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Differences in end-of-life health service usage between people who died at home before and during the pandemic in Scotland

Savinc, Jan; Atherton, Iain



To compare health service usage of people who died at home in Scotland during the Covid-19 pandemic to the population who died at home prior to the pandemic, as a proxy measure of end-of-life care availability during the pandemic.

Retrospective observational study of linked routine data: death registrations of all adults who died aged 18+ in Scotland during 12-month pandemic period (2020-03-23 to 2021-03-22) and pre-pandemic period (5 years prior), linked to inpatient acute hospital, psychiatric, and cancer registration records, and unscheduled care records (NHS24, A&E, ambulance, and Out-of-hours GP records). Service usage will be summarised for pandemic and pre-pandemic cohorts.

Deaths at home increased by about 35% during the first year of the pandemic in Scotland. Health service usage before and during the pandemic will be compared, in particular, length of stay in hospital in the last year of life, to test the hypothesis that patients were discharged earlier to ease pressures on hospitals. Geographical differences in length of hospital stay will be presented in terms of NHS health boards, Urban-rural status and Scottish Index of Multiple Deprivation (SIMD).

Studying the effects of the pandemic on end-of-life care has important implications for policy and future pandemic preparedness. These preliminary results are an early step towards understanding the effects of the pandemic and motivate further linkage of social care data as soon as they are made available.

Presentation Conference Type Conference Abstract
Conference Name International Population Data Linkage Conference 2022
Online Publication Date Aug 25, 2022
Publication Date 2022
Deposit Date Sep 12, 2022
Publicly Available Date Jun 26, 2023
Print ISSN 2399-4908
Publisher Swansea University
Peer Reviewed Peer Reviewed
Volume 7
Issue 3
Keywords End-of-life care, Place of death, Death at home, Routinely collected data, Health service usage, Hospital length-of-stay, Social care,
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