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Randomised controlled trial" /> <meta name="citation_publication_date" content="1999/01/01" /> <meta name="citation_journal_title" content="BMJ" /> <meta name="citation_author" content="Morag Farquhar" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:url" content="https://www.academia.edu/26123278/Does_hospital_at_home_for_palliative_care_facilitate_death_at_home_Randomised_controlled_trial" /> <meta name="twitter:title" content="Does hospital at home for palliative care facilitate death at home? Randomised controlled trial" /> <meta name="twitter:description" content="Objective To evaluate the impact on place of death of a hospital at home service for palliative care. Design Pragmatic randomised controlled trial. Setting Former Cambridge health district. 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Design Pragmatic randomised controlled trial. Setting Former Cambridge health district. Participants 229 patients referred to the hospital at home service; 43 randomised to control group (standard care), 186 randomised to hospital at home. Intervention Hospital at home versus standard care. Main outcome measures Place of death. Results Twenty five (58%) control patients died at home compared with 124 (67%) patients allocated to hospital at home. This difference was not significant; intention to treat analysis did not show that hospital at home increased the number of deaths at home. Seventy three patients randomised to hospital at home were not admitted to the service. Patients admitted to hospital at home were significantly more likely to die at home (88/113; 78%) than control patients. It is not possible to determine whether this was due to hospital at home itself or other characteristics of the patients admitted to the service. The study attained less statistical power than initially planned. Conclusion In a locality with good provision of standard community care we could not show that hospital at home allowed more patients to die at home, although neither does the study refute this. Problems relating to recruitment, attrition, and the vulnerability of the patient group make randomised controlled trials in palliative care difficult. While these difficulties have to be recognised they are not insurmountable with the appropriate resourcing and setting.","publication_date":"1999,,","publication_name":"BMJ","grobid_abstract_attachment_id":"46464263"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Does hospital at home for palliative care facilitate death at home? Randomised controlled trial","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [29911373]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":46464263,"attachmentType":"pdf"}"><img alt="First page of “Does hospital at home for palliative care facilitate death at home? Randomised controlled trial”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/46464263/mini_magick20190209-13242-19og0f9.png?1549765625" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Does hospital at home for palliative care facilitate death at home? Randomised controlled trial</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="29911373" href="https://eastanglia.academia.edu/MoragFarquhar"><img alt="Profile image of Morag Farquhar" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/29911373/9729527/16076859/s65_morag.farquhar.jpg" />Morag Farquhar</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">1999, BMJ</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">4 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 26123278; const worksViewsPath = "/v0/works/views?subdomain_param=api&work_ids%5B%5D=26123278"; const getWorkViews = async (workId) => { const response = await fetch(worksViewsPath); if (!response.ok) { throw new Error('Failed to load work views'); } const data = await response.json(); return data.views[workId]; }; // Get the view count for the work - we send this immediately rather than waiting for // the DOM to load, so it can be available as soon as possible (but without holding up // the backend or other resource requests, because it's a bit expensive and not critical). const viewCount = await getWorkViews(workId); const updateViewCount = (viewCount) => { try { const viewCountNumber = parseInt(viewCount, 10); if (viewCountNumber === 0) { // Remove the whole views element if there are zero views. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); return; } const commaizedViewCount = viewCountNumber.toLocaleString(); const viewCountBody = document.getElementById('work-metadata-view-count'); if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Objective To evaluate the impact on place of death of a hospital at home service for palliative care. Design Pragmatic randomised controlled trial. Setting Former Cambridge health district. Participants 229 patients referred to the hospital at home service; 43 randomised to control group (standard care), 186 randomised to hospital at home. Intervention Hospital at home versus standard care. Main outcome measures Place of death. Results Twenty five (58%) control patients died at home compared with 124 (67%) patients allocated to hospital at home. This difference was not significant; intention to treat analysis did not show that hospital at home increased the number of deaths at home. Seventy three patients randomised to hospital at home were not admitted to the service. Patients admitted to hospital at home were significantly more likely to die at home (88/113; 78%) than control patients. It is not possible to determine whether this was due to hospital at home itself or other characteristics of the patients admitted to the service. The study attained less statistical power than initially planned. Conclusion In a locality with good provision of standard community care we could not show that hospital at home allowed more patients to die at home, although neither does the study refute this. Problems relating to recruitment, attrition, and the vulnerability of the patient group make randomised controlled trials in palliative care difficult. 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Close cooperation was needed with the community health-care professionals, who acted as the principal formal caregivers, and a multidisciplinary consultant team coordinated the care. We did a cluster randomised trial to assess the intervention's effectiveness compared with conventional care</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A palliative-care intervention and death at home: a cluster randomised trial","attachmentId":41960656,"attachmentType":"pdf","work_url":"https://www.academia.edu/20425426/A_palliative_care_intervention_and_death_at_home_a_cluster_randomised_trial","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/20425426/A_palliative_care_intervention_and_death_at_home_a_cluster_randomised_trial"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="20313561" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care">Place of death: hospital-based advanced home care versus conventional care - A prospective study in palliative cancer care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41580975" href="https://independent.academia.edu/MarianneAhlnerelmqvist">Marianne Ahlnerelmqvist</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Palliative Medicine, 2004</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Place of death: hospital-based advanced home care versus conventional care - A prospective study in palliative cancer care","attachmentId":41272550,"attachmentType":"pdf","work_url":"https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/20313561/Place_of_death_hospital_based_advanced_home_care_versus_conventional_care_A_prospective_study_in_palliative_cancer_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="23323671" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/23323671/Increased_Satisfaction_with_Care_and_Lower_Costs_Results_of_a_Randomized_Trial_of_In_Home_Palliative_Care">Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In-Home Palliative Care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="45232922" href="https://usc.academia.edu/SusanEnguidanos">Susan Enguidanos</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of the American Geriatrics Society, 2000</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Increased Satisfaction with Care and Lower Costs: Results of a Randomized Trial of In-Home Palliative Care","attachmentId":43782421,"attachmentType":"pdf","work_url":"https://www.academia.edu/23323671/Increased_Satisfaction_with_Care_and_Lower_Costs_Results_of_a_Randomized_Trial_of_In_Home_Palliative_Care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/23323671/Increased_Satisfaction_with_Care_and_Lower_Costs_Results_of_a_Randomized_Trial_of_In_Home_Palliative_Care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="7815698" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/7815698/What_works_in_real_life_to_facilitate_home_deaths_and_fewer_hospital_admissions_for_those_at_end_of_life_Results_from_a_realistic_evaluation_of_new_palliative_care_services_in_two_English_counties">What works in 'real life' to facilitate home deaths and fewer hospital admissions for those at end of life? Results from a realistic evaluation of new palliative care services in two English counties</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="5649855" href="https://port.academia.edu/BethanySimmonds">Bethany Simmonds</a></div><p class="ds-related-work--abstract ds2-5-body-sm">Background: We evaluated end of life care services in two English counties including: coordination centres, telephone advice line, 'Discharge in Reach' nurses, a specialist community personal care team and community nurse educators. Elsewhere, we published findings detailing high family carer satisfaction and fewer hospital admissions, Accident and Emergency attendances and hospital deaths for service users compared to controls. The aim of this paper is to discuss what contributed to those outcomes. Methods: Using realist evaluation, data collection included documentation (e.g. referral databases), 15 observations of services and interviews with 43 family carers and 105 professionals. Data were analysed using framework analysis, applying realist evaluation concepts. Findings were discussed at successive team meetings and further data was collected until team consensus was reached.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"What works in 'real life' to facilitate home deaths and fewer hospital admissions for those at end of life? Results from a realistic evaluation of new palliative care services in two English counties","attachmentId":38139211,"attachmentType":"pdf","work_url":"https://www.academia.edu/7815698/What_works_in_real_life_to_facilitate_home_deaths_and_fewer_hospital_admissions_for_those_at_end_of_life_Results_from_a_realistic_evaluation_of_new_palliative_care_services_in_two_English_counties","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/7815698/What_works_in_real_life_to_facilitate_home_deaths_and_fewer_hospital_admissions_for_those_at_end_of_life_Results_from_a_realistic_evaluation_of_new_palliative_care_services_in_two_English_counties"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="24269486" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada">Predictors of Place of Death for Those in Receipt of Home-Based Palliative Care Services in Ontario, Canada</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46777281" href="https://utoronto.academia.edu/BrandonZagorski">Brandon Zagorski</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="46847945" href="https://independent.academia.edu/BurnsSheri">Sheri Burns</a><span>, </span><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="47109630" href="https://independent.academia.edu/RobinMcLernon">Robin McLernon</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of palliative care, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">Many cancer patients die in institutional settings despite their preference to die at home. A longitudinal, prospective cohort study was conducted to comprehensively assess the determinants of home death for patients receiving home-based palliative care. Data collected from biweekly telephone interviews with caregivers (n = 302) and program databases were entered into a multivariate logistic model. Patients with high nursing costs (odds ratio [OR]: 4.3; confidence interval [CI]: 1.8-10.2) and patients with high personal support worker costs (OR: 2.3; CI: 1.1-4.5) were more likely to die at home than those with low costs. Patients who lived alone were less likely to die at home than those who cohabitated (OR: 0.4; CI: 0.2-0.8), and those with a high propensity for a home-death preference were more likely to die at home than those with a low propensity (OR: 5.8; CI: 1.1-31.3). An understanding of the predictors of place of death may contribute to the development of effective intervent...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Predictors of Place of Death for Those in Receipt of Home-Based Palliative Care Services in Ontario, Canada","attachmentId":44606086,"attachmentType":"pdf","work_url":"https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24269486/Predictors_of_Place_of_Death_for_Those_in_Receipt_of_Home_Based_Palliative_Care_Services_in_Ontario_Canada"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="23323666" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study">Home-Based Palliative Care Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="45232922" href="https://usc.academia.edu/SusanEnguidanos">Susan Enguidanos</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Social Work in End-Of-Life & Palliative Care, 2005</p><p class="ds-related-work--abstract ds2-5-body-sm">Purpose: To examine differences in site of death and costs of services by primary diagnosis for patients receiving home-based palliative care as compared to usual care at the end of life.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Home-Based Palliative Care Study","attachmentId":43782419,"attachmentType":"pdf","work_url":"https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/23323666/Home_Based_Palliative_Care_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="62582077" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/62582077/Palliative_care_in_the_home_a_scoping_review_of_study_quality_primary_outcomes_and_thematic_component_analysis">Palliative care in the home: a scoping review of study quality, primary outcomes, and thematic component analysis</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31728567" href="https://independent.academia.edu/TomNoseworthy">Tom Noseworthy</a></div><p class="ds-related-work--metadata ds2-5-body-xs">BMC palliative care, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">The aim of palliative care is to improve the quality of life of patients and families through the prevention and relief of suffering. Frequently, patients may choose to receive palliative care in the home. The objective of this paper is to summarize the quality and primary outcomes measured within the palliative care in the home literature. This will synthesize the current state of the literature and inform future work. A scoping review was completed using PRISMA guidelines. PubMed, Embase, CINAHL, Web of Science, Cochrane Library, EconLit, PsycINFO, Centre for Reviews and Dissemination, Database of Abstracts of Reviews of Effects, and National Health Service Economic Evaluation Database were searched from inception to August 2016. Inclusion criteria included: 1) care was provided in the &quot;home of the patient&quot; as defined by the study, 2) outcomes were reported, and 3) reported original data. Thematic component analysis was completed to categorize interventions. Fifty-three ...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Palliative care in the home: a scoping review of study quality, primary outcomes, and thematic component analysis","attachmentId":75295516,"attachmentType":"pdf","work_url":"https://www.academia.edu/62582077/Palliative_care_in_the_home_a_scoping_review_of_study_quality_primary_outcomes_and_thematic_component_analysis","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/62582077/Palliative_care_in_the_home_a_scoping_review_of_study_quality_primary_outcomes_and_thematic_component_analysis"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="98749565" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/98749565/Impact_of_home_based_palliative_care_on_health_care_costs_and_hospital_use_A_systematic_review">Impact of home-based palliative care on health care costs and hospital use: A systematic review</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="9829961" href="https://udea.academia.edu/NathaliaGonz%C3%A1lez">Nathalia González</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Palliative and Supportive Care, 2020</p><p class="ds-related-work--abstract ds2-5-body-sm">ObjectiveTo assess the effectiveness of home-based palliative care (HBPC) on reducing hospital visits and whether HBPC lowered health care cost.MethodWe searched six bibliographic databases (Embase (Ovid); Cochrane Central Register of Controlled Trials; Medline (Ovid); PubMed; Web of Science Core Collection; and, CINAHL) until February 2019 and performed a narrative synthesis of our findings.ResultsOf the 1,426 identified references, 21 articles based on 19 unique studies met our inclusion criteria, which involved 92,000 participants. In both oncological and non-oncological patients, HBPC consistently reduced the number of hospital visits and their length, as well as hospitalization costs and overall health care costs. Even though home-treated patients consumed more outpatient resources, a higher saving in the hospital costs counterbalanced this. The reduction in overall health care costs was most noticeable for study periods closer to death, with greater reductions in the last 2 mo...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Impact of home-based palliative care on health care costs and hospital use: A systematic review","attachmentId":100016641,"attachmentType":"pdf","work_url":"https://www.academia.edu/98749565/Impact_of_home_based_palliative_care_on_health_care_costs_and_hospital_use_A_systematic_review","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/98749565/Impact_of_home_based_palliative_care_on_health_care_costs_and_hospital_use_A_systematic_review"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="100482035" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/100482035/sj_pdf_1_pmj_10_1177_02692163211013666_Supplemental_material_for_Effectiveness_of_two_types_of_palliative_home_care_in_cancer_and_non_cancer_patients_A_retrospective_population_based_study_using_claims_data">sj-pdf-1-pmj-10.1177_02692163211013666 – Supplemental material for Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="226434306" href="https://independent.academia.edu/UlrichWedding">Ulrich Wedding</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Supplemental material, sj-pdf-1-pmj-10.1177_02692163211013666 for Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data by Markus Krause, Bianka Ditscheid, Thomas Lehmann, Maximiliane Jansky, Ursula Marschall, Winfried Meißner, Friedemann Nauck, Ulrich Wedding and Antje Freytag in Palliative Medicine</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"sj-pdf-1-pmj-10.1177_02692163211013666 – Supplemental material for Effectiveness of two types of palliative home care in cancer and non-cancer patients: A retrospective population-based study using claims data","attachmentId":101294043,"attachmentType":"pdf","work_url":"https://www.academia.edu/100482035/sj_pdf_1_pmj_10_1177_02692163211013666_Supplemental_material_for_Effectiveness_of_two_types_of_palliative_home_care_in_cancer_and_non_cancer_patients_A_retrospective_population_based_study_using_claims_data","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/100482035/sj_pdf_1_pmj_10_1177_02692163211013666_Supplemental_material_for_Effectiveness_of_two_types_of_palliative_home_care_in_cancer_and_non_cancer_patients_A_retrospective_population_based_study_using_claims_data"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="93185599" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/93185599/Is_dying_in_hospital_better_than_home_in_incurable_cancer_and_what_factors_influence_this_A_population_based_study">Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="10175949" href="https://independent.academia.edu/JonathanKoffman">Jonathan Koffman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">BMC Medicine, 2015</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Studies show that most patients with advanced cancer prefer to die at home. However, not all have equal chances and the evidence is unclear on whether dying at home is better. This study aims to determine the association between place of death, health services used, and pain, feeling at peace, and grief intensity. Methods: Mortality follow-back study of 352 cancer patients who died in hospital (n = 177) or at home (n = 175) in London, UK. Bereaved relatives identified from death registrations completed a questionnaire including validated measures of patient's pain and peace in the last week of life and their own grief intensity. We determined factors influencing death at home, and associations between place of death and pain, peace, and grief. Results: Where people died was, for most (80 %), the place where they lived during their last week of life. Four factors explained >91 % of home deaths: patient's preference, relative's preference, home palliative care, or district/community nursing. The propensity of death at home also increased when the relative was aware of incurability and the patient discussed his/her preferences with family. Dying in hospital was associated with more hospital days, fewer general practitioner (GP) home visits, and fewer days taken off work by relatives. Adjusting for confounders, patients who died at home experienced similar pain levels but more peace in their last week of life (ordered log odds ratio 0.69, P = 0.007). Grief was less intense for their relatives than for those of patients who died in hospital (β,-0.15 around time of death and-0.14 at questionnaire completion, P = 0.02). Conclusion: The study suggests that dying at home is better than hospital for peace and grief, but requires a discussion of preferences, GP home visits, and relatives to be given time off work.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study","attachmentId":95992473,"attachmentType":"pdf","work_url":"https://www.academia.edu/93185599/Is_dying_in_hospital_better_than_home_in_incurable_cancer_and_what_factors_influence_this_A_population_based_study","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/93185599/Is_dying_in_hospital_better_than_home_in_incurable_cancer_and_what_factors_influence_this_A_population_based_study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":46464263,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":46464263,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_46464263" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="58236327" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/58236327/Dying_at_home_Experience_of_the_Verdun_local_community_service_centre">Dying at home: Experience of the Verdun local community service centre</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40617659" href="https://independent.academia.edu/RobertMarchand">Robert Marchand</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Canadian Family Physician, 2015</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Dying at home: Experience of the Verdun local community service centre","attachmentId":72746158,"attachmentType":"pdf","work_url":"https://www.academia.edu/58236327/Dying_at_home_Experience_of_the_Verdun_local_community_service_centre","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/58236327/Dying_at_home_Experience_of_the_Verdun_local_community_service_centre"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="1" data-entity-id="74352671" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/74352671/Establishing_a_hospice_at_home_service_lessons_to_share">Establishing a hospice at home service: lessons to share</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="5359842" href="https://independent.academia.edu/karengroves">karen groves</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Establishing a hospice at home service: lessons to share","attachmentId":82536121,"attachmentType":"pdf","work_url":"https://www.academia.edu/74352671/Establishing_a_hospice_at_home_service_lessons_to_share","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/74352671/Establishing_a_hospice_at_home_service_lessons_to_share"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="2" data-entity-id="52031590" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/52031590/The_association_between_in_patient_death_utilization_of_hospital_resources_and_availability_of_palliative_home_care_for_cancer_patients">The association between in-patient death, utilization of hospital resources and availability of palliative home care for cancer patients</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40841229" href="https://navarra.academia.edu/CarlosCenteno">Carlos Centeno</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Palliative Medicine, 2013</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The association between in-patient death, utilization of hospital resources and availability of palliative home care for cancer 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