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ABSTRACT: Background
Population ageing represents a global challenge for future end-of-life care. Given new trends in place of death, it is vital to examine where the rising number of deaths will occur in future years and implications for health and social care.Aim
To project where people will die from 2015 to 2040 across all care settings in England and Wales.Design
Population-based trend analysis and projections using simple linear modelling. Age- and gender-specific proportions of deaths in hospital, care home, home, hospice and 'other' were applied to numbers of expected future deaths. Setting/population: All deaths (2004-2014) from death registration data and predicted deaths (2015-2040) from official population forecasts in England and Wales.Results
Annual deaths are projected to increase from 501,424 in 2014 (38.8% aged 85?years and over) to 635,814 in 2040 (53.6% aged 85?years and over). Between 2004 and 2014, proportions of home and care home deaths increased (18.3%-22.9% and 16.7%- 21.2%) while hospital deaths declined (57.9%-48.1%). If current trends continue, numbers of deaths in care homes and homes will increase by 108.1% and 88.6%, with care home the most common place of death by 2040. If care home capacity does not expand and additional deaths occur in hospital, hospital deaths will start rising by 2023.Conclusion
To sustain current trends, end-of-life care provision in care homes and the community needs to double by 2040. An infrastructure across care settings that supports rising annual deaths is urgently needed; otherwise, hospital deaths will increase.
SUBMITTER: Bone AE
PROVIDER: S-EPMC5788077 | biostudies-literature | 2018 Feb
REPOSITORIES: biostudies-literature
Bone Anna E AE Gomes Barbara B Etkind Simon N SN Verne Julia J Murtagh Fliss E M FEM Evans Catherine J CJ Higginson Irene J IJ
Palliative medicine 20171010 2
<h4>Background</h4>Population ageing represents a global challenge for future end-of-life care. Given new trends in place of death, it is vital to examine where the rising number of deaths will occur in future years and implications for health and social care.<h4>Aim</h4>To project where people will die from 2015 to 2040 across all care settings in England and Wales.<h4>Design</h4>Population-based trend analysis and projections using simple linear modelling. Age- and gender-specific proportions ...[more]