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Text
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URL Address
<a href="http://doi.org/10.1542/peds.2005-2078" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.2005-2078</a>
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Title
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Distance from home when death occurs: a population-based study of Washington State, 1989-2002
Publisher
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Pediatrics
Date
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2006
Subject
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Child; Humans; infant; Palliative Care; Terminal Care; Adult; Hospital Mortality; Aged; Middle Aged; Health Services Accessibility; Death; Residence Characteristics; Hospitals; Washington; Nursing Homes; Emergency Service; adolescent; Preschool; infant; Newborn; location of death; Hospital
Creator
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Feudtner C; Silveira MJ; Shabbout M; Hoskins RE
Description
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OBJECTIVE: For patients who die in hospitals, the regionalization of tertiary health care services may be increasing the home-to-hospital distance, particularly for younger patients whose care is especially regionalized and for whom access to and use of home hospice services remains limited. The objective of this study was to test the hypotheses that the distance from home at the time of death in a hospital has increased over time and is inversely related to the age of the dying patient. METHODS: A population-based case series was conducted in Washington State of all deaths of state residents from 1989 to 2002. The main outcome measure was driving distance between home residence and location at the time of death. RESULTS: The overall mean distance from home to the hospital where death occurred has increased by 1% annually. Children who died in hospitals were much farther from home than their adult counterparts: the mean distance was 37.4 km for neonates and 50.9 km for children who were aged 1 to 9 years, compared with 19.9 km for adults who were aged 60 to 79 years and 14.0 km for patients who were older than 79 years. Disparities of distance were even greater among patients who were at the 90th percentile for distance (85.6 km for neonates compared with 30.8 for patient who were older than 79 years). CONCLUSIONS: The distance between home residence and the hospital where death occurs is greatest for children and has increased over time. Both of these findings have implications for the design of local and regional pediatric end-of-life supportive care services.
2006
Identifier
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<a href="http://doi.org/10.1542/peds.2005-2078" target="_blank" rel="noreferrer">10.1542/peds.2005-2078</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2006
Adolescent
Adult
Aged
Backlog
Child
Death
Emergency Service
Feudtner C
Health Services Accessibility
Hoskins RE
Hospital
Hospital Mortality
Hospitals
Humans
Infant
Journal Article
Location Of Death
Middle Aged
Newborn
Nursing Homes
Palliative Care
Pediatrics
Preschool
Residence Characteristics
Shabbout M
Silveira MJ
Terminal Care
Washington