Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/106835
DC Field | Value | Language |
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dc.contributor.author | Finucane, Anne M | - |
dc.contributor.author | Bone, Anna E | - |
dc.contributor.author | Evans, Catherine J | - |
dc.contributor.author | Gomes, Bárbara | - |
dc.contributor.author | Meade, Richard | - |
dc.contributor.author | Higginson, Irene J | - |
dc.contributor.author | Murray, Scott A | - |
dc.date.accessioned | 2023-04-26T09:42:36Z | - |
dc.date.available | 2023-04-26T09:42:36Z | - |
dc.date.issued | 2019-12-12 | - |
dc.identifier.issn | 1472-684X | pt |
dc.identifier.uri | https://hdl.handle.net/10316/106835 | - |
dc.description.abstract | Background: Global annual deaths are rising. It is essential to examine where future deaths may occur to facilitate decisions regarding future service provision and resource allocation. Aims: To project where people will die from 2017 to 2040 in an ageing country with advanced integrated palliative care, and to prioritise recommendations based on these trends. Methods: Population-based trend analysis of place of death for people that died in Scotland (2004–2016) and projections using simple linear modelling (2017–2040); Transparent Expert Consultation to prioritise recommendations in response to projections. Results: Deaths are projected to increase by 15.9% from 56,728 in 2016 (32.8% aged 85+ years) to 65,757 deaths in 2040 (45% aged 85+ years). Between 2004 and 2016, proportions of home and care home deaths increased (19.8– 23.4% and 14.5–18.8%), while the proportion of hospital deaths declined (58.0–50.1%). If current trends continue, the numbers of deaths at home and in care homes will increase, and two-thirds will die outside hospital by 2040. To sustain current trends, priorities include: 1) to increase and upskill a community health and social care workforce through education, training and valuing of care work; 2) to build community care capacity through informal carer support and community engagement; 3) to stimulate a realistic public debate on death, dying and sustainable funding. Conclusion: To sustain current trends, health and social care provision in the community needs to grow to support nearly 60% more people at the end-of-life by 2040; otherwise hospital deaths will increase. | pt |
dc.language.iso | eng | pt |
dc.publisher | Springer Nature | pt |
dc.relation | research grant awarded to A.M.F and S.A.M by Marie Curie UK | pt |
dc.relation | HEE/NIHR Senior Clinical Lectureship | pt |
dc.relation | Calouste Gulbenkian Foundation | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt |
dc.subject | Forecasts | pt |
dc.subject | Projections | pt |
dc.subject | Frailty | pt |
dc.subject | Palliative care | pt |
dc.subject | Place of death | pt |
dc.subject | Care homes | pt |
dc.subject | Nursing homes | pt |
dc.subject.mesh | Aged | pt |
dc.subject.mesh | Aged, 80 and over | pt |
dc.subject.mesh | Female | pt |
dc.subject.mesh | Forecasting | pt |
dc.subject.mesh | Humans | pt |
dc.subject.mesh | Male | pt |
dc.subject.mesh | Scotland | pt |
dc.subject.mesh | Terminal Care | pt |
dc.subject.mesh | Aging | pt |
dc.subject.mesh | Death | pt |
dc.title | The impact of population ageing on end-of-life care in Scotland: projections of place of death and recommendations for future service provision | pt |
dc.type | article | - |
degois.publication.firstPage | 112 | pt |
degois.publication.issue | 1 | pt |
degois.publication.title | BMC Palliative Care | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1186/s12904-019-0490-x | pt |
degois.publication.volume | 18 | pt |
dc.date.embargo | 2019-12-12 | * |
uc.date.periodoEmbargo | 0 | pt |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.fulltext | Com Texto completo | - |
item.grantfulltext | open | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | article | - |
crisitem.author.researchunit | ICBR Coimbra Institute for Clinical and Biomedical Research | - |
crisitem.author.parentresearchunit | Faculty of Medicine | - |
crisitem.author.orcid | 0000-0001-8149-1806 | - |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
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File | Description | Size | Format | |
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The-impact-of-population-ageing-on-endoflife-care-in-Scotland-Projections-of-place-of-death-and-recommendations-for-future-service-provisionBMC-Palliative-Care.pdf | 1.56 MB | Adobe PDF | View/Open |
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