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Palliative Medicine
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Optimizing hospital-based home care for dying cancer patients: a population-based study

Anders Rosenquist

Palliative Research Unit, Linköping University, Vrinnevi Hospital, Norrköping, Sweden

Kristina Bergman

LAH/Hospital-based Home Care, Mjölby, Järnvägsg 2, 595 51 Mjölby, Sweden

Peter Strang

Palliative Research, Palliative Research Unit, Linköping University, Vrinnevi Hospital, Norrköping, Sweden

In many reports the percentage of home deaths in cancer is based on selected populations. In this population-based study all cancer patients who died within 12 months within a specified area were studied (n=108). This area is covered by hospital-based home care (HBHC) on a 24-h basis, with doctors available by day and at night. Forty people (37%) out of the total cancer population died in their own homes. Another 11% would theoretically have been ideal candidates for home care at the end of life. Thus, a home death rate of about 50% of the cancer patients is a realistic figure, and much higher than the usual 5–15% reported, provided that an effective HBHC is offered.

Key Words: home care services • palliative care • neoplasms

Palliative Medicine, Vol. 13, No. 5, 393-397 (1999)
DOI: 10.1191/026921699676553518
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