Rural end-of-life care in New Zealand, Australia and South East Asia
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Rural end-of-life care in New Zealand, Australia and South East Asia
Rod MacLeodDepartment of General Practice and
Primary Health CareUniversity of Auckland and
North Shore Hospice, [email protected]
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The overall trends – not really different ‘down under’ An aging population Increasing life expectancy Rising numbers of the oldest old [Growing burden of non-communicable disease] Changing family structure Shifting patterns of work and retirement Evolving social insurance systems
Department of State and the Department of Health and Human Services. 2007. Why Population Aging Matters: A Global Perspective . Washington DC: National Institutes of Health
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Michael Wright with Ednin Hamzah, Temsak Phungrassami and Agnes Bausa-Claudio
Oxford University Press
Hospice and Palliative Care in Southeast Asia
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Australia McNamara B, Rosenwax L Factors affecting place of death in
Western Australia Health & Place 2007; 356-367
Almost half of Western Australians died in hospital
With increasing age there is a tendency to die in your place of residence
People accessing specialist palliative care had a seven times higher chance of dying in their usual place of residence
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Australia 26,882 people died in WA in 2.5 year study
48.6% died in hospital 35.8% died in place of residence (private 20.2%; RAC 15.6%) 5.5% died in hospice 6.3% died in some ‘other’ place
McNamara B, Rosenwax L. Factors affecting place of death in Western Australia. Health & Place 2007; 356-367
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Hospice care in NZPlace of death
Residential aged care
Home Hospital Hospice Total
2009 1390 (20%)
2261 (33%)
1363 (20%)
1792 (26%)
6916
2008 1926 (24%)
3852 (46%)
1207 (15%)
2044 (25%)
8150
2007 1079 (17%)
2744 (43%)
905 (14%)
1573 (25%)
6301
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Procare project resources Palliative care Folder
Online resources (ProTube)
Hospice 24 hour telephone support Social workers Counsellors Chaplain Respite Care Symptom management Volunteers Day group programmes …. and many
more
Community Health Coordinators (ProCare)
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