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The rapidly changing location of death in Canada, 1994-2004

Author

Listed:
  • Wilson, Donna M.
  • Truman, Corrine D.
  • Thomas, Roger
  • Fainsinger, Robin
  • Kovacs-Burns, Kathy
  • Froggatt, Katherine
  • Justice, Christopher

Abstract

This 2008 study assessed location-of-death changes in Canada during 1994-2004, after previous research had identified a continuing increase to 1994 in hospital deaths. The most recent (1994-2004) complete population and individual-level Statistics Canada mortality data were analyzed, involving 1,806,318 decedents of all Canadian provinces and territories except Quebec. A substantial and continuing decline in hospitalized deaths was found (77.7%-60.6%). This decline was universal among decedents regardless of age, gender, marital status, whether they were born in Canada or not, across urban and rural provinces, and for all but two (infrequent) causes of death. This shift occurred in the absence of policy or purposive healthcare planning to shift death or dying out of hospital. In the developed world, recent changing patterns in the place of death, as well as the location and type of care provided near death appear to be occurring, making location-of-death trends an important topic of investigation. Canada is an important case study for highlighting the significance of location-of-death trends, and suggesting important underlying causal relationships and implications for end-of-life policies and practices.

Suggested Citation

  • Wilson, Donna M. & Truman, Corrine D. & Thomas, Roger & Fainsinger, Robin & Kovacs-Burns, Kathy & Froggatt, Katherine & Justice, Christopher, 2009. "The rapidly changing location of death in Canada, 1994-2004," Social Science & Medicine, Elsevier, vol. 68(10), pages 1752-1758, May.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:10:p:1752-1758
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    References listed on IDEAS

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    1. Sheps, S.B. & Reid, R.J. & Barer, M.L. & Krueger, H. & McGrail, K.M. & Green, B. & Evans, R.G. & Hertzman, C., 2000. "Hospital Downsizing and Trends in Health Care Use Among Elderly People in British Columbia," Centre for Health Services and Policy Research 2000:10, University of British Columbia - Centre for Health Services and Policy Research..
    2. Thomas, Carol, 2005. "The place of death of cancer patients: can qualitative data add to known factors?," Social Science & Medicine, Elsevier, vol. 60(11), pages 2597-2607, June.
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    Cited by:

    1. Brazil, Kevin & Kassalainen, Sharon & Ploeg, Jenny & Marshall, Denise, 2010. "Moral distress experienced by health care professionals who provide home-based palliative care," Social Science & Medicine, Elsevier, vol. 71(9), pages 1687-1691, November.
    2. Joanna Broad & Merryn Gott & Hongsoo Kim & Michal Boyd & He Chen & Martin Connolly, 2013. "Where do people die? An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(2), pages 257-267, April.
    3. Roger E. Thomas & Donna M. Wilson & Stephen Birch & Boris Woytowich, 2014. "Examining End-of-Life Case Management: Systematic Review," Nursing Research and Practice, Hindawi, vol. 2014, pages 1-14, June.

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