Predictors of Place of Death for those in Receipt of Home-Based Palliative Care Services in Ontario, Canada Journal Articles uri icon

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  • 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 interventions that support home death.


  • Guerriere, Denise
  • Husain, Amna
  • Marshall, Denise
  • Zagorski, Brandon
  • Seow, Hsien
  • Brazil, Kevin
  • Kennedy, Julia
  • McLernon, Robin
  • Burns, Sheri
  • Coyte, Peter C

publication date

  • June 2015