ArticlePloS one2014
Moving to and dying in a nursing home depends not only on health - an analysis of socio-demographic determinants of place of death in Switzerland.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic position and use of healthcare in the last year of life: A systematic review and meta-analysis.PLoS medicine · 2019Pooled it
- Advance care planning by proxy for residential aged care facility residents: results of a pilot interventional study.Innovation in aging · 2026Article
- A cross-sectional study on the relationship between length of stay and patient satisfaction based on the SERVQUAL model.Scientific reports · 2025Article
- Inequality in housing transitions during cognitive decline.PloS one · 2023Article
- Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study.The Lancet regional health. Western Pacific · 2022Article
- Comparing the Clinical Characteristics and Mortality of Residential and Non-Residential Older People with COVID-19: Retrospective Observational Study.International journal of environmental research and public health · 2022Observational
- Social and Regional Factors Predict the Likelihood of Admission to a Nursing Home After Acute Hospital Stay in Older People With Chronic Health Conditions: A Multilevel Analysis Using Routinely Collected Hospital and Census Data in Switzerland.Frontiers in public health · 2022Article
- Regional differences in healthcare costs at the end of life: an observational study using Swiss insurance claims data.International journal of public health · 2020Observational
- Continuous Deep Sedation Until Death-a Swiss Death Certificate Study.Journal of general internal medicine · 2018Article
- Regional Variation of Cost of Care in the Last 12 Months of Life in Switzerland: Small-area Analysis Using Insurance Claims Data.Medical care · 2017Article
- Dying among older adults in Switzerland: who dies in hospital, who dies in a nursing home?BMC palliative care · 2016Article
- Place of death in children and young people with cancer and implications for end of life care: a population-based study in England, 1993-2014.BMC cancer · 2016Article
- Determinants of aggregate length of hospital stay in the last year of life in Switzerland.BMC health services research · 2016Article
- Health Care Utilisation and Transitions between Health Care Settings in the Last 6 Months of Life in Switzerland.PloS one · 2016Article
- Social determinants of duration of last nursing home stay at the end of life in Switzerland: a retrospective cohort study.BMC geriatrics · 2015Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn developed countries generally about 7 out of 10 deaths occur in institutions such as acute care hospitals or nursing homes. However, less is known about the influence of non-medical determinants of place of death. This study examines the influence of socio-demographic and regional factors on place of death in Switzerland. DATA AND
methodsWe linked individual data from hospitals and nursing homes with census and mortality records of the Swiss general population. We differentiated between those who died in a hospital after a length of stay ≤2 days or ≥3 days, those who died in nursing homes, and those who died at home. In gender-specific multinomial logistic regression models we analysed N = 85,129 individuals, born before 1942 (i.e., ≥65 years old) and deceased in 2007 or 2008.
resultsAlmost 70% of all men and 80% of all women died in a hospital or nursing home. Regional density of nursing home beds, being single, divorced or widowed, or living in a single-person household were predictive of death in an institution, especially among women. Conversely, homeownership, high educational level and having children were associated with dying at home.
conclusionPlace of death substantially depends on socio-demographic determinants such as household characteristics and living conditions as well as on regional factors. Individuals with a lower socio-economic position, living alone or having no children are more prone to die in a nursing home. Health policy should empower these vulnerable groups to choose their place of death in accordance to needs and wishes.
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