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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.
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.
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 …
For correspondence: Dr C Thomas, Institute for Health Research, Lancaster University, Lancaster, UK.
Source of funding: NHS Directorate of Health and Social Care North.