Media Watch 524

Of special interest in the current issue of the weekly report:

A qualitative inquiry into the barriers and facilitators to achieving home death

BMJ SUPPORTIVE & PALLIATIVE CARE | Online – 31 July 2017 – Thirty-three interviews were conducted [with end-of-life care experts] compromising of a mixture of face-to-face and tele interviews. The experts included healthcare professionals working in the community, hospital and policy/academic settings. Three overarching themes, further divided into a total of 12 sub-themes were identified. The three themes were “managing people,” “education” and “planning.” The “managing people” theme included sub-themes of patient preferences and family influences; the “education” theme encompassed knowledge and training, perceptions of death and communication, and the “planning” theme contained seven sub-themes including “coordination,” “resources” and “cost.” Multiple barriers and facilitators to achieving death at home were identified in this study. Of particular significance was the identification of the fear and stigma associated with death among doctors, patients and their families serving as a barrier to home death, not previously identified in the literature. Additionally, the importance of social networks and resource provision were highlighted as key in influencing patient death at home.