Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Exploring End-of-Life Care for Patients with Breast Cancer, Dementia or Heart Failure: A Register-Based Study of Individual and Institutional Factors

Version 1 : Received: 22 March 2024 / Approved: 22 March 2024 / Online: 22 March 2024 (16:53:35 CET)

A peer-reviewed article of this Preprint also exists.

Hagen, T.P.; Zelko, E. Exploring End-of-Life Care for Patients with Breast Cancer, Dementia or Heart Failure: A Register-Based Study of Individual and Institutional Factors. Healthcare 2024, 12, 943. Hagen, T.P.; Zelko, E. Exploring End-of-Life Care for Patients with Breast Cancer, Dementia or Heart Failure: A Register-Based Study of Individual and Institutional Factors. Healthcare 2024, 12, 943.

Abstract

Objective: To examine variations in end-of-life care for breast cancer, heart failure, and dementia patients. Data and methods: Data from four Norwegian health registries were linked using a personal identification number. Longitudinal trends over 365 days and the type of care on the final day of life were analyzed using descriptive techniques and logistic regression analysis. Results: Patients with dementia were most commonly placed in nursing homes, while patients with heart failure and breast cancer were more frequently hospitalized. Breast cancer and heart failure patients had a higher likelihood of dying at home. The presence of general practitioners increased the probability of home-based end-of-life care for cancer patients, while non-physician healthcare workers increased the likelihood of home-based care for the other patient groups. Conclusion: Diagnoses, individual characteristics, and service availability are all associated with the place of death in end-of-life care.

Keywords

End-of-life care; palliativ care; social and long-term care; Norway

Subject

Public Health and Healthcare, Health Policy and Services

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