BioMed Central Palliative Care
Background: Institutional deaths (hospitals and nursing homes) are an important issue because they are often at odds with patient preference and associated with high healthcare costs. The aim of this study was to examine deaths in institutions and the role of individual, regional, and healthcare supply characteristics in explaining variation across Swiss Hospital Service Areas (HSAs).
Methods: Retrospective study of individuals ≥66 years old who died in a Swiss institution (hospital or nursing homes) in 2010. Using a two-level logistic regression analysis we examined the amount of variation across HSAs adjusting for individual, regional and healthcare supply measures. The outcome was place of death, defined as death in hospital or nursing homes.
Luta, Xhyljeta; Panczak, Radoslaw; Maessen, Maud; Egger, Matthias; and Goodman, David, "Dying among Older Adults in Switzerland: Who Dies in Hospital, Who Dies in a Nursing Home?" (2016). Open Dartmouth: Faculty Open Access Articles. 1362.