Table 4 Discussion of end‐of‐life decisions by place of death in Belgium, Denmark, Sweden and Switzerland.
Physician‐assisted death | Alleviation of pain/symptoms | Non‐treatment decision | |||||||
---|---|---|---|---|---|---|---|---|---|
Hospital | Home | Care home | Hospital | Home | Care home | Hospital | Home | Care home | |
Belguim, no. of cases | 26 | 38 | 10 | 374 | 324 | 144 | 202 | 106 | 121 |
Not discussed with patient, patient incompetent | 50.0 | 26.3 | 90.0* | 50.5 | 44.4 | 65.3* | 66.3 | 63.4 | 67.2 |
Discussed with patient | 50.0 | 65.8 | 0.0* | 34.0 | 36.5 | 19.8* | 27.5 | 26.7 | 20.7 |
Discussed with relatives | 92.3 | 94.7 | 90.0 | 70.2 | 72.5 | 66.9 | 82.0 | 93.0 | 77.4* |
Discussed with other professionals | 100.0 | 73.0 | 80.0* | 81.8 | 59.5 | 84.2* | 92.2 | 70.4 | 92.9* |
Denmark, no. of cases | 6 | 17 | 8 | 342 | 273 | 281 | 200 | 76 | 123 |
Not discussed with patient, patient incompetent | 16.7 | 29.4 | 62.5 | 60.5 | 44.8 | 67.0* | 68.8 | 41.1 | 68.7* |
Discussed with patient | 50.0 | 58.8 | 37.5 | 19.6 | 25.1 | 12.9* | 23.7 | 47.9 | 27.0* |
Discussed with relatives | 83.3 | 88.2 | 62.5 | 39.9 | 50.8 | 39.3* | 62.5 | 74.0 | 58.3† |
Discussed with other professionals | 80.0 | 62.5 | 71.4 | 41.0 | 32.8 | 55.9* | 76.0 | 56.9 | 71.4* |
Sweden, no. of cases | 5 | 1 | 2 | 370 | 111 | 336 | 280 | 58 | 144 |
Not discussed with patient, patient incompetent | 75.0 | 0.0 | 100.0 | 62.4 | 52.1 | 73.3* | 67.7 | 66.1 | 80.3* |
Discussed with patient | 0.0 | 0.0 | 0.0 | 10.0 | 9.6 | 4.7† | 22.3 | 19.6 | 14.4 |
Discussed with relatives | 75.0 | 0.0 | 100.0 | 25.7 | 22.2 | 16.5* | 65.1 | 58.9 | 51.1* |
Discussed with other professionals | 75.0 | 0.0 | 100.0 | 28.1 | 27.8 | 18.8* | 70.4 | 66.1 | 61.1 |
Switzerland, no. of cases | 4 | 18 | 10 | 358 | 118 | 262 | 431 | 116 | 373 |
Not discussed with patient, patient incompetent | 25.0 | 26.7 | 30.0 | 46.9 | 30.7 | 57.8* | 54.6 | 35.4 | 58.4* |
Discussed with patient | 50.0 | 66.7 | 70.0 | 40.0 | 41.6 | 27.0* | 38.1 | 55.8 | 29.9* |
Discussed with relatives | 75.0 | 86.7 | 70.0 | 68.6 | 65.0 | 53.2* | 79.7 | 80.5 | 65.6* |
Discussed with other professionals | 100.0 | 42.9 | 90.0* | 77.2 | 49.5 | 74.0* | 87.2 | 53.1 | 87.3* |
*p<0.05 (Fisher's exact test); †p<0.1 (Fisher's exact test).