ArticlePloS one2019
Individual, clinical and system factors associated with the place of death: A linked national database study.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Relationship Between the Preferred Place of Death in Patients' Health Records and the Actual Location of Death in Home Palliative Care: A Retrospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- End-of-life care for older adults receiving home medical care in Japan: a pilot retrospective cohort study.Journal of rural medicine : JRM · 2026Article
- Caregivers influence preferred place of death for patients with an advanced cancer.Palliative & supportive care · 2025Article
- Determinants of place of death among individuals with cardiovascular disease: A Saudi sub-national register study.PloS one · 2025Article
- The influence of informal caregivers on the place of death: A study within a home palliative care team.Palliative care and social practice · 2025Article
- The determinants of actual place of death among noncancer patients with end-stage chronic health conditions: a scoping review.Palliative care and social practice · 2024Article
- Home or hospital as the place of end-of-life care and death: A survey among Chinese residents of Macao.Frontiers in public health · 2023Article
- Factors associated with home death in South Korea: Using the exit data from the Korean Longitudinal Study of Aging, 2008-2018.PloS one · 2023Article
- Factors influencing place of death and disenrollment among patients receiving specialist palliative care.Acta bio-medica : Atenei Parmensis · 2022Article
- 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
- Predictors of At-Home Death for Cancer Patients in Rural Clinics in Japan.International journal of environmental research and public health · 2021Article
- Predictors of the final place of care of patients with advanced cancer receiving integrated home-based palliative care: a retrospective cohort study.BMC palliative care · 2021Article
- A Comparison of the Survival, Place of Death, and Medical Utilization of Terminal Patients Receiving Hospital-Based and Community-Based Palliative Home Care: A Retrospective and Propensity Score Matching Cohort Study.International journal of environmental research and public health · 2021Article
- Predictors of death at home among cancer patients in Israel: a population-based study.International journal for equity in health · 2021Article
- Sociodemographic and clinical factors for non-hospital deaths among cancer patients: A nationwide population-based cohort study.PloS one · 2020Article
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany middle- and high-income countries face the challenge of meeting preferences for home deaths. A better understanding of associated factors could support the design and implementation of policies and practices to enable dying at home. This study aims to identify factors associated with the place of death in Singapore, a country with a strong sense of filial piety. SETTINGS/
participantsA retrospective cohort of 62,951 individuals (≥21 years old) who had died from chronic diseases in Singapore between 2012-2015 was obtained. Home death was defined as a death that occurred in a private residence whereas non-home deaths occurred in hospitals, nursing homes, hospices and other locations. Data were obtained by extracting and linking data from five different databases. Hierarchical multivariable logistic regression models were used to examine the effects of individual, clinical and system factors sequentially.
resultsTwenty-eight percent of deaths occurred at home. Factors associated with home death included being 85 years old or older (OR 4.45, 95% CI 3.55-5.59), being female (OR 1.21, 95% CI 1.16-1.25), and belonging to Malay ethnicity (OR 1.91, 95% CI 1.82-2.01). Compared to malignant neoplasm, deaths as a result of diabetes mellitus (OR 1.93, 95% CI 1.69-2.20), and cerebrovascular diseases (OR 1.28, 95% CI 1.19-1.36) were also associated with a higher likelihood of home death. Independently, receiving home palliative care (OR 3.45, 95% CI 3.26-3.66) and having a documented home death preference (OR 5.08, 95% CI 3.96-6.51) raised the odds of home deaths but being admitted to acute hospitals near the end-of-life was associated with lower odds (OR 0.92, 95% CI 0.90-0.94).
conclusionAside from cultural and clinical factors, system-based factors including access to home palliative care and discussion and documentation of preferences were found to influence the likelihood of home deaths. Increasing home palliative care capacity and promoting advance care planning could facilitate home deaths if this is the desired option of patients.
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