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Summary
A study of 99 deaths in a rural practice (1984-87) found most occurred at home. Terminal care was provided at home for 34 patients, with a higher average age at death than the national average.
Area of Science:
- Gerontology
- Public Health
- Rural Medicine
Background:
- Examining mortality patterns in rural healthcare settings is crucial for understanding population health.
- Dispensing practices in rural areas often serve unique demographic and geographic challenges.
- Understanding end-of-life care trends provides insights into healthcare delivery and patient preferences.
Purpose of the Study:
- To analyze mortality data from a rural dispensing practice between 1984 and 1987.
- To compare the location of deaths (home vs. institution) and the provision of terminal care.
- To assess the average age at death in this rural population relative to national averages.
Main Methods:
- Retrospective analysis of death records within a defined rural practice area.
- Categorization of deaths by location: home or institution.
- Identification of patients receiving terminal care at home.
Main Results:
- A total of 99 deaths were recorded between 1984 and 1987.
- 66 deaths occurred at home, while 33 occurred in institutions.
- Terminal care was provided at home for 34 patients.
- The average age of individuals at the time of death was higher than the national average.
Conclusions:
- Rural dispensing practices experience significant mortality, with a notable proportion of deaths occurring at home.
- The provision of home-based terminal care was documented for a subset of patients.
- The higher average age at death suggests potential demographic differences in the rural population studied.