ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Home care and end-of-life hospital admissions: a retrospective interview study in English primary and secondary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Models, components and outcomes of palliative and end-of-life care provided to adults living at home: A systematic umbrella review of reviews.Palliative medicine · 2025Pooled it
- Dimensions and components of hospital-at-home care: a systematic review.BMC health services research · 2024Pooled it
- Cost-Utility Analyses of Interventions for Informal Carers: A Systematic and Critical Review.PharmacoEconomics · 2020Pooled it
- Carer administration of as-needed subcutaneous medication for breakthrough symptoms in people dying at home: the CARiAD feasibility RCT.Health technology assessment (Winchester, England) · 2020Trial
- Dying as a 'normal', 'ordinary' or 'natural' process in palliative care: a systematic scoping review and narrative synthesis.BMC palliative care · 2026Article
- Meaning and Influencing Factors of a Good Death for Community-Dwelling Individuals With Dementia: An Integrative Review.International journal of older people nursing · 2026Review
- The COVID-19 experience and the necropolitical space of end-of-life care in residential care facilities in Quebec: A case study.Palliative care and social practice · 2026Article
- What can we learn from the accounts of lay carers administering end of life medications to a loved one at home? Exploring benefits, challenges and ways to empower patients and carers in the future.Palliative & supportive care · 2025Article
- Acceptability of supporting lay-carer administration of anticipatory subcutaneous medications at home: a qualitative study using the theoretical framework of acceptability.BMC palliative care · 2025Article
- Challenges to timely access to out-of-hours end-of-life medications: a qualitative study in UK primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Unveiling End-of-Life Disparities in Chronic Rheumatic Heart Disease: A 22-Year Analysis of the CDC-WONDER Database.Cureus · 2024Article
- Recovery environments in places of daily living: a scoping review and conceptual analysis.BMC public health · 2024Article
- Nurse assistants' perception of caring for older persons who are dying in their own home : An interview study.BMC palliative care · 2024Article
- The ideal and the real: Patient and bereaved family caregiver perspectives on the significance of place of death.Death studies · 2024Article
- Death place and palliative outcome indicators in patients under palliative home care service: an observational study.BMC palliative care · 2023Observational
- The impact of covid-19 on out-of-hours adult hospice care: an online survey.BMC palliative care · 2022Article
- Talking together in rural palliative care: a qualitative study of interprofessional collaboration in Norway.BMC health services research · 2022Article
- 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
- Predictors of death at home among cancer patients in Israel: a population-based study.International journal for equity in health · 2021Article
- What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals' perspectives for improving care in Germany.BMC health services research · 2021Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnabling death at home remains an important priority in end-of-life care policy. However, hospital continues to be a more prevalent place of death than home in the UK, with admissions at the end-of-life often negatively labelled. Admissions are frequently attributed to an unsuitable home environment, associated with inadequate family care provision and insufficient professional care delivery.
aimTo understand problems in professional and lay care provision that discourage death at home and lead to hospital admissions at the end of life. DESIGN AND
settingA qualitative study of admission to a large English hospital of patients close to the end of their life.
methodRetrospective in-depth semi-structured interviews with healthcare professionals (
resultsHome-based end-of-life care appeared precarious. Hospital admission was considered by healthcare staff when there was insufficient nursing provision, or where family support, which was often extensive but under supported, was challenged. In these circumstances, home was not recognised to be a suitable place of care or death, justifying seeking care provision elsewhere.
conclusionChallenges in home care provision led to hospital admissions. Home end-of-life care depended on substantial input from family and professional carers, both of which were under-resourced. Where either care was insufficient to meet the needs of patients, home was no longer deemed to be desirable by healthcare staff and hospital care was sought.
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