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  • UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer

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Qualitative
UK palliative care professionals identified service infrastructure, patient and carer attitudes and characteristics, and practice culture as influencing place of death of patients with cancer

https://doi.org/10.1136/ebn.9.1.32

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    Thomas C. The place of death of cancer patients: can qualitative data add to known factors? Soc Sci Med 2005;60:2597–607.OpenUrlCrossRefPubMedWeb of Science

    Q Which factors do UK palliative care service providers identify as influencing the place of death (ie, home, hospice, or hospital) of patients with cancer?

    DESIGN

    Qualitative study.

    SETTING

    Northwestern UK.

    PARTICIPANTS

    A purposive sample of 14 palliative care professionals (11 healthcare professionals, 1 social care professional, 1 hospice manager, and 1 former Health Authority manager with a palliative service remit) and 1 voluntary hospice worker (9 women). 13 participants had direct and frequent contact with patients and carers.

    METHODS

    30 minute semistructured interviews addressed the nature of work and the service provided; factors influencing place of death and preferences of patients and carers; and the ideal configuration of services. Data were analysed using constant comparison. Validity checks included identifying deviant cases and review of draft findings by 3 participants.

    MAIN FINDINGS

    Participants identified 5 major factors that influenced the place of death of patients with cancer. (1) Service infrastructure. Place of death options and outcomes were dictated by factors associated with …

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    Footnotes

    • For correspondence: Dr C Thomas, Institute for Health Research, Lancaster University, Lancaster, UK. C.Thomas{at}lancaster.ac.uk

    • Source of funding: NHS Directorate of Health and Social Care North.