nL1N28L0DA - - For the first time in a least a half century, home has surpassed the hospital as the leading place to die in the United States.
"Patients with dementia had the greatest odds of death at a nursing facility, and patients with respiratory disease had the greatest odds of death at a hospital. Patients with stroke had the lowest odds of death at home," the researchers report.Advertisement Although still accounting for a small share in the place-of-death statistics, the biggest increase was in deaths in hospice facilities. They were the locale for 0.2per cent of deaths in 2003 and 8.3per cent in 2017, reflecting more than a 41-fold jump.
The findings also suggest that the focus of the healthcare system needs to be shifted away from end-of-life hospital care."As home becomes the place where most people die, this should catch the eye of policymakers who should ask how we should be providing more resources so people who want to die at home can do so," Warraich said.
The results are complicated by the fact that some of the death certificates used in the study may have categorized assisted-living facilities as home. Also, it wasn't always clear if hospice services were provided at home or in a nursing facility.
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