A shift to home death?

Researchers in Nova Scotia studied where cancer patients die and determined that a substantial shift toward death in the home is under way.

Between 1992 and 1997, the proportion of Nova Scotia cancer patients dying outside the hospital increased by 52%, from 19.9% of the total to 30.2%. Although the researchers could not tell from their data if the trend is developing because of personal choice or a shortage of hospital beds, authors Frederick Burge and colleagues say the shift will mean challenges for the health care system, particularly in the area of palliative care.

"As a nation with an aging population we have a substantial moral responsibility to care for dying people in whatever location best serves their needs."

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Trends in the place of death of cancer patients, 1992–1997
-- F. Burge et al

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