A Shanghai woman did what she thought was the best thing for her father after he was diagnosed with terminal cancer, but relatives who disagreed now refuse to have anything to do with her.
EXCLUSIVE: The Daily Express Give Us Our Last Rights crusade calls for assisted dying to be legalised in the UK. We spoke to doctors in Australia about their experiences.
Planning for life s inevitable end may not be a comfortable topic, but it is helpful especially if someone you love is dealing with a terminal disease.
Objectives: To assess the influence of geographic remoteness on health care utilization at end of life (EOL) by people with advanced cancer in a geographically diverse Australian local health district, using two objective measures of rurality and travel-time estimations to health care facilities. Methods: This retrospective cohort study examined the association between rurality (using the Modified Monash Model) and travel-time estimation, and demographic and clinical factors, with the receipt of >1 inpatient and outpatient health service in the last year of life in multivariate models. The study cohort comprised of 3546 patients with cancer, aged ‡18 years, who died in a public hospital between 2015 and 2019. Results: Compared with decedents from metropolitan areas, decedents from some rural areas had higher rates of emergency department visits (small rural towns: aRR 1.29, 95% CI: 1.07–1.57) and ICU admissions (large rural towns: aRR 1.32, 95% CI: 1.03–1.69), but lower rates