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In-home care at the end of life-how much is needed?
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We spend a large proportion of our lives in our home environment, so on face value it is a natural assumption to consider dying at home an important goal for quality end-of-life care.1 As the need for care at the end of life grows in the face of an aging population, understanding how best to configure and fund services for people approaching the end of life is increasingly important. It requires consideration of what outcomes we are aiming to achieve and for whom (the patient, their carer, and/or the health system), and whether those who are at the end of their life prioritize these factors similarly.2 In terms of models of care, the challenge is to determine the role, configuration, and optimal timing for in-home services, as well as the proportion of overall services that should be performed in the community. When home is the preferred place of death, in-home services are critical to ensure we can meet this preference while maintaining adequate symptom control and support for both the person themselves and their caregivers.3 Meta-analyses support increased odds of dying at home when adults with advanced illness receive home-based palliative care, with reduced symptom burden.
[Introduction de l'article]
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2785790
Voir la revue «JAMA network open, 4»
Autres numéros de la revue «JAMA network open»
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