Factors associated with the accomplishment of home death among patients receiving physician‐led home healthcare

Aim To evaluate unique factors associated with home death in older Asian individuals who received physician‐led home healthcare. Methods We carried out a case–control study at a single hospital in Japan from February 2018 to December 2019. We included patients who had started receiving physician‐led home healthcare and died at home as cases, and those receiving the same type of care but died in the hospital as controls. Multivariable logistic regression was used to evaluate factors associated with home death. Results A total of 152 patients (mean age 70.3 years [SD 11.2 years]; 86 [56.6%] men) were included, of whom 89 (58.6%) died at home and 63 (41.4%) died in the hospital. Comparing the two groups, the presence of family psychological problems related to care was significantly more common in the hospital death group (home death 49.4%; hospital death 32.3%, P = 0.036). Home death was related to patients aged >85 years compared with patients aged