Oregon's Low In-Hospital Death Rates: What Determines Where People Die and Satisfaction with Decisions on Place of Death?

摘要: Where Americans die is much more influenced by what part of the country they live in than their preferences are for location death. Although most report a preference death at home, majority still acute care hospitals. We describe experiences patients who died Oregon (the state that currently has lowest in-hospital rate United States--31%) and views families. examine factors influencing respect dying patients' preferred Data from studies confirm decisions to avoid hospital admission far common discharge actively dying. Do-not-resuscitate orders were reported 91% nursing home residents one study living wills 67% random sample adult decedents second study. In study, not start treatment stop (79% compared with 21%). Only 2.4% families "too little" was given. Throughout States, use availability beds hospitals have been confirmed be principal determining Within constraint, however, other resources services both facilitates process arranging outside improves satisfaction quality terminal care.