Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429 |
Resumo: | Introduction: In the context of a pronounced population ageing and rising mortality due to chronic illnesses, this national epidemiological study compares the places where people die with population preferences.Material and Methods: Data on numbers of deaths in 2010 by gender, age group, region of residence NUTS II and place of death (hospital/clinic, domicile and other) of people with 16+ years old were provided by the Portuguese Statistics Institute. Data on population preferences for place of death were obtained in 2010 in the PRISMA telephone survey. The distribution of deaths by place of death is compared with population preferences, according to independent variables, using descriptive and inferential analysis.Results: There were 105 471 deaths in Portugal in 2010. From these, 61.7% occurred at hospitals/clinics and 29.6% at the domicile. Of the 1 286 residents in Portugal that participated in the PRISMA survey, 51.2% chose home as preferred place of death, 35.7% chose a palliative care unit, 8.9% the hospital and 2.2% a nursing or residential home.Discussion and Conclusion: There is a substantial gap between the reality and population preferences for place of death in Portugal. To better meet these preferences, it is a national priority to develop home palliative care services that prevent the rise of hospital deaths and that support death at home, with quality and whenever wished. It is recommended changing the coding of place of death in Portuguese death certificates, with inclusion of the options ‘palliative care unit’ and ‘nursing or residential home’, once citizens’ preferences clearly differentiate these places. |
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Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese PopulationEstudo Epidemiológico dos Locais de Morte em Portugal em 2010 e Comparação com as Preferências da População PortuguesaIntroduction: In the context of a pronounced population ageing and rising mortality due to chronic illnesses, this national epidemiological study compares the places where people die with population preferences.Material and Methods: Data on numbers of deaths in 2010 by gender, age group, region of residence NUTS II and place of death (hospital/clinic, domicile and other) of people with 16+ years old were provided by the Portuguese Statistics Institute. Data on population preferences for place of death were obtained in 2010 in the PRISMA telephone survey. The distribution of deaths by place of death is compared with population preferences, according to independent variables, using descriptive and inferential analysis.Results: There were 105 471 deaths in Portugal in 2010. From these, 61.7% occurred at hospitals/clinics and 29.6% at the domicile. Of the 1 286 residents in Portugal that participated in the PRISMA survey, 51.2% chose home as preferred place of death, 35.7% chose a palliative care unit, 8.9% the hospital and 2.2% a nursing or residential home.Discussion and Conclusion: There is a substantial gap between the reality and population preferences for place of death in Portugal. To better meet these preferences, it is a national priority to develop home palliative care services that prevent the rise of hospital deaths and that support death at home, with quality and whenever wished. It is recommended changing the coding of place of death in Portuguese death certificates, with inclusion of the options ‘palliative care unit’ and ‘nursing or residential home’, once citizens’ preferences clearly differentiate these places.Introdução: No contexto de um envelhecimento acentuado da população e aumento da mortalidade por doenças crónicas, este estudo epidemiológico nacional compara os locais onde as pessoas morrem com as preferências da população.Material e Métodos: Dados de óbitos em 2010 por género, grupo etário, região de residência (NUTS II) e local de morte (hospital/clínica, domicílio e outro), em pessoas com 16 anos ou mais, foram cedidos pelo Instituto Nacional de Estatística. Dados de preferências da população para local de morte obtiveram-se em 2010 através do inquérito telefónico PRISMA. Compara-se a distribuição de óbitos por local de morte com as preferências da população, segundo variáveis independentes, através de análise descritiva e inferencial.Resultados: Dos 105 471 óbitos que ocorreram em Portugal em 2010, 61,7% deram-se em hospitais/clínicas e 29,6% no domicílio. Dos 1 286 residentes em Portugal que participaram no inquérito PRISMA, 51,2% expressaram preferência por morrer em casa, 35,7% escolheram uma unidade de cuidados paliativos, 8,9% o hospital e 2,2% lar ou residência.Discussão e Conclusão: Existe um desfasamento substancial entre a realidade e preferências para local de morte em Portugal. Para ir ao encontro destas preferências é prioridade nacional desenvolver serviços de cuidados paliativos domiciliários, que previnam o aumento de óbitos hospitalares e que apoiem a morte em casa, com qualidade e respeitando preferências individuais. Recomenda-se a alteração das categorias de local de óbito no certificado oficial, com inclusão das opções ‘unidade de cuidados paliativos’ e ‘lar ou residência’, dado que as preferências dos cidadãos distinguem claramente entre estes locais.Ordem dos Médicos2013-08-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/postscriptapplication/postscriptapplication/postscriptapplication/postscripthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429oai:ojs.www.actamedicaportuguesa.com:article/429Acta Médica Portuguesa; Vol. 26 No. 4 (2013): July-August; 327-334Acta Médica Portuguesa; Vol. 26 N.º 4 (2013): Julho-Agosto; 327-3341646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/3706https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6825https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6826https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6827https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6828Gomes, BarbaraSarmento, Vera P.Ferreira, Pedro LopesHigginson, Irene J.info:eu-repo/semantics/openAccess2022-12-20T10:56:12Zoai:ojs.www.actamedicaportuguesa.com:article/429Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:30.040322Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population Estudo Epidemiológico dos Locais de Morte em Portugal em 2010 e Comparação com as Preferências da População Portuguesa |
title |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
spellingShingle |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population Gomes, Barbara |
title_short |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
title_full |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
title_fullStr |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
title_full_unstemmed |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
title_sort |
Epidemiological Study of Place of Death in Portugal in 2010 and Comparison with the Preferences of the Portuguese Population |
author |
Gomes, Barbara |
author_facet |
Gomes, Barbara Sarmento, Vera P. Ferreira, Pedro Lopes Higginson, Irene J. |
author_role |
author |
author2 |
Sarmento, Vera P. Ferreira, Pedro Lopes Higginson, Irene J. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gomes, Barbara Sarmento, Vera P. Ferreira, Pedro Lopes Higginson, Irene J. |
description |
Introduction: In the context of a pronounced population ageing and rising mortality due to chronic illnesses, this national epidemiological study compares the places where people die with population preferences.Material and Methods: Data on numbers of deaths in 2010 by gender, age group, region of residence NUTS II and place of death (hospital/clinic, domicile and other) of people with 16+ years old were provided by the Portuguese Statistics Institute. Data on population preferences for place of death were obtained in 2010 in the PRISMA telephone survey. The distribution of deaths by place of death is compared with population preferences, according to independent variables, using descriptive and inferential analysis.Results: There were 105 471 deaths in Portugal in 2010. From these, 61.7% occurred at hospitals/clinics and 29.6% at the domicile. Of the 1 286 residents in Portugal that participated in the PRISMA survey, 51.2% chose home as preferred place of death, 35.7% chose a palliative care unit, 8.9% the hospital and 2.2% a nursing or residential home.Discussion and Conclusion: There is a substantial gap between the reality and population preferences for place of death in Portugal. To better meet these preferences, it is a national priority to develop home palliative care services that prevent the rise of hospital deaths and that support death at home, with quality and whenever wished. It is recommended changing the coding of place of death in Portuguese death certificates, with inclusion of the options ‘palliative care unit’ and ‘nursing or residential home’, once citizens’ preferences clearly differentiate these places. |
publishDate |
2013 |
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2013-08-30 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429 oai:ojs.www.actamedicaportuguesa.com:article/429 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429 |
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oai:ojs.www.actamedicaportuguesa.com:article/429 |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/3706 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6825 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6826 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6827 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/429/6828 |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 26 No. 4 (2013): July-August; 327-334 Acta Médica Portuguesa; Vol. 26 N.º 4 (2013): Julho-Agosto; 327-334 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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