Navigation Links
End-of-Life Care Differs Between U.S., Canada, Study Finds

WEDNESDAY, May 18 (HealthDay News) -- End-of-life care for older people with advanced lung cancer differs in the United States and in the Canadian province of Ontario, a new study says.

U.S. patients receive far more chemotherapy, while patients in Ontario make much more use of hospital and emergency room services, according to the analysis of data from the U.S. government and the Ontario Cancer Registry. The information was collected from people 65 and older who died from non-small-cell lung cancer between 1999 and 2003.

Health-care services were used extensively by patients in both countries, particularly in the last month of life. More than twice as many people in Ontario died in a hospital (48.5 percent vs. 20.4 percent), even though most patients in Ontario have said they want to die at home, the study reported.

Elderly people in both the United States and Canada receive government-financed health care, but there are differences in end-of-life coverage. In the United States, hospice care for qualified patients is covered by Medicare. Ontario has no hospice program comparable to what's available in the United States, but the province provides palliative care through hospital acute-care units, outpatient services and home health care.

According to the researchers, lack of hospice services in Canada contributes to Ontario's higher rates of hospital and emergency room visits and in-hospital deaths.

The findings, published online May 18 in the Journal of the National Cancer Institute, could help show health planners and policy makers where changes in practices or programs could improve care for dying patients, the researchers said.

End-of-life care also varies from region to region in the United States and Canada, Dr. David Goodman, of the Dartmouth Institute for Health Policy and Clinical Practice, wrote in an accompanying journal editorial.

In addition, patient preferences vary from person to person, and these preferences often go unheard, he said. The best type of end-of-life care, Goodman said, involves the patient in the decision making.

More information

The U.S. Agency for Healthcare Research and Quality outlines advance planning for end-of-life care.

-- Robert Preidt

SOURCE: Journal of the National Cancer Institute, news release, May 18, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Survival benefit with high-intensity end-of-life approaches
2. Does the U.S. Need to Ration Costly End-of-Life Care?
3. End-of-Life Care Planning Eases Stress for Relatives
4. Advance Directives Help Assure End-of-Life Wishes Are Honored
5. Euthanasia and the use of end-of-life drugs without explicit request
6. Hospice Education Network (HEN) and the End-of-Life Nursing Education Consortium (ELNEC) announce online Geriatric Palliative Care Curriculum
7. Study challenges value of oxygen therapy in end-of-life care
8. Mayo Clinic review of ethical decision making with end-of-life care
9. End-of-life care patterns shift for patients with heart failure in both US and Canada
10. Canada needs to improve end-of-life care
11. Most Health Proxies Would Make End-of-Life Decisions Themselves: Study
Post Your Comments:
Related Image:
End-of-Life Care Differs Between U.S., Canada, Study Finds
(Date:12/1/2015)... ... December 02, 2015 , ... The National Association of ... into its VIP Woman of the Year Circle. She is recognized with this ... exclusively for professional women, boasting 850,000 members and, over 200 operating Local Chapters. ...
(Date:12/1/2015)... ... 01, 2015 , ... Trustify is proud to announce the success of the ... an organization dedicated to ending domestic violence. , Trustify and Becky’s Fund have joined ... survivors of domestic violence. Trustify is also proud to announce the launch of the ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... The Multiple ... drive awareness and funds for Multiple System Atrophy (MSA) research, timed today to coincide ... takes many things from patients including their ability to work and be productive, to ...
(Date:12/1/2015)... ... 2015 , ... World Patent Marketing , a vertically integrated manufacturer ... for easier packing and organizing of items into one big, portable jar. , The ... CEO and Creative Director of World Patent Marketing and Desa Industries Inc . ...
(Date:12/1/2015)... ... December 02, 2015 , ... ClinicoEconomics and Outcomes Research ... of treatment for osteoporosis ”. , As corresponding author Dr Ankita Modi says ... with osteoporosis. Based on a large US managed care database, women aged 55 ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)... FREMONT, Calif. , Dec. 1, 2015 ... identify the Top 10 Clinical Data Management Solution ... of entries, a distinguished panel comprising CEOs, CIOs, VCs, ... Velos in the illustrious list of top 10 clinical ... and the article on pages 14 and 36 respectively). ...
(Date:12/1/2015)... 1, 2015 Assurex Health, Inc. today ... giving healthcare providers an expanded range of options ... suffering from depression, anxiety, bipolar disorder, posttraumatic stress ... i .   --> ... the addition of two new drug classes, 17 ...
(Date:12/1/2015)... VERONA, Va. , Dec. 1, 2015 /PRNewswire/ ... today unveiled a new corporate logo and brand ... in the design and engineering of bladed products ... --> --> Serving ... fiber, glass, and auto glass equipment, AccuTEC,s product ...
Breaking Medicine Technology: