptoms, preferred place of death, frequency of home visits, types of team interventions, and patient's actual place of death. Multiple logistic regression was applied in order to determine the association between the variables and the probability of dying at home.<br />Results: A total of 142 patients were included into the study. At the end of the study, 50 (35.2%) patients died at home and 92 (64.8%) patients died in the hospital. The multivariate logistic regression analysis demonstrated a strong association between multidisciplinary home care and home death (odds ratio 6.57, 95% confidence interval [CI] 2.48-17.38).<br />Conclusion: Palliative home care was a significant factor enabling patients who want to die at home. We encourage health policy makers to promote the development of community-based palliative care programs in Thailand.
- Subjects :
- Adult
Age Factors
Aged
Aged, 80 and over
Female
Humans
Logistic Models
Male
Marital Status
Middle Aged
Patient Care Team organization & administration
Patient Preference
Retrospective Studies
Severity of Illness Index
Sex Factors
Thailand
Young Adult
Home Care Services organization & administration
Home Care Services statistics & numerical data
Palliative Care organization & administration
Palliative Care statistics & numerical data
Terminal Care organization & administration
Terminal Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1938-2715
- Volume :
- 34
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The American journal of hospice & palliative care
- Publication Type :
- Academic Journal
- Accession number :
- 26888885
- Full Text :
- https://doi.org/10.1177/1049909116631550