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Systematic review and meta-analysis
Home palliative care services increase the chance of adults with advanced illness dying at home and reduce symptom burden without impact on caregiver grief
  1. Samar M Aoun1,
  2. Margaret O'Connor2
  1. 1School of Nursing and Midwifery, Curtin University, Perth, Western Australia, Australia;
  2. 2Monash University, Melbourne, Victoria, Australia
  1. Correspondence to : Professor Samar Aoun, School of Nursing and Midwifery, Curtin University, GPO Box U1987, Perth, WA 6845, Australia; S.Aoun{at}

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Implications for practice and research

  • This review found evidence of the benefits of providing home-based palliative care, supporting people to die at home, particularly those with advanced cancer.

  • It is possible for service planners to calculate the levels of service required and project future need; however, planning is complex and multifactorial.

  • Further meta-analytic studies are required on cost-effectiveness, caregiver grief, symptom burden and other aspects of care.


Even though most people would prefer to die at home, institutional death is increasingly more common in many countries. In reviewing all known studies, this review by Gomes …

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