Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)

Monica Beccaro, Massimo Costantini, Paolo Giorgi Rossi, Guido Miccinesi, Maria Grimaldi, Paolo Bruzzi

Research output: Contribution to journalArticle

160 Citations (Scopus)

Abstract

Objective: To describe actual and preferred place of death of Italian cancer patients and to analyse the preferences met regarding the place of death. Design: Mortality follow back survey of 2000 cancer deaths, identified with a two stage probability sample representative of the whole country. Information on patients' experience was gathered from the non-professional caregiver with an interview. A section of the interview covered information on the actual and preferred place of death of the patients. Setting: 30 Italian local health districts randomly selected after stratification in four geographical areas. Participants: 1900 of 2000 (95.0%) caregivers of cancer deaths identified. Main outcome measures: Prevalence of actual and preferred places of death. Results: Valid interviews were obtained for 66.9% (n = 1271) of the caregivers. Place of death was home for 57.9% of Italian cancer patients, hospital for 34.6%, hospice for 0.7%, nursing home for 6.5%, and ambulance for 0,4%. Wide and significant differences within Italy were seen (home deaths ranged between 94.0% in the south and 28.2% in the north east). Home was the preferred place of death for 93.5% of patients that expressed a preference, with minimal differences within the country (between 89.5% and 99.0%). Overall 67.1% of the sample died in the place where they preferred to die. Conclusions: Policymakers should encourage health services to focus on ways of meeting individual preferences on place of death. As home was the preferred place of death for most cancer patients, effective programmes to enable the patients to remain at home should be implemented.

Original languageEnglish
Pages (from-to)412-416
Number of pages5
JournalJournal of Epidemiology and Community Health
Volume60
Issue number5
DOIs
Publication statusPublished - May 2006

Fingerprint

Neoplasms
Caregivers
Interviews
Surveys and Questionnaires
Hospice and Palliative Care Nursing
Cancer Care Facilities
Sampling Studies
Ambulances
Nursing Homes
Italy
Health Services
Outcome Assessment (Health Care)
Mortality
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC). / Beccaro, Monica; Costantini, Massimo; Rossi, Paolo Giorgi; Miccinesi, Guido; Grimaldi, Maria; Bruzzi, Paolo.

In: Journal of Epidemiology and Community Health, Vol. 60, No. 5, 05.2006, p. 412-416.

Research output: Contribution to journalArticle

@article{f69e2f33104d4d9f8a6a76e4d126a14c,
title = "Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)",
abstract = "Objective: To describe actual and preferred place of death of Italian cancer patients and to analyse the preferences met regarding the place of death. Design: Mortality follow back survey of 2000 cancer deaths, identified with a two stage probability sample representative of the whole country. Information on patients' experience was gathered from the non-professional caregiver with an interview. A section of the interview covered information on the actual and preferred place of death of the patients. Setting: 30 Italian local health districts randomly selected after stratification in four geographical areas. Participants: 1900 of 2000 (95.0{\%}) caregivers of cancer deaths identified. Main outcome measures: Prevalence of actual and preferred places of death. Results: Valid interviews were obtained for 66.9{\%} (n = 1271) of the caregivers. Place of death was home for 57.9{\%} of Italian cancer patients, hospital for 34.6{\%}, hospice for 0.7{\%}, nursing home for 6.5{\%}, and ambulance for 0,4{\%}. Wide and significant differences within Italy were seen (home deaths ranged between 94.0{\%} in the south and 28.2{\%} in the north east). Home was the preferred place of death for 93.5{\%} of patients that expressed a preference, with minimal differences within the country (between 89.5{\%} and 99.0{\%}). Overall 67.1{\%} of the sample died in the place where they preferred to die. Conclusions: Policymakers should encourage health services to focus on ways of meeting individual preferences on place of death. As home was the preferred place of death for most cancer patients, effective programmes to enable the patients to remain at home should be implemented.",
author = "Monica Beccaro and Massimo Costantini and Rossi, {Paolo Giorgi} and Guido Miccinesi and Maria Grimaldi and Paolo Bruzzi",
year = "2006",
month = "5",
doi = "10.1136/jech.2005.043646",
language = "English",
volume = "60",
pages = "412--416",
journal = "Journal of Epidemiology and Community Health",
issn = "0143-005X",
publisher = "BMJ Publishing Group",
number = "5",

}

TY - JOUR

T1 - Actual and preferred place of death of cancer patients. Results from the Italian survey of the dying of cancer (ISDOC)

AU - Beccaro, Monica

AU - Costantini, Massimo

AU - Rossi, Paolo Giorgi

AU - Miccinesi, Guido

AU - Grimaldi, Maria

AU - Bruzzi, Paolo

PY - 2006/5

Y1 - 2006/5

N2 - Objective: To describe actual and preferred place of death of Italian cancer patients and to analyse the preferences met regarding the place of death. Design: Mortality follow back survey of 2000 cancer deaths, identified with a two stage probability sample representative of the whole country. Information on patients' experience was gathered from the non-professional caregiver with an interview. A section of the interview covered information on the actual and preferred place of death of the patients. Setting: 30 Italian local health districts randomly selected after stratification in four geographical areas. Participants: 1900 of 2000 (95.0%) caregivers of cancer deaths identified. Main outcome measures: Prevalence of actual and preferred places of death. Results: Valid interviews were obtained for 66.9% (n = 1271) of the caregivers. Place of death was home for 57.9% of Italian cancer patients, hospital for 34.6%, hospice for 0.7%, nursing home for 6.5%, and ambulance for 0,4%. Wide and significant differences within Italy were seen (home deaths ranged between 94.0% in the south and 28.2% in the north east). Home was the preferred place of death for 93.5% of patients that expressed a preference, with minimal differences within the country (between 89.5% and 99.0%). Overall 67.1% of the sample died in the place where they preferred to die. Conclusions: Policymakers should encourage health services to focus on ways of meeting individual preferences on place of death. As home was the preferred place of death for most cancer patients, effective programmes to enable the patients to remain at home should be implemented.

AB - Objective: To describe actual and preferred place of death of Italian cancer patients and to analyse the preferences met regarding the place of death. Design: Mortality follow back survey of 2000 cancer deaths, identified with a two stage probability sample representative of the whole country. Information on patients' experience was gathered from the non-professional caregiver with an interview. A section of the interview covered information on the actual and preferred place of death of the patients. Setting: 30 Italian local health districts randomly selected after stratification in four geographical areas. Participants: 1900 of 2000 (95.0%) caregivers of cancer deaths identified. Main outcome measures: Prevalence of actual and preferred places of death. Results: Valid interviews were obtained for 66.9% (n = 1271) of the caregivers. Place of death was home for 57.9% of Italian cancer patients, hospital for 34.6%, hospice for 0.7%, nursing home for 6.5%, and ambulance for 0,4%. Wide and significant differences within Italy were seen (home deaths ranged between 94.0% in the south and 28.2% in the north east). Home was the preferred place of death for 93.5% of patients that expressed a preference, with minimal differences within the country (between 89.5% and 99.0%). Overall 67.1% of the sample died in the place where they preferred to die. Conclusions: Policymakers should encourage health services to focus on ways of meeting individual preferences on place of death. As home was the preferred place of death for most cancer patients, effective programmes to enable the patients to remain at home should be implemented.

UR - http://www.scopus.com/inward/record.url?scp=33646246618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646246618&partnerID=8YFLogxK

U2 - 10.1136/jech.2005.043646

DO - 10.1136/jech.2005.043646

M3 - Article

C2 - 16614331

AN - SCOPUS:33646246618

VL - 60

SP - 412

EP - 416

JO - Journal of Epidemiology and Community Health

JF - Journal of Epidemiology and Community Health

SN - 0143-005X

IS - 5

ER -