{"id":830,"date":"2021-01-15T11:34:42","date_gmt":"2021-01-15T16:34:42","guid":{"rendered":"http:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/?post_type=chapter&#038;p=830"},"modified":"2021-02-09T14:40:04","modified_gmt":"2021-02-09T19:40:04","slug":"10-3-where-do-people-die","status":"publish","type":"chapter","link":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/chapter\/10-3-where-do-people-die\/","title":{"raw":"10.3: Where Do People Die?","rendered":"10.3: Where Do People Die?"},"content":{"raw":"Gathering statistics on the location of death is not a simple matter. Those with terminal illnesses may be going through the process of dying at home or in a nursing home, only to be transported to a hospital in the final hours of their life. Thus, it should not be a surprise that in the United States, more Americans die in hospitals than in any other settings. However, as can be seen in figure 10.4, there has been a decline in the number of people dying in hospital in the last decade (Hall, Levant, &amp; DeFrances, 2013). This decline can be tied to two changes in the U.S. health care system: Medicare, and other private insurance plans, covering the cost of hospice care, and Medicare paying hospitals to encourage less use of inpatient hospital care (IOM, 1997).\r\n\r\n&nbsp;\r\n<p class=\"mt-align-center\"><img class=\"internal\" src=\"https:\/\/socialsci.libretexts.org\/@api\/deki\/files\/3332\/Screen_Shot_2019-01-23_at_1.16.30_PM.png?revision=1\" alt=\"Screen Shot 2019-01-23 at 1.16.30 PM.png\" \/><\/p>\r\nInternationally, 54% of deaths in over 45 nations occurred in hospitals, with the most frequent occurring in Japan (78%) and the least frequent occurring in China (20%), according to a study by Broad et al. (2013). They also found that for older adults, 18% of deaths occurred in some form of residential care, such as nursing homes, and that for each decade after age 65, the rate of dying in a such settings increased 10%. In addition, the number of women dying in residential care was considerably higher than for males.","rendered":"<p>Gathering statistics on the location of death is not a simple matter. Those with terminal illnesses may be going through the process of dying at home or in a nursing home, only to be transported to a hospital in the final hours of their life. Thus, it should not be a surprise that in the United States, more Americans die in hospitals than in any other settings. However, as can be seen in figure 10.4, there has been a decline in the number of people dying in hospital in the last decade (Hall, Levant, &amp; DeFrances, 2013). This decline can be tied to two changes in the U.S. health care system: Medicare, and other private insurance plans, covering the cost of hospice care, and Medicare paying hospitals to encourage less use of inpatient hospital care (IOM, 1997).<\/p>\n<p>&nbsp;<\/p>\n<p class=\"mt-align-center\"><img decoding=\"async\" class=\"internal\" src=\"https:\/\/socialsci.libretexts.org\/@api\/deki\/files\/3332\/Screen_Shot_2019-01-23_at_1.16.30_PM.png?revision=1\" alt=\"Screen Shot 2019-01-23 at 1.16.30 PM.png\" \/><\/p>\n<p>Internationally, 54% of deaths in over 45 nations occurred in hospitals, with the most frequent occurring in Japan (78%) and the least frequent occurring in China (20%), according to a study by Broad et al. (2013). They also found that for older adults, 18% of deaths occurred in some form of residential care, such as nursing homes, and that for each decade after age 65, the rate of dying in a such settings increased 10%. In addition, the number of women dying in residential care was considerably higher than for males.<\/p>\n","protected":false},"author":48,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-830","chapter","type-chapter","status-publish","hentry"],"part":816,"_links":{"self":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapters\/830","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/wp\/v2\/users\/48"}],"version-history":[{"count":2,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapters\/830\/revisions"}],"predecessor-version":[{"id":1612,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapters\/830\/revisions\/1612"}],"part":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/parts\/816"}],"metadata":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapters\/830\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/wp\/v2\/media?parent=830"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/pressbooks\/v2\/chapter-type?post=830"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/wp\/v2\/contributor?post=830"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbooks.concordia.ca\/lifespandevelopment\/wp-json\/wp\/v2\/license?post=830"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}