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Patterns of care for patients with cancer before and after the establishment of a hospice ward
Örebro University, Department of Health Sciences.
Örebro University, Department of Health Sciences.
1997 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 11, no 1, p. 42-50Article in journal (Refereed) Published
Abstract [en]

A majority of people die in acute hospital care, in a culture of quickness primary aimed at curing. There are indications that hospice care in various forms will spread during the present decade in Sweden. The hospice philosophy contributes to a culture of slowness, where the patient is not only allowed but is encouraged to live at his own pace. As a first step in establishing for whom hospice inpatient care is the best alternative, patient flow to a newly started hospice ward was studied. All patients (n = 1464) who died at the Medical Centre Hospital with a primary diagnosis of cancer during the period of study were compared regarding place of death, diagnosis, gender, age and length of the last period of care. The year before the ward was established, 82% of patients died in acute hospital care compared with 59% during the hospice ward's third year of operation. A total of 315 patients (22%) died in the hospice ward during the study period. The percentage of these patients over the age of 80 was significantly higher (p = 0.0001), and they also had a longer continuous final period of care. More women (57%) than men (43%) were cared for at the hospice ward. The hospice ward has in this way influenced the pattern of care in the hospital.

Place, publisher, year, edition, pages
1997. Vol. 11, no 1, p. 42-50
Keywords [en]
Aged, Aged; 80 and over, Delivery of Health Care/*organization & administration, Female, Hospice Care/*organization & administration, Hospital Units/*organization & administration, Humans, Male, Neoplasms/*therapy, Organizational Culture, Organizational Innovation
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-4439PubMedID: 9275821OAI: oai:DiVA.org:oru-4439DiVA, id: diva2:138738
Available from: 2008-03-11 Created: 2008-03-11 Last updated: 2017-12-14Bibliographically approved

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Andershed, BirgittaTernestedt, Britt-Marie

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CiteExportLink to record
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