Regional collaborative home-based palliative care and health care outcomes among adults with heart failure.

ABSTRACT:

Background

Innovative models of collaborative palliative care are urgently needed to meet gaps in end-of-life care among people with heart failure. We sought to determine whether regionally organized, collaborative, home-based palliative care that involves cardiologists, primary care providers and palliative care specialists, and that uses shared decision-making to promote goal- and need-concordant care for patients with heart failure, was associated with a greater likelihood of patients dying at home than in hospital.

Methods

We conducted a population-based matched cohort study of adults who died with chronic heart failure across 2 large health regions in Ontario, Canada, between 2013 and 2019. The primary outcome was location of death. Secondary outcomes included rates of

SUBMITTER: Quinn KL 

PROVIDER: S-EPMC9512159 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature