ArticleBMC health services research2020
Relationship of place of death with care capacity and accessibility: a multilevel population study of system effects on place of death in Norway.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis 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
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unequal ends: A systematic review comparing place of death in rural, coastal and urban areas for older people with dementia to cancer.Palliative medicine · 2026Pooled it
- Older patients' opportunity to die at home: a qualitative study on home care nurses' experiences.BMC nursing · 2026Article
- Trends in end-of-life hospitalisations of nursing home residents: a systematic review.BMJ public health · 2026Article
- Exploring perceptions of online calculators for identifying community-dwelling older people at risk of dying: A qualitative study.PEC innovation · 2024Article
- Aggressive end-of-life care in patients with gastrointestinal cancers - a nationwide study from Denmark.Acta oncologica (Stockholm, Sweden) · 2024Article
- Nursing care to patients who have the home as the preferred place of death: a scoping review.BMC health services research · 2024Article
- Dying at "home" - a qualitative study of end-of-life care in rural Northern Norway from the perspective of health care professionals.BMC health services research · 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
- Municipal Characteristics of In-Home Death Among Care-Dependent Older Japanese Adults.JAMA network open · 2022Article
- Quality of End-of-Life Cancer Care in Canada: A 12-Year Retrospective Analysis of Three Provinces' Administrative Health Care Data Evaluating Changes over Time.Current oncology (Toronto, Ont.) · 2021Article
- Psychiatric readmission rates in a multi-level mental health care system - a descriptive population cohort study.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundWhile the majority of deaths in high-income countries currently occur within institutional settings such as hospitals and nursing homes, there is considerable variation in the pattern of place of death. The place of death is known to impact many relevant considerations about death and dying, such as the quality of the dying process, family involvement in care, health services design and health policy, as well as public versus private costs of end-of-life care. The objective of this study was to analyse how the availability and capacity of publicly financed home-based and institutional care resources are related to place of death in Norway.
methodsThis study utilized a dataset covering all deaths in Norway in the years 2003-2011, contrasting three places of death, namely hospital, nursing home and home. The analysis was performed using a multilevel multinomial logistic regression model to estimate the probability of each outcome while considering the hierarchical nature of factors affecting the place of death. The analysis utilized variation in health system variables at the local community and hospital district levels. The analysis was based on data from two public sources: the Norwegian Cause of Death Registry and Statistics Norway.
resultsHospital accessibility, in terms of short travel time and hospital bed capacity, was positively associated with the likelihood of hospital death. Higher capacity of nursing home beds increased the likelihood of nursing home death, and higher capacity of home care increased the likelihood of home death. Contrasting three alternative places of death uncovered a pattern of service interactions, wherein hospital and home care resources together served as an alternative to end-of-life care in nursing homes.
conclusionsNorway has a low proportion of home deaths compared with other countries. The proportion of home deaths varies between local communities. Increasing the availability of home care services is likely to enable more people to die at home, if that is what they prefer.
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