{"id":1149,"date":"2019-01-23T16:07:39","date_gmt":"2019-01-23T16:07:39","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-lifespandevelopment\/?post_type=chapter&p=1149"},"modified":"2019-03-01T20:46:06","modified_gmt":"2019-03-01T20:46:06","slug":"where-do-people-die","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-lifespandevelopment\/chapter\/where-do-people-die\/","title":{"raw":"Where do People Die?","rendered":"Where do People Die?"},"content":{"raw":"[caption id=\"attachment_1197\" align=\"alignright\" width=\"535\"]\"\" Figure 10.4<\/strong>[\/caption]\r\n\r\nGathering statistics on the location of death is not a simple matter. Those with terminal illnesses may be going through the process of dying at home or in a nursing home, only to be transported to a hospital in the final hours of their life. Thus, it should not be a surprise that in the United States, more Americans die in hospitals than in any other settings. However, as can be seen in figure 10.4, there has been a decline in the number of people dying in hospital in the last decade (Hall, Levant, & DeFrances, 2013). This decline can be tied to two changes in the U.S. health care system: Medicare, and other private insurance plans, covering the cost of hospice care, and Medicare paying hospitals to encourage less use of inpatient hospital care (IOM, 1997).\r\n\r\nInternationally, 54% of deaths in over 45 nations occurred in hospitals, with the most frequent occurring in Japan (78%) and the least frequent occurring in China (20%), according to a study by Broad et al. (2013). They also found that for older adults, 18% of deaths occurred in some form of residential care, such as nursing homes, and that for each decade after age 65, the rate of dying in a such settings increased 10%. In addition, the number of women dying in residential care was considerably higher than for males.","rendered":"
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Figure 10.4<\/strong><\/p>\n<\/div>\n

Gathering statistics on the location of death is not a simple matter. Those with terminal illnesses may be going through the process of dying at home or in a nursing home, only to be transported to a hospital in the final hours of their life. Thus, it should not be a surprise that in the United States, more Americans die in hospitals than in any other settings. However, as can be seen in figure 10.4, there has been a decline in the number of people dying in hospital in the last decade (Hall, Levant, & DeFrances, 2013). This decline can be tied to two changes in the U.S. health care system: Medicare, and other private insurance plans, covering the cost of hospice care, and Medicare paying hospitals to encourage less use of inpatient hospital care (IOM, 1997).<\/p>\n

Internationally, 54% of deaths in over 45 nations occurred in hospitals, with the most frequent occurring in Japan (78%) and the least frequent occurring in China (20%), according to a study by Broad et al. (2013). They also found that for older adults, 18% of deaths occurred in some form of residential care, such as nursing homes, and that for each decade after age 65, the rate of dying in a such settings increased 10%. In addition, the number of women dying in residential care was considerably higher than for males.<\/p>\n\n\t\t\t

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Candela Citations<\/h3>\n\t\t\t\t\t
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