Survey of satisfaction regarding palliative care provided to patients who died at home or in a hospital

Abstract

Background: Improvement in quality of life (QoL) of patients is one of the most important goals of palliative care, but evaluation of QoL of patients is difficult. Aim: To evaluate QoL of patients who died at home or in a hospital. Methods: We administered the Good Death Inventory (10 core and 8 optional domains) to the bereaved families of patients who died at home or in a hospital. A total of 107 bereaved families undertook a survey. Findings: If a bereaved family chose ‘somewhat agree’, ‘agree’ or ‘absolutely agree’, the answer was regarded as a ‘satisfactory answer’. Regarding the 10 core domains, of patients who died in a hospital, <50% respondents gave a ‘satisfactory answer’ to three questions, whereas of patients who died at home, >60% of respondents gave a ‘satisfactory answer’ to seven questions. Regarding the eight optional domains, of patients who died in a hospital, <50% respondents gave a ‘satisfactory answer’ to five questions, whereas of patients who died at home, >60% of respondents gave a ‘satisfactory answer’ to four questions. Conclusions: QoL of patients who died at home appeared higher than that of those who died in a hospital. Patients prefer to remain at home rather than in a hospital, probably because at home they are surrounded by familiar things and can live according to their usual habits.