台灣地區癌症病人死亡地點分析

Trends in Place of Death of Cancer Patients in Taiwan

林明慧(Ming-Hwai Lin) ； 盧彥伸(Yen-Shen Lu) ； 陳曾基(Tzeng-Ji Chen) ； 黃信彰(Shinn-Jang Hwang)

《安寧療護雜誌》 11卷1期 (2006/02) Pp. 14-23

https://doi.org/10.6537/TJHPC.2006.11(1).2

摘要

本研究資料來源為民國70年起至民國93年止之衛生署統計處死亡診斷書死亡資料檔。於此期間共有2,620,284筆死亡資料，其中主要死因為癌症者共563,153人（佔21.5%）。於癌症死亡者中，在自宅死亡者為347,777人（佔61.8%），在醫院或診所死亡者為204,952人(36.4%)，在其他地點死亡者為10,424人(1.8%)。癌症病人在自宅死亡之比例自70年(66.1%)至民國93年(57.0%)呈現逐年下降趨勢。愈是高都市化之地區，其癌症病人在自宅死亡之比例愈低（台北市29.8% vs.雲林縣84.1%）。除此外，影響台灣地區癌症病人死亡地點還包括性別、婚姻狀況、癌症別及病人死亡時之年齡層。在家過世是大多數臨終病人之心願，本研究結果將有助於未來規劃末期癌症病人臨終照顧之參考。

關鍵字

死亡統計 ； 死亡地點 ； 癌症病人 ； 臨終照顧 ； 安寧緩和照顧

並列摘要

Although many patients with cancer would prefer to die at home, most die in hospital. We carried out a study to describe the yearly trends in the place of death between 1981 till 2004 and to explore the associated factor of home death for adults with cancer in Taiwan. In this population-based study, we used administrative death certificates data for all adults in Taiwan who died of cancer between the periods. We used logistic regression analysis to identify the odds of dying at home over time and to identify factors predictive of home death. A total of 2,620,284 adults died of cancer during the study period. Among 563,153 who died of cancer (21.5%), 347,777 (61.8%) died at home, 204,952 (36.4%) died in hospitals, and 10,424 (1.8%) died at other places. Over the study period the proportion of people who died at home fell by 16%, from 66.1% in 1981 to 57.0% in 2004. Predictors associated with home death included year of death, female sex, age of death, tumor group, and region of death. Over time, more patients with cancer, especially women, elderly people and people who lived in the urban areas, would like die at home in Taiwan.

並列關鍵字

death certificates ； place of death ； cancer patients ； end-of-life care ； palliative care