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End of Life Online Curriculum - Modules

 

Overview of Palliative Care

Where Do Patients Die?

  • More than 90% of adults in the United States say that they would prefer to die at home.
  • In reality, overall, about one in two Americans who died from chronic illnesses in 2001 died in hospital setting.
  • The number of Americans who died at home increased between 1989 and 1997, but has stayed relatively constant since then.
  • There is significant state by state variation in the site of death.

Sites of Care at the End of Life

Site of Death: 1989 - 2001

Site

1989

1997

2001

Hospital

62.3% 51.7% 49.5%

Nursing Home Unit

19.2% 23.0% 23.2%

Home

15.9% 22.9% 23.4%
Source: Table created from data available at http://www.chcr.brown.edu/dying/brownatlas.htm. All results have been adjusted for age and gender against the 1990 U.S. census population.
 
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© End of Life Curriculum Project, a joint project of the US Veterans Administration and SUMMIT, Stanford University Medical School.
Funded by a grant to the Veterans Administration Nationwide Palliative Care Network by the National Library of Medicine. VJ Periyakoil, MD, Director.