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Place Of Death In Metropolitan Regions: Metropolitan Versus Non-metropolitan Variation In Place Of Death In Belgium, The Netherlands And England.

D. Houttekier, J. Cohen, J. Bilsen, J. Addington-Hall, B. Onwuteaka-Philipsen, L. Deliens
Published 2010 · Medicine

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Place of death is an important societal indicator of end-of-life quality for the terminally ill. Using death certificate data, we examined metropolitan/non-metropolitan variation in place of death of patients with life-limiting conditions in Belgium, The Netherlands and England. Metropolitan patients were less likely to die at home and, in England, less likely to die in care homes, than non-metropolitan terminally ill. We found a lesser degree of social support and lower availability of care home beds as partial explanations of the metropolitan/non-metropolitan discrepancy. These findings warrant specific approaches to end-of-life care in metropolitan areas.
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