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Article

Hospital and Patient Characteristics Regarding the Place of Death of Hospitalized Impending Death Patients: A Multilevel Analysis

1
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 11221, Taiwan
2
Department of Medicine, School of Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, Taipei 24205, Taiwan
3
Institute of Health & Welfare Policy, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 11221, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4609; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16234609
Received: 4 October 2019 / Revised: 15 November 2019 / Accepted: 16 November 2019 / Published: 20 November 2019
(This article belongs to the Section Health Care Sciences & Services)
Objectives: To explore the influence of hospital and patient characteristics on deaths at home among inpatients facing impending death. Method: In this historical cohort study, 95,626 inpatients facing impending death from 362 hospitals in 2011 were recruited. The dependent variable was the place of death. The independent variables were the characteristics of the hospitals and the patients. A two-level hierarchical generalized linear model was used. Results: In total, 41.06% of subjects died at home. The hospital characteristics contributed to 29.25% of the total variation of the place of death. Private hospitals (odds ratio [OR] = 1.32, 95% confidence interval [CI] = 1.00–1.75), patients >65 years old (OR = 1.48, 95% CI. = 1.42–1.54), married (OR = 3.15, 95% CI. = 2.93–3.40) or widowed (OR = 3.39, 95% CI. = 3.12–3.67), from near-poor households (OR = 5.16, 95% CI. = 4.57–5.84), having diabetes mellitus (OR = 1.79, 95% CI. = 1.65–1.94), and living in a subcounty (OR = 2.27, 95% CI. = 2.16–2.38) were all risk factors for a death at home. Conclusion: Both hospital and patient characteristics have an effect of deaths at home among inpatients facing impending death. The value of the inpatient mortality rate as a major index of hospital accreditation should be interpreted intrinsically with the rate of deaths at home. View Full-Text
Keywords: dying; place of death; population register; multilevel analysis; hospital mortality dying; place of death; population register; multilevel analysis; hospital mortality
MDPI and ACS Style

Yeh, S.-T.; Ng, Y.-Y.; Wu, S.-C. Hospital and Patient Characteristics Regarding the Place of Death of Hospitalized Impending Death Patients: A Multilevel Analysis. Int. J. Environ. Res. Public Health 2019, 16, 4609. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16234609

AMA Style

Yeh S-T, Ng Y-Y, Wu S-C. Hospital and Patient Characteristics Regarding the Place of Death of Hospitalized Impending Death Patients: A Multilevel Analysis. International Journal of Environmental Research and Public Health. 2019; 16(23):4609. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16234609

Chicago/Turabian Style

Yeh, Shin-Ting, Yee-Yung Ng, and Shiao-Chi Wu. 2019. "Hospital and Patient Characteristics Regarding the Place of Death of Hospitalized Impending Death Patients: A Multilevel Analysis" International Journal of Environmental Research and Public Health 16, no. 23: 4609. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16234609

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