Evidence map›Paper›PMID 41661347›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Bridging policy and practice: Determinants of place of death for palliative care recipients in Taiwan.

Yu-Tai Lo, Chung-Yi Li, Tzu-Jung Chuang, Yu-Tung Huang, Yi-Lin Wu, Yi-Ching Yang

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

6 authors.

Yu-Tai LoDepartment of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Rd, Tainan, 704, Taiwan (R.O.C.).ORCID http://orcid.org/0000-0002-9363-8219
Chung-Yi LiDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, No. 138, Sheng Li Rd, 704, Taiwan (R.O.C.). cyli99@mail.ncku.edu.tw.ORCID http://orcid.org/0000-0002-0321-8908
Tzu-Jung ChuangInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan, 701, Taiwan (R.O.C.).ORCID http://orcid.org/0009-0007-1093-3823
Yu-Tung HuangNational Cener for Geriatrics and Welfare Research, National Health Research Institute, No. 8, Xuefu W. Rd., Huwei Township, Yunlin County, 632, Taiwan (R.O.C.).ORCID http://orcid.org/0000-0003-3224-7238
Yi-Lin WuDepartment of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan, 701, Taiwan (R.O.C.).ORCID http://orcid.org/0000-0002-2747-7015
Yi-Ching YangDepartment of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, No. 138, Sheng Li Rd, Tainan, 704, Taiwan (R.O.C.).ORCID http://orcid.org/0000-0003-1391-8040

Funding

National Cheng Kung University Hospital NCKUH-11405004National Health Research Institute NHRI-14A1-CG-CO-04-2225-1
6 · The paper itself

Abstract

purposeGiven the impact of place of death (PoD) on end-of-life quality and policy planning, this study examined the distribution and determinants of PoD among older adults receiving palliative care in Taiwan, with a focus on service models and referral-to-death intervals.

methodsThis population-based study analyzed linked data from the Health and Welfare Data Science Center in Taiwan for 177,403 decedents aged ≥ 65 years who received palliative care and died between 2010 and 2020. Multivariable logistic regression was employed to examine associations between PoD and individual characteristics, hospital attributes, palliative care models, and referral-to-death intervals.

resultsHospital was the most common PoD (61.5%), followed by home (35.8%). Home death was more likely among females (OR 1.08, 95% CI 1.05-1.10), those aged 75-79 years (OR 1.29, 95% CI 1.25-1.34), cancer decedents (OR 1.40, 95% CI 1.36-1.45), and those receiving palliative care in private hospitals (OR 1.31, 95% CI 1.28-1.34). Use of home palliative care (OR 3.93, 95% CI 3.71-4.16) or home care combined with shared-care services during admission (OR 3.89, 95% CI 3.72-4.06) was strongly associated with home death. Referrals longer than 180 days were associated with a lower likelihood of hospital death (OR 0.84, 95% CI 0.79-0.90).

conclusionAmong older palliative care recipients, early referral and access to home-based and shared-care services play a significant role in promoting home death. Optimizing end-of-life care may require integrating these elements into palliative care policy and service planning.

Indexed as

DeathHome Care ServicesNeoplasmsPalliative CareTerminal CareAgedAged, 80 and overFemaleHealth PolicyHumansLogistic ModelsMaleQuality of LifeReferral and ConsultationTaiwanOlder populationPalliative carePlace of deathReferralTaiwan

Identifiers

PMID41661347
PMCPMC12886268

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.