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Evaluation & the Health Professions
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Location of Death in Canada

A Comparison of 20th-Century Hospital and Nonhospital Locations of Death and Corresponding Population Trends

Donna M. Wilson

Herbert C. Northcott

Corrine D. Truman

Susan L. Smith

Marjorie C. Anderson

University of Alberta

Robin L. Fainsinger

Royal Alexandra Hospital

Michael J. Stingl

University of Lethbridge

This report compares 20th-century Canadian hospital and nonhospital location-of-death trends and corresponding population mortality trends. One of the chief findings is a hospitalization-of-death trend, with deaths in hospital peaking in 1994 at 80.5% of all deaths. The rise in hospitalization was more pronounced in the years prior to the development of a national health care program (1966). Another key finding is a gradual reduction since 1994 in hospital deaths, with this reduction occurring across all sociodemographic variables. This suggests nonhospital care options are needed to support what may be an ongoing shift away from hospitalized death and dying.

Evaluation & the Health Professions, Vol. 24, No. 4, 385-403 (2001)
DOI: 10.1177/01632780122034975
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