,,: ,’,

Public Health Service Publication No. 1000-Series 22-No. 1

For ade by the Superintendent of Documents, U.S. Government Printing Office

Washin=*n, D.C., 20402- Price 35 cents
I

NATIONAL CENTER Series 22

For HEALTH STATISTICS Number 1

VITAL and HEALTH STATISTICS

DATA FROM THE NATIONAL VITAL STATISTICS SYSTEM

Hospitalization in the

last Year of life

United States. 1961

Statistics on place of death and on care received

by decedents during the year preceding death in

short-stay hospitals or resident institutions, and

differences in the proportions receiving care associated with age, sex, color, residence, and

I cause of death. Based on data from a sample survey of hospitals and institutions providing care to-~m w~? ~:

persons dying in 1961.

WWICATWNS (IWNG

ED\Tw UBWY

Washington, D.C. September 1965

U.S. DEPARTMENT OF

HEALTH, EDUCATION , AND WELFARE Public Health Service

Anthony J. Ce Iebrezze Luther L. Terry

Secretary Surgeon General
NATIONAL CENTER FOR HEALTH STATISTICS

FORREST E. LIND’ER, PH. D., ~ireCtO?’

THEODORE D. WOOLS~Y, Deputy Director

O. “K. SAGEN, PH. D.; ~fsistanf ~i7#Ct07

WALT R. S1.MMONS, M. A.%Statistical Advi~or

ALICE..M. WATERHOUSE, M. D., ,Medical Advisir

J.\.VES k. KELLY, D. D. S., Dental Advisor

LOUIS R.’ STOLCIS, M, A., ~xecut;ve o~cer

DIVISION OF HEALTH RECORDS STATISTICS

MONROE G. SIRKEN, PH. D., Chief

Public Health Service Publication No. 1000-Series 22-No. 1

Library of Congress Catalog Card Number 6.5-61848
Introduction -----------------------------------------:----------------

Background of National Mortality Survey ------------------------------

Selected Findings ---------------------------------------------------

Sources and Limitations of Data --------------------------------------

Deaths Occurring in Hospitals and Institutions, 1937-61 -------------------

Carein the Last Year of Life by Cause of Death -----------------------

Type of Service and Place of Death -----------------------------------

Hospitalization Experience in the Last Yearof Life -----------------------

Sex, Age, and Color ------------------------------------------------

Regional Variations ------------------------------------------------ *

Metropolitan Status -------------------------------------------------

Cause of ~ath -----------------------------------------------------

References -----------------------------------------------------------

Detailed Tables -------------------------------------------------------

Appendix L Technical Note on Methods --------------------------------

Statistical Desigh of the National Mortality Survey -------------------

Reliability of Estimates -------------------------------------------

Appendix II. Definitions of Certain Terms Used in This Report -----------

Terms Relating to Hospitalization ----------------------------------

Other Terms -----------------------------------------------------

Appendix III. Source Forms --------------------------------------------

Certificate of-Death -----------------------------------------------

Survey Questionnaire for Hospitals ---------------------------------

Survey Questionnaire for Informants --------------------------------

1

1

2

3

3

3

5

5

5

8

10

10

12

13

36

36

37

40

40

40

42

42

43

45
IN THIS REPORT results of a survey of hospitals and Yesident institutions conceyniq inpatient caye pyovided duying the last 12 months of

life to a YepYesentative sample of pevsons dying in 1961 aye pyesented.

The repoyt deals.. with statistics on decedents showing whether OYnot

hospital or institutional caye- was veceiued in the last yeay of life in

short-stay hospitals or in Yesident institutions and the differences in

the- likelihood of caye associated with age, sex, CO1OY,Yesidence, ad

cause of death. The suyvey data show that theve aye ZaYge di~eyences

in the likelihood of caye in hospitals and institutions among decedents

classified by the 10 leading causes of death, varying porn moye than 9

in 10 peysons who died of. ceytain diseases of eayly infancy, congenital

malformations, and malignant’ neoplasms Yeceiviw caye to less ,than.

half of those who died ~om accidents. Females as a grwp more often

Yeceived care in the last year of life than did males and white persons

moye often than nonwhite. Infants weye more likely to have been hospitalized than persons of any other age. ApaYt @om infants, the percent

of peysons, with hospital OY institutional caye is lowest for the yw~

andincyeases with a~e. The age fiattern for both sexes combiued applies

also to males alone. Females of fhe young- to middle-adult yeays, howevey, display a peak in the proportion ~eceiving care followed by a decline with age, so that the proportions of males ati ,,females r~ceiving

hospital.amt institutional caye conveyge beyomt age 75. Decedents from

metropolitan ayeas weye somewhat moye likely to have received care in

hospitals and institutions than those who Yesided elsewheye. Residents

of the South, especially females, weye less likely to have been hospital-

- —..-

ized OYinstitutionalized in the teyminal year of lif; than thos-e w-ho had

Yesided in other regions of the United States.

.

_—- —

SYMBOLS

Data not available ----------------------- ---

Category not applicable ------------------ ‘...

Quantity zero--— ----------------------- -

Quantity more than O but less than 0.05---- 0.0

Figure does not meet standards .of

reliability or precision ----------------- *
HOSPITALIZATION

IN THE LAST YEAR OF LIFEi ~

Gordon l?. Sutton, Division of Health Records Statistics

INTRODUCTION

This is the first report prepared in the

Division of Health Records Statistics on the use

of hospitals and resident institutions by recently

deceased persons. Data are based upon information obtained in the National Mortality Survey

from hospitals and institutions which provided

care to a national probability sample of persons

who died in 1961 and upon information found on

death certificates for these persons.

The data collected in the National Mortality

Survey may be viewed as extending for statistical

purposes the range of items which are normally

included on the certificate of death. This extension

permits the preparation of estimates of deaths and

of recently deceased persons by characteristics

not previously available in national statistics. As

a restit, answers to many social and economic

questions about conditions surrounding death and

about differentiaIs in mortality in the United

States may be made available.

This report is concerned with persons who

died in 1961 as to whether or not they had hospital

or institutional care in the last year of life and the

relationship between hospitalization and selected

characteristics of decedents. The terms hospitalization and hospitalization experience in the

last year of life are used in this report to refer

to care received .by deceased persons in the 12-

month period before death in short-stay hospitals

(places providing care which is usually of less

than 30 days’ duration) and in resident institutions

(chronic disease hospitals, nursing homes, and

other places providing nursing or personal care).

Background of National Mortality Survey

During the period 1850 to 1900, mortality

statistics published by the Federal Government

were derived principally from reports collected

in the decennial censuses. Since 1900, however,

when the collection of mortality statistics on an

annual basis was started for selected cities.

and States included in the death-registration area,

the death certificate has been the only source of

data for national mortality- statistics. During the

early decades of this century, a major goal of the

vital statistics system was to extend the deathregistration area to cover the entire United States.

This was achieved in 1933, and since that year

national mortality statistics for the entire country

have been derived annually from statistical data

reported on the death records. Since 1933 there

have been continuing efforts to improve national

mortality statistics by raising the level of completeness of registration of deaths and by improving the accuracy of data reported on death

records.

It has become increasingly apparent in recent

years that the statistics being derived from the

information “reported on the death record were

not meeting the expanding needs for mortality

data in public health, medical research, epidemiology, demography, and other related fields. The

periodic revisions of the standard death record

1
since 1900 at intervals of about 10 years have

produced- a small net change in its content of

statistical items. On the other hand, there have

been phenomenal changes in American society

during the 65-year period, particularly in the

areas of health and medicine, which have greatly

expanded and altered the needs for mortality

statistics.

Yet, in seeking a solution to this problem, it

seemed very unlikely and even undesirable that

statistics derived from the death record would or

should be able to cope with expanding needs for

national mortality data. The regismars of vital

events in State offices of vital statistics are

generally opposed to enlarging the content of the

death record for the purpose of expanding mortality statistics. From their viewpoint, the death

record serves as a legal as well as a statistical

document which has many nonstatistical uses.

Furthermore they must consider the burden

of the funeral directors and physicians who have

to complete the forms. Vital statisticians are also

not in sympathy with a plan to collect detailed

statistical information annually for 1%to 2 million

deaths since the level of reliability usually needed

in the estimates can be achieved by collecting

detailed supplementary data for relatively small

samples of deaths.

Beginning about 1956, attention was focused

on the possibility of developing a survey methodology for collecting detailed information for

relatively small samples of deaths. Research

studies were undertaken to test and develop a

particular methodology for deriving mortality

statistics by means of conducting surveys linked

to death records. This work culminated in the

establishment in 1961 of the National MortaliW

Survey on a continuing basis.

‘Selected Findings .

Of the 1.7 million persons who died in the

United States in 1961, about 72 percent had one

or more episodes of hospital or institutional care

in the last year of life. Most frequently, this

hospital or institutional experience took place in

short-stay hospitals-places where medical services are provided to patients who are generally

expected to stay less than 30 days. While 63 percent of those who died in 1961 had some care in

short-stay hospitals, just over 14 percent had

some care in resident institutions providing

medical or personal care. Included in these figures

are the 5 percent of all decedents who had care

in both short-stay and resident places.

Although only 28 percent of those who died in

1961 had no hospital or institutional care in the

year before death, 39 percent were not in medical

facilities at the time of death. Thus, 11 percent

of all decedents were hospitalized some time in

the last year of life yet did not die in. a hospital

or, an institution. Of deaths occurring in hospitals

and institutions, 823,000 were in short-stay hospitals and 214,000 in resident institutions.

Proportionately more females than males

received care in hospitals or institutions in their

last year of life (76 percent as compared with 70

percent). Most of this sex difference is accounted

for by the more frequent use of resident institutions by females.

Nelve percent fewer nonwhite decedents

were reported as having hospital or institutional

care than white. Care was less frequent for nonwhite persons than for white in both short-stay

hospitals and resident institutions.

Among regions, the South, with 67 percent of

its decedents in 19$1 having hospital or institutional care in the last year of life, departed

somewhat from the level found in the other regions

(Northeast, North Central, and West), where 74 to

75 percent of their decedents had such care.

Metropolitan status of residence, that is, whether

the decedent had last resided in a county containing metropolitan population or not, had little

effect upon hospitalization in the 12-month period

prior to death. About 73 percent of the 1,1 million

decedents from metropolitan areas had been

hospitalized compared with 70 percent of the 0.6

million decedents from nonmetropolitan areas.

When classified according to the 10 leading

causes of death in 1961, the decedents most likely

to have had hospitalization in the last year of Iife

were infants who died of certain diseases of

early infancy and of congenital malformations and

elderly persons who died of malignant neoplasms.

More than 90 percent of the decedents in each of

these three cause groups had hospitalization

experience. At the other extreme, only48 percent
of those who died from accidental causes had

hospital or institutional care in ,the last year of

life.

Sources and Ilimitations of Data

Statistics presented in this report are based

upon information obtained in a mail survey of

hospitals and institutions which provided care to

decedents identified on death certificates selected

in a national probability sample of persons who

died in 1961. The sample of 5,154 decedents was

drawn by the systematic selection of 1 in 330

~eath records from the files maintained by the

Division of Vital Statistics, National Center for

Health Statistics. These statistics relate to pe,rsons who died in the United States during tie,

1961 caleudar year and characterize these persons

as to whether or not they had hospitalization

during the last year of life.

The principal sources of information were

hospitals and institutions wtich provided medical

and personal care for the decedents during the

12-month period preceding death and the death

certificate. In addition, the death record informant, usually a close relative of the decedent

whose name and address appeared on the death

certificate, was asked to provide information

which would be helpful in locating hospitals and

institutions which provided care.

Facsimiles of the hospital and institution and

informant questionnaires and of the death certificate appear in Appendix III; A description of the

procedures of the National Mortality Survey may

be found in Appendix I, along with a description

of the estimation procedures. Definitions of terms

used in this report are stated in Appendix II.

The data in this report are based on a sample

and are therefore subject to sampling error.

Tables of approximate sampling error and instructions for their use are presented in Appendix

I. Other sources of error such as those associated

with nonresponse, with possible misunderstanding

of questions in the survey, and with undetected

problems in the processing and compiling of the

statistics affect the quality of the data~pres;~ted

in this report “and m“aycreate bias in the statistics. Nonsampling errors and some measures relating to bias in the survey are also discussed in

Appendix I.

DEATHS OCCURRING IN HOSPITALS

AND INSTITUTIONS; 1937-61

,National statistics on deaths occurring in

hospitals and institutions have been published a

number of times. In 1937 when annual data were

first available on this subject, 37 percent of all

deaths were reported as occurring in hospitals

and institutions. In a series of annual statistics

on this subject covering the years following 1937,

there was a gradual but steady increase in the

percent Qf deaths occurring in hospitals and

institutions until 1949, when 50 percent of a~

deaths’ were recorded as occurring in such places?

After 1949 data are not available again except for 1958. At that time 61 percent of all deaths

were reported as occurring in hospitals and

.~nstitutions .’2Thus “over a 21-year period, sizable.

ific:eases in both the number and the relative ..

freqti<ncy of deaths occurring in hospitals and

institutions ‘have been reported.

Data ~~lected in the National Mortality Survey describe’’oqce more the frequency with which

death occurred” iq. hospitals and institutions in

1961 (tables 1 and 2). Data are also available

from the survey which characterize the popu:

lation. that died in 1961 as to total hospitalization

experience in the last year of life. In both 1961 and

1958, 61 percent of all deaths occurred in hospitals

and institutions, s while, 72 percent of all decedents in the 1961”surve y had hospital or institutional care at some time during the last year

of life (table A). Hence, the inquiry into hospitalization of decedents in the last year of life shows

that 11 percent of all decedents had hospital or

institutional care in the last year of life but had

not died in a hospital or, an institution.

Care in the !Last Year of Life

by Cause ofi Death

Cause of death is related to both the likelihood of a death-occurring in a hospital or an institution and to the likelihood of a decedent having

hospitalization experience during the last year

of life. The estimated number of decedents in

1961 with hospitalization experience in the last

year of life was 19 percent greater than the estimated number of deaths occurring in hospitals ‘“

3

I

L
Table A. Percent of decedents with deaths occurring in hospitals or institu~ionsand

with hospitalizationexperience in last year of life,by sex and color:United States,

1958 and 1961

19581 1961

Sex and color Deaths Deaths With

occurring in hospitalization occurring in

hospital or hospital or

experience in

institution institution lastl~f~ of

I I

.

Percent

Total------------------------------ 60.9 I 60.9 I 72.2

1 I

Male------------------------------------- 59.9 57.9 69.6

Female----------------------------------- 62.2 64.9 75.6 I

mite ------------------------------------ 61.9 ;;.: 73.2

Nonwhite--------------------------------- 53.2 ● 64.3

1

Data selected from”NationalOffice of Vital Statistics, Vital Statistics of the

United States,1958tVolume IL table 6~ Public Health Service, Washington, U.S. Government Printing Office, 1960.

I

Table B. Number of decedents and percent with deaths occurring in hospitals or 3-nstitutions and with hospitalizationexperience during the last Year of life, by cause

of death: United Sta~es, 1961 -

Cause of death

All deaths---------------------------

Diseases-of heart--------------------------’

Malignant neoplasms, including neoplasms of

lymphatic and hematopoietic tissues-------

Vascular lesions affecting central nervous

system------------------------------------

Accidents-------------------=---------------

Certain diseases of early infancy-----------

Influenza and pneuonia, except pneumonia

of newborn--------------------------------

General arteriosclerosis--------------------

Diabetes mellitus---------------------------

Congenital malformations-------------------”

Cirrhosis of liver-------------------------,

All other causes----------------------------

. . .

I I

Number of Deaths With

decedents occurring in hospitalization

in hospital or

experience in

thousands institution lastl~er of

I

Percent

1,702~ 60.9

663

270

192

’95

68

55

34

29

21

2;2

49.2

73.1

67.5

40.9

95.4

66.7

69.6

71.7

90.3

87.0

63.7

72.2

6L,2

93.2

76.0

48.4

95.4

73.4

77.0

78.4

95.0

;;.;

.

4
I

I

and institutions. The relationship between the two

kinds of statistics varies widely depending upon

the cause of death (table B). For persons who

died of certain diseases of earLy infancy (98 percent of which were represented by neonatal death,

i.e., wcurring in tlie tiirst 28 days of life), the

number dying in a hospital arid the number having

hospitalization experience were about the same.

Of those who died of cirrhosis of the live<, {the

estimated number of persons having hospitalization experience was only 2 percent greater than

the estimated number ..dying‘in hospitals or institutions. The comparable figure for deaths attributable to vascular lesions was 13 percent.

In con~ast, {the estimated number of persons

who ‘died of malignant neoplasms and who had

hospitalization experience in the last year of life

was about 27:percent larger than the estimate of

those who died in hospitals or institutions and

about 24 percent larger.. for persons who died of

diseases of heart.

,,

!~ype of Service an-d R}ace of Death

Care of decedents in hospitals and institutions

can be viewed according to the kind of~facility in

which lit was received: (a) care received in shorEs~,y hospitals and (b) care ~-eived in resident

institutions. Of the apprwimately 1million persons who died in hospitals and institutions in 1961,

most had care only in short-stay~’hospitals (table C

and tables 3 and 4). Of those who died in shortstay hospitdls, a very “small proportion had.received additional care in resident institution-s “in

the last year of life; ‘whereas among the group

who died in resident institutions, nearly a third

had additional care in short-stay hospitals.

About 665,000 persons; or about:39;percent

of all decedents, died’ outside of hos~itals~in 1961

(tables 5 and .6). Although they were not inihospitals or institutions at the time cif death~”29 percent of these persons had some hospitalization

experience in the last year of life. ‘And of this

group who had hospitalization experience but who

died outside of hospitals. and institutions; .’.rnore

‘than 9 out of !lO,had eqerience~~nly in Shoxt-stay

hospitals.

As is apparent from the above, use of the

death certificate in attempting to estimate hospital or institutional care received by deceased

persons in the yearcprior to death is deficient in ~

two respects. :Rirst, more than one-fourth of the

665,000 [deaths that occurred outside hospitals

rqpresent decedents who had hospital care in the

last year of life. Second, 70,000 persons who died

in resident institutions and 19,000 persons who

died in short-stay :hospitals had additional care .

in a different: kind of ‘facility which could not be

detect~ on the death record.

HOSPITALIZATION EXPERIENCE --- . .

IN THE LAST YEAR OF LIFE

Of the 1,702;000 persons who died in the

United States in. 1961,72 percent had at least some

care inihospitals or institutions in the 12 months

pxeceding deaths “(tables 7 and 8). When these

hospitals .antl ‘institutions are classified by kind of

faciliW, ’58 percent of “all decedents had received

care oniy in short-stay hospitals, 9 percent only

/in resident institutions, ‘and the remaining 5 percent had received sqme care in. both short-stay

hospitals and resident institutions.

sex, &ge, and Color

;A somewhat lak~r proportion of females

?than ..of males had ihospitalization experience in

the last year ofllife. Of the 735;000 females who

died. in :L961,.76 percent had been hospitalized as

compared with only 70 percent of the 968,000

male -decedents. A large part.of tliis sex difference

.is .=ccounted for by the ‘larger proportion of

:females who received fcare in resident institutions. The proportions of males and females with

care “in short-stay hospitals, are about the same.

Infants who died in the first year of life

received hospital care rrrore frequently than persons 6fi any other age. In contrast, relatively few

,persons i~ho died at~ages 1-24 had hospitalization

experience in Ithe year prior to death. After age

24,, however, the likelihood of hospitalization increased -wifi advancing age, attaining a maximum

5-’

.
Table C. Number and percent distribution of decedents tith and without hospitalization

experience in the last year of life, by place of death and kind of faciSity which

provided care: United States, 1961

Hospitalizationexperience

Total------------------

With hospital or institutional care-----------------

In short-stayhospitals----

Without additional care

in resident institutionsWith additional care in

resident institutions----

In resident institutions

only----------------------

Without hospital or institutional care-----------------

Total ------------------

With hospital or institutional care-----------------

In short-stayhospitals----

Without additional care

in resident institutionsWith additional care in

resident institutions----

In resident institutions

only----------------------

Without hospital or institutional care-----------------

,

Place of ~eath

I

All In a hospital or institution

decedents Outside

husg~ls

ShortTotal Resident institutions

ho~~al institution

Number of decedents in thousands

1,702

1,229

1,076

984

92

153

474

100.0

72.2

63.2

57.8

5.4

9.0

27.8

1,037

1,037

893

804

89

144

● **

823

823

823

804

19

...

● ..

100.0

Percent distribu~ion

.100.0

86.1

77.6

8.6

13.9

...

100.0

100.0

100.0

97.7

2.3

...

...

214

214

70

. . .

70

144

9**

100.0

100.0

32.8

. . .

32.8

67.2

. ..’

665

192

183

180

3

9

474

100.0

28.8

27.5

27,0

0.5

L*3

71.2

at ages 65-74 and fallingoffsomewhat among

‘those75 yearsandover.-

pearedmore pronounced.Female decedents,-on

theotherhand,had a differentpatternofhospital

The agepatternintheproportionofmalede- and institutional experience.First,exceptfor

cedentswho had hospitalization was similarto’ infantsand forthosepersons75years andover,

thatobservedforbothsexescombined,butitap- more femaledecedentsthanmalehad eplsodesin

..

6
hhspitals or institutions in the last year of life.

Second, there was a gradual decline with age in

the percent of female decedents with hospitalization experience from a peak in the age group

25-44. Thus, the percent of women having hospitalization experience decreased with age after

the young- to middle-adult years, while the percent of males with such experience increased.

Beyond age 75, the sex differences are negligible

or are reversed. Among both males and females

of all ages, most of the care received by decedents

with hospitalization experience was in, short-stay

hospitals; care in resident institutions became

relatively important only for the older group of

decedents, those 65 years and over.

Although white females were more frequently

hospitalized during the year before death than

their male counterparts, the apparent sex difference for nonwhite persons could be accounted .

for by sampling variation (tables 9 and 10).

Furthermore, color differences appeared to out:

weigh those by sex as indicated by evidence that

proportionately fewer nonwhite females had hospitalization experience than white males (fig. 1).

About 77 percent of white female decedents had

received hospital or institutional care as compared with only 66 percent of the nonwhite, and

71 percent of white males had hospital experience

compared with 63 percent of the nonwhite male

decedents.

The pattern of convergence in the proportions

of males and females having hospitalization experience as age increased, noted above, was found

again among white persons. The same pattern was

found among nonwhite persons but was less pronounced (fi,g. 2).

&

Total

m

Mole

Female

Nonwhite

Mole

Female

PERCENT DISTRIBUTION

.........................................

...........................................

.........................................

...........................................

...........................................

............................

.............................

............................

.........................................................

.............................

............................

:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:

.........................................................

F’igure1, Percent distribution of decedents with

and without hospitalization experience in the

last year of 1ife, by color, sex, and kind of

faci 1ity which provided care.

I

ly~” 80 ----- -------

-------- .

----

.. . . . . . . . . . . . . . . . . . ...--0

z

g

. . . . . . . . .. . . .

. .

_-*-c . . . .

k ,60 _=—. — .— ---

m

z

~

E

1-

Z

~40”

K

w

a

I

White male

------- White female

-. —.. Nonwhite male

20 .............. Nonwhite female

o

I I I

Under 45 years 45–64 years 65+ years

AGE

Figure 2, Percent distributionof decedents with

hospitalization experience in the last year of

life, by sex, color, and age.

7
The one instancein which sex differences

seemed to outweighcolordifferenceswas inthe

comparisonof thepercent.of decedentsaged65

years and overwho hadexperienceonlyinresidentinstitutions. Elderlyfemaledecedents,both

whiteandnonwhite,were more likelytohavehad

only such care (16percentof thewhiteand 15

percentof the nonwhite)than male decedents

(9 and 10 percent).Althoughdata on marital

statusare not presentedin thisreport,the

greaterprevalenceof widowhoodamong living

elderlyfemales4 as well as tliegreatersurvivorshipof females may be importantin accountingforsexdifferences.

Regional Variations

The proportionofdecedentswithhospitalor

institutional care in the 12-monthperiodprecedingdeathvariedmarkedly.among regionsonly .

insofaras the Southdepartedfrom the higher

levelof theotherthreeregionstakentogether

(tables11 and 12).The variationsamong regions

by kindof facilitywhichprovidedcaredeparted

from thepatternforallcarecombined.Although

theSouthpersistedas theregionwiththefewest.

deced&ntshavinghospitaland institutional episodes in short-stayhospitalsand in resident

institutions, thedifferencesamong regionswere

onlymarginalinthepercentofdecedentshaving

short-stayhospitalcareonly.Largerdifferences

were foundihowever,incontrastingtheSouthwith

each of the otherregionsas to thepercentof

decedentswith care in resident institutions

(tableD).

For bothmales andfemales,relativelyfewer

decedentsintheSouthhadepisodesofhospitalor

institutional care in contrastwithpersonswho

diedin otherregions.The regionaldifferences

were somewhat greaterfor females than for

males.Althoughmale decedentsintheSouthwere

lesslikelyto have had onlyshort-stayhospital

experiencethanthosein therestoftheNation,

femaleswho diedin the Southdidnotdifferin

thisrespectfrom females who died in other

regions;theimportantfactorwhichdistinguished

Table D. Number of decedents and percent distributionof decedentswith and wi.thou~

hospitalizationexperience in the last year of life, by geographic region and kind of

facilitywhich provided care: United.States, 1961

All decedents

Region I

I

Number

in

thousands

“r All regions- 1,702

Northeast------ 470

North Central- 493

South--------- 498

West---------- 241

Percent

100.0

100.0

100.0

100.0

100.0

Percent with hospitalizatio~,

experience in the last

In shortstay

hospitals

only

57.8’

57.4

60.5

56..0

56.8

year of life

In

resident

institutions

only

I

In

short-stay

hospitals

~nd

resident

institutions

Percenk

wiehoue

hospitalization

experience in

theo~;;f~ar

Percent distribution

9.0 I 5.4 I 27.8

10.1 ‘6.2

9.1 5.7

7.1 4.0

10.5 ‘ 6.2

26.3

24.8

32.9

26.5

8

—.
I

I

1

i

!

“the femtile decedents in the South from female

decedents in other regions was the small proportion fof Southern women who had care in

resident institutions.

‘Hospitalization experience of persons dying

at ages under 45 and 45-64 years was comparatively less frequent for the South and the

West than for the remainder of the country. Persons who died at ages 65 and over., however, were

somewhat more likely to have received care in

the last year -of life if they had lived in the West

or Northl Central Regions than if they had lived

elsewhere.

In the West and South, male decedents under

age 45 and ‘both males and ..females aged 45-64

were, again, somewhat less frequent users of

hospitals and institutions than decedents in the

rest of the country. For both males and females

who died at age 65 or later, those in the West

were among the most frequent users of hospital

and institutional services. When compared with

tie Western male of similar age, however, the

elderly Western female was somewhat more

likely to have had care ..in resident institutions.

Moreover, the large proportion of older persons

with care in resident institutions in the West is

acaounted for in the main by female decedents.

SimilarLy, of the .females in the South whose

xelative infrequent use of resident instimtions

is so noticeable, it wa-s the group over 65 years

of age which departed so markedly from comparable age-sex groups in other regions (table E).

.Tab&e E. Number Df deaedents and percent distribution of decedents :65 years and over with and

-tithout hospita Lization experience in the last year of life,

of facilitivwhich vrovi~ed care: United States. .1961

by geographic region, sex, and kind

. . .

----- ---- . . .. . . .--- - “.-.

-

Percent with hospitalization . ~

i

., experience in the last

Akl decedents year of life

65 years Percent

, ati over Zn r.es:identinstitutions without

Sex and regton hospitalization

In experience in

short- Without With the laat year

stay additional additional of life

Number hospitals Total care in care in .

Percent short-stay short-stay

tho;;anda II hospitals hospitals

.Iil*regions--

*

Northeast ------- 260

North Central--- 281

South----------- 290

West ------------ M6

I

~Fem’le .4

-All rqgio<s--

. ,-

Nor.theast ------- .210

::u:~ Central---$ .:;;

-----------,

Westi------------ .106

100.0

100.0

100.0

10040’

100.0

.100.0

100.0

100.0

100.0

100.0

lPercent distribution

56.5 f8.3

58.9 13.7

55.7 13.5

60.4 19.4

48.2 23.5

51.5 27.6

50.4 17.5

48.3 .31.7

‘9.4 6.3 26.8

“10 .9 7.,4 25.2

9.2 4.5’ 27.4

5.8 30.8

‘1::; 9.0 20.3

P5.7 8.6 25.9

‘15.4 28.3

15:4 1;:; 20.9

12..2 -5.3. 32.1

23.5 8.2 20.0

9
I

Metropolitan Status

I

Although statistical evidence was present to

suggest that the percent of decedents having

hospital and institutional care in the las~ year of

life was somewhat greater for the larger metropolis areas than for the smaller metropolitan

and nonmetropolitan areas, the differences were

marginal (tables 13 and 14). The same pattern

was ‘observed when male and female decedents

were considered separately. The differences by

metropolitan status for those aged 65 years and

over in care provided in all places, as well as

that provided in short-stay and resident institutions separately, were negligible. For those aged

4$-64 years and for those under 45 years, however,

decedents in metropolitan areas, particularly the

larger areas, appeared to have had more care

than those in nonmetropolitan areas.

Cause of Death

As is seen in tables 15 and 16, the probability

of hospitalization during the last year of life varied

greatly among groups of decedents classified by

the 10 leading causes of death. Among these leading

causes of death, the percent of decedents who

received care in the 12-month period prior to

death varied from more” than 90 percent for those

who died of malignant neoplasms, congenital malformations, and certain diseases of early infancy

to less, than 50 percent for those who died from

accidents. Deaths caused by congenital malformations and by certain diseases of early infancy,

Amost always represent decedents with hospitalization experience because of the very large

proportion of births. in the United States which

occur in hospitals. For each of the 10 leading

causes of death, except general arteriosclerosis,

most decedents with hospitalization experience

had care ordy in short-stay hospitals.

Of persons who died of heart disease and,

particularly, accidents, females were more likely

than males to have received care in the year

before death. The reverse appeared to be indicated, however, for deaths attributable to general

arteriosclerosis.

Hospital and institutional care for persons

who died of heart disease, malignant neoplasms,

and accidents varied noticeably by age (table F).

The likelihood of care increased with age among

those who died of accidents. Similarly, there was

evidence of an increase among those who died of

diseases of heart. Persons dying of malignant neoplasms, by contrast, showed a decline in care with

age.

In general, among the 10 leading causes of

death except congenital malformations and certain

diseases of early infancy the percent of decedents

having care in resident fistitutions increased with

increasing age. For those who died ,of malignant

neoplasms, this relationship was countered by a

sharp decline in the percent who had care in shortstay places. Among persons who died of accidental

causes, the increase with age in hospitalization

experience was much more pronounced for shortstay hospital care than for care in resident

. institutions,

which occur mairdy during the first days of life,

I 10
Table F. Number of decedentsand percent distribution of decedentswith and without hospitalization experiencein the last year of life,by selected cause of death, age,and kind of facility

which provided care: United States, 1961

Selected causes

of death

and age

All causes

All ages--

Under 45 years--

45-64 years-----

65-I- years-------

Diseases

OE heart

All ages--

Under 45 years--

;5G6;e~~s -----

-------

All ages--

.Under45 yeara--

45-64 years-----

65+ years-------

Accidents

All ages--

Under 45 years-y

45-64 yeara-----

65i-years-------

m

other causes

All ages--

Under 45 years--

45-64 years-----

65i-years-------

All decedents

Number

in

thousands

1,702

270

419

1,014

663

23

171

469

270

26

1:;

95

51

22

23

674

170

129

375

Percent

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

ioo.o

100.0

100.0

Percent with hospitalization

.

Total

72.2

70.5

;;.;

●

6i.2

55.6

53.9

64.1

93.2

97*4

95.9

90.7

48.4

31.7

50.0

83.7

77.9

79.9

74.4

78.3

experience in-the last

year of life I

In shortho;~;ala

only

In

resident

institutions

only

In both

short-stay

hospitals

and

resident

institutions

“Percentwithout

hospitalization

experiencein

the last year

of life

Percent distribution

57.8

67.0

61.4

53.9

46.7

51.5

48.6

45.7

81.5

91.5

84.6

77.7

43.6

29.9

46.9

70.6

61.3

76.3

63.4

53.7

9.01 5.41 27.8

I I

2.1 29.5

$:: 30.2

12:: . 26.4

9.7 4.8 38.8’

4.1 ... 44.4

46.1

1::? ;:: 35.9

5.6 I 6.11 6.8

3*4

5.5

7.0

2.8 51.6

1.8

1.6

3.0

10.6

. . . 68.3

1.5 50.0

10.1 16.3

lIncludesneoplasms of lymphaticand hemstopoietictissues.

11
REFERENCES

lNational Office of Vital Statistics:, V{tal Statistics of

the United States, 1.949, Part I. Public Health Service. Washington. U.S. Government Printing Office, 1951. pp. LII and

LIII.

%ational Office of Vital Statistics: Vital Statistics of

the United States, 1958, Volume I. Public Health Service.

Washingbn. U.S. Government Printing Office, 1960. pp. 6-7”

and 6-8.

3The values based on the 1961 survey may be expected

to differ somewhat from comparable vaIues obtained in the

vital statistics reports insofar as the definition of “death in

an institution” differs between the two sources and for other

reasons; see Appendix II.

4Sheldon, H. D.:. The Older Population of the United

States. New York. John Wiley and %ns,” Inc., 1958. p. 91.

5A more comprehensive discussion of the procedures

used in the National Mortality Survey may be fcund on pp. 7-

11 of National VItsl Statistics Divisionj Design of Surveys

Linked to Death Records, Public Health Service, Wes hingtcn,

D. C., Sept. 1962.

6National Vital Statistics Division: VitaZ Statistics of

the United States, 1961, Volume II, Part A. Public Health

Service. Washington. U.S. Government Printihg Office. 1964,

table 5-11.

7Naticnal Vital Statistics Division: VitaZ Statistics of

the United States, 1961, Volume H, Part A. Public Healtlr

Service- Washington. US. Government Printing Office, 1964,

pp. 7-11 through 7-13.

8National Vital Statistics Division: Vitaz Statistiag of

the United States, 1961, Volume H, Part A. Public Health

Service. Washington. U.S. Government Printing Office, 1964.

pp. 7-8 and 7-9.

‘U.S. Bureau of the Census: U.S, Census of Population:

1960. Number of Inhabitants, United States Summay. Final

Report PC(l)-lA. Washington. U.S. Government Printing

“Office, 1961.

000

12
DETAILED TABLES

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

Number of decedents, by place of death and selected characteristics: United

States, 1961--------------------------------------------------------------------

percent distribution of decedents, by place of death according to selected

characteristics: United States, 1961--------------------------------------------

Number of persons who died in hospitals and institutions, by kind of hospitalization experience in the last year of life and selected characteristics: United

States, 1961--------------------------- -----------------------------------------

Percent distribution of persons who died in hospitals and institutions, by kind

of hospitalization experience in the last year of life according to selected

characteristics: United States, 1961--------------------------------------------

Number of persons who died outside hospitals and institutions with and without

hospitalization experience in the last year of life, by kind of facility which

provided care, and selected characteristics: United States, 1961------T---------

Percent distribution of persons who died outside hospitals and institutions with

and without hospitalization experience in the last year of life, by kind of facility which provided care according to selected characteristics: United States,

1961.------------------------------”--------------------------------------------.

Number of decedents with and without hospitalization experience in the last year

of life, by kind of facility which provided care, sex, and detailed age: United

States, 1961------------------------------------------------------------------ -

Percent distribution of decedents with and without hospitalization experience in

the last year of life; by kind of facility which provided care according to sex

and detailed age: United S~ates, 1961-------------------------------------------

Number of decedents with and without hospitalization experience in the last year

of life, by kind of facility which provided care, color, sex, and age: United

States, 1961--------------------------------------------------------------------

Percent distribution of decedents with and without ,hospitalization experience in

the last year of life by kind of facility which provided care according to

color, sex, and age: United States, 1961------------------ ----------------------

~fmb~f~f decedents with and without hospitalization experience in the last year

by kind of facility which provided care, sex, age, and geographic

region: finitedStates, 1961-----------------------------------------------------

Percent distribution of decedents with and without hospitalization experience in

the last year of life,by kind of facility which provided care according to sex,

age, and geographic region: United States, 1961---------------------------------

Number of decedents with and without hospitalization experience in the last year

of life, by kind of facility which “provided care,

status: United States, 1961

sex, age, and metropolitan

--------------------------- --------------------------

Percent distribution of decedents with and without hospitalization ekp~rience in

the last year of life, by kind of facility which provided care according to

sex, age, and metropolitan status: United states> 1961--------------------------

Number of decedents with and without hospitalization experience in the last year

of life, by kind of facility which provided care, sex, cause of death, and age:

United States, 1961-------------------------------------------------------------

Percent distribution of decedents with and without hospitalization experience in

the last year of life, by kind of facility which provided care according to

sex, cause of death, and age: United States, 1961---------------------------.---

Yage

14

15

16

17

18

19

20

21

22

23

24

26

28

30

32

34

13
Table 1. Number of decedents, by place of death and selected characteristics: United States, 1961

Characteristic

Total---------------------------

Sex

Male----------------------------------

Female-------------z ------------------

Color

White ---------------------------------

Nonwhite------------------------------

Age

Under 45 years------------------------

45-64 years---------------------------

65+ years-----------------------------

Region

Northeast---------------:-------------

North Central-------------------------

South---------------------------------

West----------------------------------

Metropolitan status

Metropolitan --------------------------

Nonmetropolitan -----------------------

Cause of death

Diseases of heart---------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues----------:----

Vascular lesions affecting

central nervous system --------------

Accidents -----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia, except

pneumonia of newborn ----------------

General arteriosclerosis --------------

Diabetes mellitus ---------------------

Congenital malformations --------------

Cirrhosis of liver--------------------

All other causes----------------------

All

decedents

1,702

968

735

1,499

203

270

419

1,014

470

493

498

241

1,062

640

663

270

192

95

68

55

34

29

21

Place of death

In a hospital or institution

II [

Total Short-stay Resident

hospital institution

Outside

hos;pi~ls

institutions

Number of decedents in thousands “

1,037

—

560

477

930

107

169

235

633

293

320

270

154

664

373

326

197

130

39

65

37

24

21

19

18

162

823

468

355

731

91

164

206

453

226

258

222

118

525

298

240

169

24

1;

17

16

141

214

92

122

198

15

5

29

179

67

63

48

36

139

75

86

28

41

2

*

13

15

5

1

2?

665

407

258

569

96

100

184

381

178

172

228

87

398

267

337

73

63

56

3

18

10

8

14
Table 2. Percent distribution of decedents, by place of death according to selected characteristics: United States, 1961

Characteristic

Total---------------------------

Male -----------------------------------

Female --------------------------------

Color

White---------------------------------

Nonwhite------------------------------

Age

—

Under 45 years------------------------

45-64 years----------------------------

65+ years---..----,-- ------------------

Region

Northeast -----------------------------

North Central-------------------------

South---------------------------------

West--------------------:-------------

Metropolitan status

Metropolitan --------------------------

Nonmetropolitan -----------------------

Cause of death

Diseases of heart---------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues---------------

‘Vascular lesions affecting

central nervous system--------------

Accidents~----------------------------

Certain diseases of early infancy-----

Influenza and pneumonia,”except

pneumonia of newborn----------------

General arteriosclerosis---y----------

Diabetes mellitus ---------------------

Congenital malformations --------------

Cirrhosis of liver--------------------

All other causes----------------------

All

decedents

——

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Place of death

In a hospital or institution Outside

hospitals

Short-stay Resident and

Total hospital institution institutions

Percent distribution

60.9

57.9

64.9

62.0

52.6

62.8

56.1

62.4

62.2

65.0

54.2

63.9

62.5

58.3

49.2

73.1

67.5

40.9

95.4

66.7

69.6

71.7

90.3

87.0

63.7

48.3

48.3

48.3

48.8

45.0

60.7

49.1

44.7

48.0

52.3

44.5

48.9

49.4

46.6

36.1

62.7

46.1

38.8

94.8

43.6

26.9

55.7

83.7

77.1

55.6

12.6

9.5

16.6

13.2

7.6

2.0

7.0

17.7

14.2

12.7

9.7

15.0

13.1

11.7

13.0

10.4

21.4

2.1

*

23.2

42.7

15.9

6.6

9.9

8.2

39.1

42:1

35.1

38.0

47.4

37.2

43.9

37.6

37.8

35.0

45.8

36.1

37.5

41.7

50.8

26.9

32.5

59.1

4.6

33.3

30.4

28.3

9.7

13.0

36.3

15
Table 3. Number of persons who died in hospitals and institutions, by kind of hospitalization experience in the last yeaf

of life and selected characteristics: United States, 1961

Characteristic

Total-----------------------------

Sex —

Male------------------------------------

Female----------------------------------

Color

White-----------------------------------

Nonwhite-------------------------------.,

Age

—

Under 45 years---------------------------

45-64 years------------------------------

65+ years--------------------------------

Region

Northeast--------------------------------

North Central----------------------------

South-----------------=-------=----------

West-------------------------------------

Metropolitan status

Metropolitan-----------------------------

Nonmetropolitan--------------------------

Cause of death

Diseases of heart------------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hsmatopoietic tissues------------------

Vascular lesions affecting

central nervous systm -----------------

Accidents--------------------------------

Certain diseases of early infancy--------

Influenza and pneumofia, sxcept

pneumonia of newborn -------------------

General arteriosclerosis-----------------

Diabetes mellitus------------------------

Congenital malfomations -----------------

Cirrhosis of liver-----------------------

All other causes-----------.--,----------

II Death occurring in short-stay I

Death occurring in resident

Persons who hospitals institutions

died in II 1

hos~~ls With no W:;:es;y With no W:::esy

ins~itutions Total care in Total care in

resident resident

institutions institutions

short-stay short-stay

hospitals hospitals

1,03

56(

47;

93(

10;

165

23:

63:

29:

32(

27<

151

664

37:

326

197

130

39

65

37

;;

19

1::

82:

461

35!

731

91

16/

20(

45:

22(

256

22:

llE

525

29t

240

169

89

37

65

2$

16

17

1:!

Number of persons in thousands

45C

34t

712

91

203

437

220

251

218

115

513

291

234

167

19

10

9

18

1

1

2

16

6

6

4

3

11

7

6

2

3

2

*

1

*

1

*

:

9:

12:

191

1!

2$

17$

6;

6:

4(

3(

13;

7!

86

2s

41

2

*

13

15

5

1

2:

144

61

83

132

12

3

19

121

45

42

33

24

94

50

62

14

27

1

*

1;

3

*

1:

70

31

39

67

4

2

10

58

22

21

15

12

45

25

25

14

1;

*

:

1

:

—

16
,

Table 4. Percent distributionof persons who died in hospitals and institutions, by kind of hospitalizationexperiencein

the last year of life according to selected characteristics:United States, 1961

Characteristic

Total------------------------------

Male-------------------------------------

Female-----------------------------------

color

White------------------------------------

Nanwhite---------------------------------

—Age

Under 45 years---------------------------

45-64 years------------------------------

65t years--------------------------------

Northeast--------------------------------

North Central----------------=-----------

South------------------------------------

West-------------------------------------

Metropolitan status

Metropolitan-----------------------------

Nonmetropolitan--------------------------

Cause of death

Diseases of heart------------------------

Malignant neoplasms,including

neoplasms of lymphaticand

hematopoietictissues------------------

Vascular lesions affecting

central nervous system-----------------

Accidenta--------------------------------

Certain diseases of early infancy--------

Influenzaand pneumonia,except

pneumonia of newborn-------------------

General arteriosclerosis-----------------

Diabeteamellitus--— --------------------

Congenitalmalformations-----------------

Cirrhosis of liver-----------------------

All other causes -------------------------

II Death occurringin short-stay

I

Death occurring in resident

Persc.nswho hospitals institutions

I

With some With no With some

care in Total care ‘n care in

resident short-stay short-stay

institutions hospitals hospitals

,, 1, , ,

Percent distribution

100.0

100.0

100.0

100.C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

79.4

83.5

74.5

78.7

85.5

96.8

S7.6

7i.7

77.1

80.4

82.2

76.5

79.0

79.9

73.5

85.8

68.3

94.8

99.4

::.;

77:7

92.7

88.6

87.2

77.6

81.8

72.6

76.7

84,9

96.4

86.6

69.2

75.1

78.5

80.7

74.8

77.3

78.0

84.8

65.8

90.6

99.4

62.5

38.7

74.6

92.7

85.0

84.9

1.8

1.8

1.9

1.5

0.7

0.4

1.0

2.5

2.0

2,0

1.5

1.7

1.7

1,9

1.8

1.0

2.7

3.:

3.:

2.3

20.6

16.5

25.5

21.3

14.5

3.2

12.4

28.3

22.9

19.6

17.8

23.5

21.0

20.1

26.5

14.2

31.7

5.2

*

34,7

61.3

22.3

1:::

12.8

13.9

10.9

17.4

14.2

11.1

1.9

8.2

19.2

15.4

13.1

12.1

15.8

14.2

13.4

18.9

6.9

2:.g

“*

30.2

38.3

16.0

*

;:;

6.8

5.6

S.1

7.2

3.3

1.3

4.2

9.2

7.5

6.5

5.7’

7.7

6.8

6.7

7.6

7.3

10.9

2.6

*

2;::

6.3

5.5

3.9

3.5

I

I

17
Table 5. Number of persons who died outside hospitals and institutions with and without hospitalization experience in the

last year of life, by kind of facility which provided care, and selected characteristics: United States, 1961

Characteristic

Total-------------------------

—Sex

Male-----------------J--------------

Female------------------------------

Color

White-------------------------------

Nonwhite----------------------------

Age

.

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

.

Region

Northeast--------------— -----------

North Central-----------------------

South-------------------------------

West--------------------------------

M&trouolitan status

Metropolitan------------------------

Nometropolitan ---------------------

Cause of death

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hsmatopoietic tissues-------------

Vascular lesions affecting

central nemous systsm------------

Accidents---------------------------

Certain diseases of early infancy---

Influenza and pneumonia, except

pneumonia of newborn--------------

General arteriosclerosis------------

Diabetes mellitus-------------------

Congenital malfomations ------------

Cirrhosis qf liver------------------

All other causes--------------------

Persons

who died

outside

hos~~dals .

institutions

665

407

258

569

96

100

184

3s1

178

172

.228

87

39s

267

337

73

63

56

3

H

8

2

92

Total

192

113

79

16S

24

21

57

114

54

50

64

23

114

78

80

54

16

7

*

4

3

*

*

2;

With hospital or institutional care

In short-stay hospitals t

-i’*”s

Without

hosg~dal

institutional

care

18:

Number of persons in thdusands

10;

7;

16[

2:

lt

5!

llC

5:

48

6:

22

llC

7L

77

53

15

6

*

4

3

*

5

2;

18(

10:

7!

157

2:

17

54

109

50

47

61

22

107

73

76

53

15

6

*

3

3

*

*

2;

9

7

2

s

1

2

2

4

2

3

3

1

5

4

3

2

1

1

*

*

*

*

*

*

3

676

294

17’9

401

72

80

127

267

124

122

164

64

284

190

258

15

8

*

*

6;

18
h —

I

I

i

Table 6. Percent distribution of perso,nswho died outside hospitals and institutions with and without hospitalization ex- . ‘--

perience in the last year of life, by kind of facility which provided care

States, 1961

according to selected characteristics: United

Characteristic

I

I

Total -------------------------

Male--------------------------------

Female------------------------------

Color

White-------------------------------

Nonwhite----------------------------

Ase .

Under 45 years----------------------

45-64 yea~s-------------------------

65t years---------------------------

ReSion

Northeast---------------------------

North Central-----------------------

South-------------------------------

west--------------------------------

Metropolitan status

Metropolitan-----?------------------

Nometropolitan ---------------------

Cause of death

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues-------------

Vascular lesions’affectins

central nervous system------------

Accidents---------------------------

Certain diseases of early infancy---

Influenza and pneumonia, except

pneumonia of newborn--------------

General arteriosclerosis------------

Diabetes mellitus-------------------

Congenital malformations------------

Cirrhosis of liver------------------

All othar causes--------------------

Persons

who died

outside

hos~$dals

institutions

100.C

100.0

100 .C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

With hospital or institutional car’a

In short~stay hospitals ‘“‘“

Without

hosg~dal

In

Total With no care

With some resident institutional

Total in resident cara in institutions care

resident - only

institutions in~tj.tutions

II II I I I

Percent distribution

28.8

27.8

30.4

29.5

24.S

20.7

31.1

29.9

30.5

29.3

28.1

26.5

2S.7

29.0

23.6

74.s

26.0

12.6

*

20.0

24.5

*

*

27.;

27.5

_

26.1

29.7

2s.1

24.1

18.3

29.9

2s.s

29.2

27.6

27.0

25.4

27.5

27.6

22.9

72.5

24.5

11.1

.*

20.0

24.5

*

*

24.:

27.(

25.[

29.1

27.t

23.:

17.:

29.:

.2s.5

28.2

27.C

26.9

25.C

26.9

“27.2

22.5

72,5

23.5

11.1

*

18.0

24.5

*

*

23.:

0.5

0.4

0.6

1.0

0.5

0.3

0.9

0.6

*

*

0.6

0:4

0.4

*

1.1*

*

*

*

*

*

1.:

1.3

1.7

0.7

1.4

0.6

2.4

1.3

1.0

1.3

1.7

1.1

1.1

1.2

1.4

0.8

2.3

1.5

1.6

*

*

*

*

*

2.:

71,2

72.2.

69.6

70.5

75.2

79.3

68.9

70.1

69.5

70.7

71.9

73.5

71.3

71.0

76.4

25.2

74.0

87.4

*

80.0

75.5

*’*

72.;

19

.
Table 7. Number of decedents with and without hospitalization experience in the last ‘yearof life, by kind of facility which

provided care, sex, and detailed age: United States, 1961

Sex and age

Both sexes

All ages----— ----------------

Under 45 years----------------------

Under 1 year----------------------

1-24 years------------------------

25-44 years-----------------------

45-64 years— -----------------------

45-54 years-----------------------

55-64 years-----------------------

65+ years---------------------------

65-74 years-----------------------

75-84 years-----------------------

85+ years-----------------------—

Male

Under

All ages-----—-—— --------

45 years----------------------

Under 1 year----------------------

1-24 years------------------------

25-44 years-----------------------

45-64 years-------------------------

45-54 years-----------------------

55-64 years----------— -----------

65+ years---------------------------

65-74 years---------------—-------

75-84 years-----------------------

85+ years-------------------------

Female

All ages----------------------

Under 45 years-----— ---------------

Under 1 year----------------------

1-24 years------------------------

25-44 years-----------------------

45-64 years-------------------------

45-54 years-----------------------

55-64 years-----------------------

65+ years---------------------------

65-74’yeara-----------------------

75-84 years-----------------------

85+ years-------------------------

L

All

decedents

Total

1,70.

27I

10I

1:;

41!

15:

“26I

1,01,

41(

40{

19(

96[

16:

6:

3;

6!

27(

9[

17:

53:

24[

20[

75

735

107

46

::

149

;2

479

168

201

111

1,22!

19(

9(

3/

6(

29:

10:

18!

74(

3of

30:

13(

67:

10:

5:1$

3/

177

;:

391

18C

153

6C

555

85

38

:;

lY.5

43

72

355

129

150

75

With hospital or institutional care

In short-stay hosuitala I

Number of decedents in thousands-.

1,07(

lsf

8$

3:

6:

27(

9:

17:

621

27G

24t

9:

60f

101

5:

$

162

1:;

341

165

130

47

470

83

38

;:

107

40

68

280

115

119

46

984

181

8;

3:

6C

546

260

214

72

563

100

lfi

54

102

307

154

115

38

421

81

37

;:

102

38

64

239

106

99

34

1s3

6

22

125

68

4

*

*

3

14

5

9

50

15

22

13

85

.2

*

1

2

Without

hospital

and

institutional

care

474

● 00

127

50

77

267

107

106

54

294

58

10

E

93

143

179

22

8

6

7

12

22

124

39

50

35

20

●
‘Table8. Percent distributionof decedencswithan’d without hospitalizationexperiencein the last year of life, by kind of

facilitywhi<h providedcare according to sex and detailed age: United States, 1961

Sex and age

Seth-sexes

AlZ’.ages---------------------

Under 45 years----------------------

Under”l yeari--------.---—------

1-24 years-----------------------

25-44 years----------------------

45-64 years------------------------

45-54 years---------------------

55-64 years---------------------

65+ years---------.------- —------

65-74 years..-—-----------------

75-84 years---------------------

85+ years~-----------------------

Male —

All ages-----------—---------

Under 45 years---------.-----— ----

Under 1 year------.-----------—.

1-24tyears--------—------------

25-44 years---------------------

45-64.years-------------— ---------

45-54 years------—-–--,---------

55-64 years----------------------

65+ years-------------...--.---.-—

65-74 years----------------------

~75-84years---------------------

85+ years--.------.---------.—.-

Female

All agea---------------------

Utider45 years---------------------

Under 1 year---------------------

1-24.yeara-----------------------

25-44 yeare---------------------

45-64 years-----------------------

45-.54years----------------------

55-64 years.--.---.-.--ti-----------

65.byears-------------------------

“65-74ytiaZ8----------------------

75-84 yeara----------------------

8.5%yeara-----------------------

II With hospital or institutionalcare I

Irrshort-stayhospitals Without

All hospital

decedents In and

‘l!otal Uith no care With some resident institutional

Total’, in resident care in institutions care

, . . . resident only

‘nst%tut=ons institutions

Percent disttiibution

-F

1OO.OI( 70.:

100.0 83.:

7.00.0’ 57:!

:100.0 64.2

100.0[[ 69.,

100.0 67.5

100.0 71.1

100.0 “73.6

‘loo .0 74.3

!loo.0 73.9

100.0 . 71.5

Al 100.0 69.6

100.0 64.4

100.0 83.[

100.0 50,/

100.0 53~(

100 lC

.100;c

100 .C

100.C

100.fi

100.m

100.0

61.4

$68.C

13.2

72.5

72.9

76.3

75.6

Joo .0 79.8

100.0 82.3

100.0 71.1

100.0 81.5

100.0 ‘n.3

.100.0 ,100...: .;::

100.0 74.1

100 to, ? 77.0

100;0 74.9

.100,0 68:1

63.

_

68.

:~:

64.

62..

66.(

61.:

:;:;

49::

62.(

62.i

:8?3:;

50.4

48-.7

60.’4

56;5

:62.6

63.8

66.4

62.4

59.5

64.o

77.E

82.?

68.8

77.;?

72.2

72.3

72.2

58.4

6g.4

59.3

41.7

’57,!

67.(

82.!

54.:

57.1

61.(

59.$

62.:

53::

62.:

52.:

37.t

58.2

61.:

:;:;

46.;

57.(

54.;

59.:

57.!

Q2

)55.:

‘48.:

57.3

75.6

81.7

62.5

75.6

68.4

69..3

67.9

49.8

62.9

49.6

30.3

5./

1./

3.:

7.4

4.4

1.(

9

2,;

Z.f

6,3

6.7

2;1

6.;

1.6

3.8

8.6

9.C

2.1

0.;

4.6

5.1

5.3

5.1

12.4

1:::

22.4

7.0

2.2

*

.A.;

5.2

4.9

5.3

9.4

6.1

10.5

16.8

11.5

5.1

86..0

4.6

“15.7

27.8

29.5

16.8

42.1

35.7

30.2

32.5

28.?

26.4

25.7

26,1

28.5

30.4

35.6

16.2

49,6

46.4

34.4

038.6

32.0

26.8

27.5

27.1

23.7

24.4

20.2

17.7

28.9

18.5

22.7

21.7

23.2

25.9

23.0

25.1

31.9
Table 9. Number of decedents with and without hospitalization experience in the last year of life, by kind of facility which

provided care, color, sex, and age: United States, 1961

With hospital or institutional care

In short-stay hospitals

II k In

Total

Without

hosg;~l

institutional

All

decedents color, sex, and age

I

-..

With no care

With eme resident

Total in resident care in institutions

resident institutions ~n~t~t”~ion~ only

care

White, both sexes Number of decedents in thousands

All ages---------------------- 1,49 1,098 958 870 88 140 401

20

35

93

150

251

697

603

146

231

581

541

142

219

508

4

12

72

57

103

241

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

4

20

116

All ages ---------------------- 85 501 40 61 253

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

12

23

49

83

155

364

495

81

142

318

416

65

89

263

118

39

39

41

64

80

135

286

1

7

32

2

13

46

79

2

7

70

12

2

2

9

6

44

79

129

Famale

All ages---------------------- 64 369

62

84

222

47

2

5

40

149

13

24

111

Under 45 years----------------------

45-64 yea~s-------------------------

65+ years---------------------------

7

12

44

66

96

333

131

40

41

50

71

Nonwhite, both sexes

20 114

38

38

38

5

*

1

3

72

23

23

26

All ages----------------------

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

6

6

. 7

Male

All ages-.----:--------------- 11 62 3 42

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

21

22

27

60

19

19

22

20

21

23

54

18

18

17

20

20

22

*

1

2

1

1

4

6

*

1

5

14

14

14

Female

2

*

1

1

31

9

10

13

All ages---------------------- 9 52

18

18

16

Under 45 years----------------------

45-64 years-------------------------

65+ years---------------------------

2

2

3

22
Table 10. Percent distributionof decedentswith and withouk hospitalizationexperience in the last year of life by kind of

~acilitywhich provided care according to color, sex, and age: United States, 1961 ‘:

With hospital or institutionalcare

COIOr, sex, and age

White, both sexes

All ages--------------------~.

Under 45 years ----------------------

45-64 years -------------------------

65+ years---------------------------

Male

All ages----------------------

Under 45 years ----------------------

45-64 years-------------------------

65+ years---------------------------

Female

All ag~s---:-.----------------

Under 45 years----------------------

45-64 years --------------------------

65+ yeara ---------------------------

Nonwhite, both sexes

All ages ----------------------

‘e:i:nt’ ‘“’a’ -i~~ns ‘Otal

100.

100.

100.

100.

100.

100.

100.

100.

100.

Under 45 years ----------------------

45-64 years -------------------------

65+ yeaxa--------------------------- 100.(

Male

All ages----------------------

w

Under 45 years---------------------- 100.(

45-64 years------------------------- 100.[

65+ years-----------. -..--. ----~e... 100.C

,.

All ages-----------------------

L

100.0

Under 45 years---------------------- 1100.0

45-64 years------------------------- 100.0

65+ years--------------------------- 100.0

100.1

‘1OO.I

100.(

100.(

100.(

100.(

73.

-

72.!

70.!

74.:

70.!

65.:

66.:

73.8

76.~

83.6

80.0

74.9

64.3 _

64.0

63.5

65.3

63.o

60.4

61.4

66.6

66.0’

‘1

I

68.6

66.2

63.8,

63,:

_

70.!

65.:

6~.~

63.:

63.E

60.7

64.4

64.7

81.4

74.1

59.2

58.2 _

61.4

61.1

53.1

57.3

56.8

58.5

56.7

~

I

~

59.3

67.3

64.2

48.9

Percent distribution

58.1

68.8

61.S

54.Z

58.6

62.8

57.7

57.9

57.3

78.5

69.9

50.2

55.9

60.9

59.0

49.2

55.0I

I

56.0

56.6

52.6

5.8

1.7

3.4

7.7

4.7

1.0

3.0

6.5

7.4

2.9

4.2

9.0

2.2

*

2.0

3.9

2.4

*

1.9,

4.1

I

I

—“

Without

bosg$l

institutional

care

9.31 26.8

I

1.9 27.5

5.6 29.1

L

12.4 23.7

7.2 29.5

1.7 34.5

5.5 33.8

+

9.4 26.2

12.2 23.1

2.3 16.4

5.81 20.0

15.7 25.1

I

2.6 36.0

2.5 ..”36.5

12.2 34.7

3.6 39.6

2.8 38.6

9:9 33.4

57.2 2.1 6.7 34.0

67.3 * * 31.4

62.1 2.2 2.0 33,8

45.3 3.6 14.8 36,2

23

d
Table 11. Number of.decedents with and without hospitaEzatiOn experie~~e in the last year of life, by kind of

,Eacility-wtich provided care, sex, age, and geographic region: United States, 1961

Sex, age, and?=egion

.BOTH SEXES

All ages

All regions-———

.;ortheast -------------

North.Central ---------

south---------------~-,

WesG—------— ------

tier 45 years

All regions--——

Northeast -------------

North ““Central-------”-~

South -----------------

-wt-——--—---—--

45-64 years

All regions—---

NOxtheast------—----

‘Nurth..@ntral--------

SOUE3----------— -----

west--—------———-

65+ years

ml regions----’

Northeast--— ---------

North Central--— -----

South---—-—--—---—

-West---------------—

=E

All. ages

AI.L r*gions-.—-

Xoctheast--------—---

Worth Central---------

South-----------—-——

Mast-----------------

Under 45 years

AI.2regiuns----

Northeaat-----—-------

‘North Centr&-— ------

:South----—---—-—--

.Wes&-----—-----—-—-

11 .Vi.thhospitSI or institutienaI care I

1“ In short-stay fhospitals

al ‘“

decedents In

Tot& .With no care

With some resident

Total care in institutions. in resident

institutions resident only

ins titutions

;

1,702

.470

493

498

241

270

58

72

94

47

‘.4L9

120

114

127

58

‘1,014

’293

307

277

1137

968

260

.281

290

L36,

Y63

1;229

—

347

371

‘ 334

177

190’

43

5.5

6~

31

292

89

83

83

37

..

746

215

232

lW

109

.673

189

200

190

“95:

105

Number ofidecedents in thousands

1,076 984 92

-

300 270 29

.326 298 28

299 279 20

152’ U7 15

X8$ ,

181 -4

41, “39 2

54 54 *

59 :59 1

31 30 i

270 25; 13

82 77 5

77 ; 74 3

76 73 4

35 33 ‘2

621 546 75

Xm’ 154 23

195 :lZO 25

163 .148 15

,86 75 1.2

,!

i

.606, ., 563 ’43

x67 153 n4

X80 .1%0 9

173 ‘162, 12

’86 78 8

101 100 , “2

24 23 r

30 30 *

:34 3i *

14 14 *

153

47

45

35

25

6

2

2

2

1

22

8

6

6

‘2

:125

38

37

27

23

68

22.

20

~6.

9

,4

Without

hosuital

ind

institutional

care

474

124

122

164

564

80

15

17

32

15

127

30

31

44

21

267

78

74

87

28

294

71

“82

100

41

58

11

J3

23

,11

“24
.

.

Table 11. Number of decedents with and without Iiospitalization experience in the last year of life, by kind of

facility,which provided care, sax, age.,and geographic reg%on: United States, 1961—Con.

Sex, age, and regianMALE-Con~ -

45-64 years

All. regions -----

Northeast -------------

North Central---------

South-----------------

West ------------------

65+ years

All regions-----

Northeast-------------

North Central---------

South------—---------

West------------------

FEMALE

All ages

AU regions—---

Northeast---------—--

North Central---------

South-----------------

West--—-----— ------

Under 45 years

A1’1regions-----

Northeast-------------

North‘Central--------l

South-----------—----

West---------—---—-

45-64 years

All regions-----

Northeast-------------

North Central---------

South-------------—--

West-------—----—--

65+ years

All regions--—-

Northeast-----—------

North Central---------

South-------—--—----

west-_---_ ----_-----,

API

decedents

270

69

76

83

41

535

155

161

148

70

735

210

nl

208

106

L07

22

28

35

22

149

51

38

44

16

479

S38.

145

129

67’

With hospitalor ins.titutionalcare

177

-48

52

52

25

ml

116

117

102

56

555

E7

17I

144

83

85

w

26

26”

17

115

41

32

31

12

355

99

11.3

88

54

Number of decedents in thousands

16’:

41

4E

4:

2L

3.41

95

102

91

48

470

133

146

125

66

83

17

24

25

L7

107

38

30

28

1s

280

77

9-3

72

38

155

.42

46

45

22

307

88

95

82

42

4Z

118

128

117

59

81

16

24

25

16

102

35

29

27

11

239

66

75

65

32

i

2

2

3

L

34

IT

7

9

6

49

15

19

8

7

z

1

*

*

1

6

3

1

1,

1

4i

11

18

7

6

14

4

4

4

1

50

17

15

11

7

85

25

25

19

16

2

*

1

1

*

‘8

3

2

2

*

75

21

22

16

16

Without

hospita~

and

insiitutional

care

93

21

24

3J.

16

143

39

4&

46

14

179

53

40

6.4

23

22.

4

3

9

5

34

10..

7

X3

5

124T

39

30

42

13

*

I

25
Table 12. Percent distribution of decedmts with and without hospitalization experience in the last year of life, by kind of

facilitywhich provided care, according to SSX, “age,and geographicregion: United States, 1961

Sex, age, and region

.BOTW SSXSS

All ages

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-------------:-----------------

West --------------------------------

tider 45 years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-------------------------------

West--------------------------------

45-64 years

All regions-------------------

Northeast---------------------------

North Cmtrai -----------------------

South-------------------------------

West--------------------------------

65+ years

*

All regions-------------------

Northeast---------:-----------------

North Central-----------------------

south-------------------------------

west--------------------------------

~

All ages

All regions-------------------

Northeast---------------------------

North Cmtral -----------------------

South-------------------------------

West--------------------------------

Under 45 years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South------------=------------------

West--------------------------------

26

All L

decedsnts

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

—

‘With hospital or institutional care I

II II r I I

Percent distribution

72.2

73.7

75.2

67.1

73.5

70.5

73.9

76.9

65.3

66.9

69.S

74.7

73.0

65.1

63.5

73.6

73.3

75.7

68.6

79.9

69.6

72.8

71.0

65.4

69.7

64.4

70.0

69.8

60.2

56.6

63.2

63.7

66.2

60.0

63.0

68.4

71.3

74.6

63.2

65.5

64.6

68.3

67.7

60.2

“60.6

61.3

60.3

63.6

5g.8

63.1

62.6

64.2

63.8

59.8

63.1

62.’2

66.5

67.5

5S.6

55.3

57.t

57.4

60.:

56.(

56.t

67.c

67.C

74.C

62.!

63.1

61.4

64.4

65.1

57.3

57.1

53.9

52.6

55.4

53.2

54.5

5S.2

5S.6

60.5

55.8

57.5

61.3

63.1

67.5

50.1

55.3

6.2 lo.!

3.5 3,C

+

S.6 16.E

4.4 7.C

5.5 8.6

3.3 7.2

4.0 5.6

5.6 6.6

1,0 2.2

3.4 3,5

* z.3

* 1.6

* *

‘27.8

26,3

24.8

32.9

26,5

29.5

26,L

23,1

34.7

33,1

30,2

25,3

27,0

34.9

36.5

26.4

26.7

24,3

31,4

20.1

30.4

27.2

29,0

34,6

30,3

35,6

30.0

30.2

39.8

43.4 ‘
.

.

Table 12. Percent distributionof decedents’with and without hospitalizationexperiencein the last year of ,life,by kind of

facility which provided care, according to sex, age, and geographic region: United States, 1961—Con.

Sax, age, and region

MALE-COn.

45-64 years

All regions-------------------

Northe~st---------------------------

North Central-----------------------

South-------------------------------

Wast--------------------------------

63+ years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-------------------------------

FE2.iALE

All ages

All regions------------------:

Northeast---------------------------

North Central-----------------------

South-------------------------------

West--------------------------------

Under 45 years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-----------------------------qWest--------------------------------

45-64 years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-----------:-------------------

Weet--------------------------------

65+ years

All regions-------------------

Northeast---------------------------

North Central-----------------------

South-------------------------------

Weet--------------------------------

With hospital or institutional care

I

In short-stay hospitals

All

decedents In

Total With no care

With some resident

Total in resident care in institutions

resident only

institution= institutions

Percent distribution

100.,0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

65.6

69.S

6S.1

62.4

60.5

73.2

74.s

72.6

69.2

79.7

75.6

74.9

80.9

69.4

7s.3

79.8

80.5

87.9

73.8

78.3

77.3

S1.2

82.S

70.3

71.3

74.1

71.7

79.1

67.9

80.0

60.4

63.5

62.4

57.6

57.1

63.S

63.9

63.4

61.5

69.4

64,0

63.1

69.3

60.3

62.8

77.s

79.4

85.8

70.9

76.9

72.2

74.7

78.4

65.2

69.3

5s.4

56.3

63.8

55.7

56.5

57.6

61.1

59.8

54.4

53.9

57.5

56.5

58.9

55.7

60.4

57.3

55.9

60.4

56.3

55.9

75.6

75.3

85.8

70.0

72.0

68,4

68.8

75.8

62.9

65.1

49.s

48.2

51.5

50.4

48.3

2.8

2.4

2.6

3.2

3.2

6.3

7.4

4.5

5.8

9.0

6.7

7.2

s.9

3.9

6.9

2.1

4.1

*

*

4.8

3.8

5.8

2.6

.2.3

4.2

8.6

8.1

12.2

5.3

8.2

Without

hoa~~l

institutional

care

T

5.2 34.4

6.3 30.2

5.7 31.9

4.8 37.6

3.3 39.5

T

9.4 26.S

10.9 25.2

9.2 27.4

7.7 30.8

10.3 20.3

I

T

11.5 24.4

11.8 25.1

11.6 19.1

9.1 30.6

15.6 21.7

I

* 21.7

* 28.7

T

15.7 25.9

15.4 28.3

15.4 20.9

12.2 32.1

23.5 20.0

27
Table 13. Number of decedents with and withouk hospitalization experience in the last year of life,by kind of facility which

provided care, sex, age, and metropolitan status: United States, 196I

Sex, age, and metropolitan ststus

BOTS SEXES

All ages

‘l!Otd—------------: ----------

In metropolitan areas of L tilliorf

or more------- —------------------

In aopolitsn areas of under 1

million----------------------------

Outside metropolitan areas— --------

Under 45 years

Total-----—-------—--— -----

Tn metropoIitarxareas of 1 million

or more---------------------------

In metropolitan areas of under 1

tilion------------------—----——

Outside metropolitan sreas----------

45-64 years

Total--- ---------—---- —----

In rnetropolitartareas of 1 mi12.ion

or more—--------------------------

In metropolitan”sreas of under I_

million---------------—-----------

Outside metropolitan areas----------

6W years

Total----—-------------------

b metropolitan areas of 1 dllimor more---------------------------,

In -tropolitan areas of under 1

million---------------------------

Outside metropolitan areas—------

Alk ages

Totax—---—-— ---------------

In metropolitan areas of 1 tillicm

or more--— --------—---------—--

In metropolitan areas of un~er L

million-—~------------------------

Outside metropolitan areas----------

Under 45 years

Total-;------— ---------------

In metropolitan areas of 1 million

or more-------—--------------- —-

In=mene~pOlitan areas of unti 1 . . ----------------------------

Outsid= =tropolitan areas----------

/

With hospitaL or institutional care

“’’’”t: lTOta’Ei’’*ns

1,702

597

666

640

270

419

153

121

144

1,014

347

270

397

968

326

269

373

163

56-

45,

62,

1,229

443

335

450

190

73

53

64

292

113

84

96

746

25S

19s

291

673~ -

236

185

252

,

105

Ntir of decedents in thousands

1,076 984

3s5 353

294 267

397 364

1s4 181

71 69

53 52

61 59

270 257

luk 98

75

91 :;

621 546

211 1s5

166 145

245 216

606 563

214 200

164 151

22s 212

lQ1 100

38 37

29

35J ::

%ithout

hos::$l

institutional

care

92[ 153I 474

13 22 127

5 9 41

6 8

2 4 ::

75 125 267

25 47 89

21

29 2: 1:;

43 68 294

14 22 89

13 , 21 84

16 24 120

2 : 4 56

1 2 16

* * 16

1 2 26

’28

-.
Table 13. Number of decedents with and without hospitalization experience in the last year of life,by kind of facility which

provided care, sex, age, and metropolitan status: United States, 1961—Con.

With hospital or institutions1 care

‘ek’’nts ~in=al “

Sex, age, and metropolitan status

W—Con.

45-64 years

Total-------------------------

In metropolitan areas of 1 million

or more----------------------------

In metropolitan areas of und=

1 million--------------------------

Outside metropolitan areas----------

Number of decedents in thousands

8

3

3

1

14

4

:

5C

270

93

;:

535

L77

64

51

62

391

163

60

45

58

341

65+ years

Total------------------------- 307 34 143

In metropolitan areas of 1 million

or more----------------------------

In metropolitan areas of under

1 dllion --------------------------

Outside metropolitan areas----------

178

145

212

735

133

105

154

555

116

1:!

470

10

10

14

45

40

58

FEMALE

All ages

Total-------------------------

In metropolitan areas of 1 million

or more----------:y----------------

In metropolitan areas of under

L million--------------------------

Outside metropolitan azeas-----—---

421 49 179

271

197

267

107

207

150

198

85

171

130

169

83

153

116

152

18

14

17

64

47

69

Under 45 years

Total-------------------------

In metropolitan areas of 1 million

or more-----------—---------------

In metropolitan areas of under

1 million----------— -------------

Outside metropolitan areas----——--

.81 2

1

*

1

41

.:?

X49

33

24

26

107

33

24

24

7

1:

45-64 years

Total--------—---------—----

In metropolitan areas of 1 million

or more— --------------------------

In metropolitan areas of under

1 million--------------------------

Outside metropolitan areas----------

102 6

2

.:

34

12

-9

12

61

42

46

479

44

30

34

280

41

28

33

65+ years

Total--------------------y----

In metrOpOMtan areas of 1 million

or more----------------------------

In metropolitan areas of under

1 million--------------------------

Outside metropolitan areas----------

239 41 124

15

11

15

169

125

184

125

93

137

94

76

109

29
Table 14. Percent distribution of decedents ti”thand without hospitalization’experience in the laat year of lifej by kind of

facility which provided care, according to sex, age, and metropolitan status: United States, 1961

With hospital or institutional care I

Withoue

hospital

aliq

institutional

care

In short-stav hospitals I I

All

decedents

Total

72.2

Sex, age, and metropolitan status

BOTH 82XES

All ages

Total-------------------------

Percent distribution

100.0 5.4 9.0

9.8

8,7

8.4

2.1

2.3

0.9

2.8

5,1

5.9

6.1

3.0

12.4

13.5

11.8

lL.7

7.0

6.9

7.7

6.6

2.2

3.0

2,:

27.8

25.1

28,1

29,6

63.2 57.s

In metropolitan areaa of 1 million

Or more----------------------------

1; ~neig;litan areas of under

--------------------------

Outside metropolitan areas----------

100.0

100.0

100.0

74.3

71.9

70.4

70.5

64.6

63.2

62.0

68.4

59.2

57.4

56.8

5.4

5.7

5.2

1,4

1.6

1.:

3.2

3.5

4.6

1.6

7.4

7.3

7.7

7.3

4.4

Under 45 yeara

67.0 29{5

2441

28.2

35,8

30,2

26.5

3i,o

33.6

26,4

25.8

26.8

26,6

Total------------------------- 100.0

In metropolitan areas of 1 million

or more----------------------------

I: meyl;~litan areas of under

.-------------------------

Outside metropolitan areaa----------

100.0

100.0

100.0

75.9

71.8

64.2

69.8

73.6

70.9

61.4

64.6

72.0

70.4

59.5

61.4

45-64 years

Total------------------------- 100.0

In metropolitan areas of 1 million

~= more----------------------------

In metropolitan areas of under

1 milliOn-------------J------------

Outside metropolitan areaa----------

100.0

100.0

100.0

73.5

69.0

66.4

73.6

74.2

73.2

73.4

69.6

67.6

62.2

63.4

61.3

64.2

57.6

61.8

53.9

65+ years

Total------------------”------- 100.0

In metropolitan areaa of L million

O= ~ore----------------------------

In metropolitan areaa of under

1 milllo*--------------------------

Wtside metropolitan areas----------

ioo.o

100.3

100.0

60.7

61.4

61.6

62.6

53.4

53.7

54.3

All agea

Total------------------------- 30,4

In metropolitan areas of 1 million

or ~~re----------------------------

ITImetropolitan areas of under

1 million--------------------------

Outside metropolitan areas----------

100.0 58.2

100.0

100.0

100.0

72.5

68.7

67.7

64.4

70.6

64.5

58.S

65.6

60.9

61.1

62.2

67.6

63.8

56.3

61.3 4.3

4.8

4.3

1.0

1.6

1.:

Z7’5

56.1

56.9

31.3

32<3

Under 45 years

Total------------------------- 100.C 61.3 35.6

In metropolitan areas of 1 million

or more----------------------------

In metropolitan areas of under

1 million--------------------------

Outside metropolitan areas----------

66.0

63.8

55.3

29,4

35.5

41.2

100.c

100.C

100.C

30
Table 14. Percent distributionof decedentswith and without hospitalizationexperience in the laat year of life, by ‘kindof

facility*ich provided care, according to sex, age, and metropolitan status:United States, 196l—con.

Sex, age, and metropolitanstatus

MAL2-COn.

45-64.vears

Total------------------------

In metropolitanareas of 1 million

or more---------------------------

In metropolitanareas of under

1 million--------------------------

Outside metropolitanareas----------

65+ years

Total------------------------

In metropolitanareas of 1 million

or more----------------------------

In metropolitanareas of under

1 million--------------------------

Outside metropolitanareas----------

FEMALE

All age’s

Total--------------------:----

In metropolitanareas of 1 million

or more----------------------------

In metropolitanareas of under

1 million--------------------------

Outside metropolitanareaa----------

Under 45 years

Total-------------------------

In metropolitanarees of 1 .dllion

or more----------------------------

In metropolitanareaa of under

1 million--------------------------

Outside metropolitanareas----------

45-64 years

Total-------------------------

In metropolitanareas of 1 million

or more----------------------------

In metropolitanareas of under

1 million--------------------------

Outside metropolitanareaa----------

6% years

?.otal-------------------------

In metropolitanareas of 1 million

or more----------------------------

In metropolitanareas of under

1 million--------------------------

Outside metropolitanareas----------

..

With hoapita1 or institutibna1 care

—. .. I

In short-stayhospitals Without

All hospital

decedents In

Total

and

With no care With some resident institutional

Total in resident care in institutions care ~

resident inatitutiona Institutions only

Percent distribution

100 .(

100. (

100 .(

100 .(

100. (

100 .[

100. (

100. (

100 .C

100 .C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

lbo. o

100.0

65.

69.

64.

62.

73.

74.

72.

72. I

75.1

76. !

76.;

74.;

79. [

83.:

83.1

73. t

77.:

79. !

77.6

74.:

74.1

73.8

74.2

74.3

60.

65,1

::.

64, (

63.:

66.:

63.;

77. t

S1. [

S2. C

69,5

72.2

71.8

71.5

73.5

58.4

55.8

60.7

59.3

57. I

61.’

53.,

57.:

57. !

59.:

55.1

57.:

57.:

56.6

59.1

56. i

75.6

80.1

80.S

66.5

6S.4

67.9

66.0

71.3

49.8

46.9

51.8

51.1

2.f

3 ,:

4’

1:{

6.:

5.7

6.6

6.6

6.7

6.7

2::

2.1

1.6

*

3.4

3.8

3.9

5.5

2.2

8.6

S.9

S.9

8.2

5.2

9.4

9.3

10.3

8.9

11.5

13.2

10.1

10.9

2.0

1.4

3.:

5.1

7.7

6.~

15.7

18,0

13.5

14.9

34.4

30,4

35.6

37.3

26. S

25.3

27.6

27.4

24.4

23.5

23.’7

25.9

20.2

16.8

16.9

26.6

22.7

20.5

22.4

25.7

25.9

26.2

25.8

25.7

31
Table 15. Number of decedents with and without hospitalization experience in the last year of life,by kind of facility which

provided care, sex, cause of death, and age: United States, 1961

Sex, cause of death, and age

Both sexes

All causes-----------— -------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues---r----------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early tifancy---

Influenza and pneumonia, except

pneumonia of newborn---------------

General arteriosclerosis----— ------

Diabetes mellitus-------------------

Congenital malformations ------------

Cirrhosis of liver-----------------

All other causes--------------------

All causes--------------------

Diseases of heart-— ----------------

Malignant neopl$sms, includins

neoplasms of lymphatic and

hematopoietic tissues--------------

Vascular lesions affecting central

nervous system----,-----------------

Accidents---— ----------------------

Certain diseases of early infancy---

Influanza and pneumonia, except

pneumonia of newborn ---------------

General artetiasclerosis-----------

Diabetes mellitus-------------------

Congenital malfonnationa------------

Cirrhosis-of liver------------------

All other causes--------------------

Fsmale

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

.hematopoietic tissues--------------

Vascular lesions.affecting central

nervous systm ---------------------

Accidents-------------------------—

Certain diseases of early itiancy---

Influenza and pneumotia, except

pneumofi of newborn---------------

General ‘arteriosclerosis----— -----

Diabetes mellitus-------------------

Congenital utalformations------------

Cirrhosis of liver-----—-----—----

All other causes---------—— -------

All

decedents

With hospital or institutional care

.,’ I.ca Lu=L, L

‘“-’’i”nslsl i=~ti~ns I ““’y I ‘---

1,702

663

270

192

95

6t

55

34

25

21

20

255

96f

391

147

90

65

41

30

17

100

11

13

153

735

272

123

102

30

27

25

18

19

9

7

102

1,229

406

252

146

46

65

40

26

23

20

18

187

673

224

140

69

25

39

22

14

7

11

12

111

555

181

112

77

21

26

18

12

16

*

*

76

Number‘ofdecedents in thousands

1>076

342

236

118

44

65

29

17

19

19

17

170

606

198

131

60

24

38

2.s

9

6

11

11

100

\

470

143

105

59

20

26

11

8

13

*

*

70

984

31C

22C

10(

41

6!

21

1:

1;

1[

1:

15$

56:

18(

12

51

2:

3[

1(

1(

9/

421

124

97

49

20

26

10

5

12

*

*

65

92

32

16

43

12

i

49

20

9

9

1

*

1

3

1

*

*

5

153

64

15

28

2

*

11

9

3

*

1

18

68

26

9

10

1

*

4

5

1

*

*

12

85

38

7

18

.1

*

7

4

2

*

*

6

474

258

18

46

49

3

15

a

6

1

2

67

294

167

7

21

40

2

8

3

3

I

1

41

179

91

11

25

9

1

7

5

3

*

*

26 ,
Table 15. Number of decedentswith and without hospitalizationexperiencein the last year of lifq by kind of ‘facilitywhich

provided care, sex, cause of death, and age: United States, 1961-Con.

Sex, cause of death, and age

Under 45 years

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms,including

neoplasms of lppbatic and

hematopoietictissues--------------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenzaand pneumonia,except

pneumoniaof newborn---------------

General arteriosclerosis-----y------

Diabetes mellitus-------------------

Congenitalmalformations------------

Cirrhosis of liver------------------

All other causes--------------------

45-64 years

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphaticand

hematopoietictissues--------------

Va8cular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy--

Influenzaand pneumonia,except

pneumonia of newborn---------------

General arteriosclerosis------------

Diabetes mellitus-------------------

Congenitalmalformations-------—---

Cirrhosis of liver------------------

All other causes------------—------

65+ years

All causes:-------------------

Diseases of heart-------------------

Malignant neoplasms,including

neoplasms of lymphaticand

hematopoietictissues--------------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenzaand pneumonia,except

pneumonia of newborn---------------

General arteriosclerosis-----—-----

Diabetes mellitus------------------

Congenitalmalformations-----------

Cirrhosis of liver------------------

All other causes--------------------

All

decedents

270

23

26

6

51

68

14

*

2

18

4

58

419

171

97

32

22

*

9

1

8

1

10

67

1,014

469

147

154

23

*

31

33

19

1

6

129

With hospital or institutionalcare

In short-stayhospitals Without

hos:~~l

In

Total With no care With some resident institutional

Total ~n resident care in institutions care

Institutions r-ident only

institutions

Number of de;edents in thousand?.’

190 _

13

25

*

16

65

6

f<

*

17

*

38

292

92

93

22

11

*

*

*

*

*

10

49

746

301

133

118

19

*

27

25

15

*

*

101

184 _

1.2

25

*

15

65

6

*

*

17

*

36

270

S5

s?

21

10

*

.*

*

*

*

9

45

621

245

124

92

18

*

18

16

13

*

*

8s

‘181.

12

24

*

15

%5

5

*

*

17

*

35

257

83

82

19

10

:]

*’

*

*1

9

43

546

.’215

114

76

16

*

16

11

11

*

%

82

4

T

61

* 1,

1 L

* *1

* 1

* *’

.* *

*

*

1

*

1

*

*

*

*

.2

13 22

2 7’

5 6

2 L

* *

* *

*

*

*

*

*

3

75

30

10

16

2

“*

2

5

2

*

*

6

*

*

*

*

*

3

125

56

9

26

10

*

.a

9

2

*

*

13

80

●

10

1

*

34

3

8

*

*

1

*

20

127

79

4

10

11

*

*

*

*

*

*

19

267

169

14

36

4

*

5

8

4

*

*

2g

33

. .
.

P?ble 16. p’r”~t distributionOf decedentswith and tithOut hOspitalizatiOneqerience in the last year of life, by kind of

facilitywhich provided care, according to sex, cause of death, and age: United Sta~as, 1961

Sex, cause of death, and age

Both sexes

.’ All causes--------------------

Diseases of heart-------------------

@lignant neoplasms,”including

neoplasms of lymphaticand

hematopoietictissues--------------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenzaand pneumonia,except

pneumonia of newborn---------------

General arteriosclerosis------------

Diabetes mellitus,-------------------

Congenitalmalformations------------

Cirrhosis of liver------------------

All other causes-----’---------------

Male.

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietictissuek--=-----------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenzaand pneumonia, except

pneumonia of newborn--------=------

General arteriosclerosis------------

Diabetes.mellitus-------------------

Congenitalmalformations------------

Cirrhosis of liver------------------

All other causes--------------------

Female

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

ne.aplasmsof lymphaticand

hematopoietictissues--------------

Vascular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenzaand pneumonia,except

pneumonia of newborn ---------------

General arteriosclerosis------------

Diabetes mellitus-------------------

Congenitalmalformations------------

Cirrhosis of liver------------------

All other causes--------------------

II With hospital or institutionalcare I

100 .(

100 .(

100 .[

100.(

100.(

100.C

100.C

100.C

100.C

100.C

100.C

100.C

100.C

100 .C

100.C

100.C

100.C

100.C

100’.C

100.(

100.C

100.C

100.C

100.C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

t

72.7 63.2

61.2 51.5

93.2 g7.’6

76.0 61.4

48.4 46.4

95.4 94.E

73.4 53.2

77.0 50.4

7s.4 66.9

95.0 93.2

88.7 82.1

73.6 66.6

__lL 69.6 62.6

57.4 50.7

94.9 89.0

76.4 65.8

38.2 36.2

95.6 94.6

73.7 61.4

84.1 54.6

69.5 59.8

93.6 93.6

S9.9 S7.3

4172.9 65.2

75.6 64.0

66.6 52.6

91.2

75.6

70.2

95.2

73.1

70.3

83.0

I

*

*

74.6

85.8

57.5

68.3

95.2

43.5

46.3

70.7

*

*

68.7

~Percent distribution ,., ,

57.8

46.7

81.5

52.0

43.6

94.8

47.7

34.4

60.2

88.4

75.6

62.6

58.2

47.6

83.8

56.0

33.7

94.6

54.7

39.3

50.1

90.5

77.0

61.8

57.3

45.4

78.7

48.5

65.0

95.2

39.5

29.7

65.5

*

*

63.8

5.[

4.t

6.1

g.1

2.[

$

5.:

16.C

6.;

5.(

6.(

4.C

4.t

3:1

5.:

9.[

2.!

$

6.;

15./

9.;

$

10.2

3.4

6.7

7.2

7.2

9.0

3.3

*

4.0

16.6

5.2

*

*

4.9

9.0

9.7

5.6

20.2

26.7

11.4

5

6.5

7.0

7.C

6.7

5.5

12.2

29.4

9.7

*

*

7.7

11.5

14.0

5.3

18,1

2.0

*

29,5

Z4.O

12.3

*

*

5.8

27,8

38.8

,6,8

24,0

51.6

4,6

26.6

23.0

21,6

5,0

‘11,3

26,4

30.4

42.6

5.1

23.6

61,8

4.4

26,3

L5,9

30..5

6,4

lo.i

27,1

24.4

33.4

8.8

24,4

29,8

4.8

26.9

29,7

17.0

*

*

25,4

34
Table 16. Percent distributionof decedentswith and without hospitalizationexperiencein the last year of life, by kind of

facility which provided care, according to sex, cause of death, and age: United States, 1961-coP.

Sex, cause of death, and age

Under 45 years

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphaticand

hematopoietictisauea--------------

Vascular lesions affecting central

nem,J”s System ---------------------

Accidents---------------------------

Certain diseases of :arly infancy---

Influenzaand pneumonia,except

pneumoniaof newborn---------------

General arteriosclerosis------------

Diabetes mellitus--------------------

Congenital malformations:-----:-----

Cirrhosis of liver------------------

All other causes--------------------

45-64 years

All causes--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues--------------

Vascular lesions affecting central

nervous System------ .---------, -----

Accidents---------------------------

Certain diseases of early infancy---

‘ Influenza and pn,swonia, except

pneumonia of newborn---------------

General arteriosclerosis------------

Diabetes mellitus--------,---------=-

Congenital malformations-------------

Cirrhosis of liver------------------

All other causes--------------------

65+ years

All CallSeS--------------------

Diseases of heart-------------------

Malignant neoplasms, including

neoplasms of lymphatic and

hematopoietic tissues--------------

Vaacular lesions affecting central

nervous system---------------------

Accidents---------------------------

Certain diseases of early infancy---

Influenza and pneumonis, except

pneumonia of newborn---------------

General arteriosclerosis------------

Diabetes mellitus-------------------

Congenital malformations------------

Cirrhosis of liver------------------

All other causes--------------------

All

decedents

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

a’

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

100.C

100.C

100.C

.100.C

100.C

100.C

Total

With hospital or institutional care I

In short-stayhospitals

With no care

With some

Total in resident care in

resident institutions ~n~tit”tion~ 7

Without

hos::dal

In

resident ifistitutional

institutions care

only

70.5

55.6

97.4

*

31.7

95.4

42.1

*

*

94.3

*

65.4

69.8

53.9

95.9

69.6

50.0

*

*

*

*

*

93.5

71.9

73.6

64.1

90.7

76.8

83.7

*

84.4

76.4

79.3

*

*

78.1

68,4

51.5

94.9

*

29.9

94.8

39.8

*

*

94.3

*

62.2

64.6

49.6

90.1

65.5

48.4

*

*

*

*

*

90.3

67.0

61.3

52.2

84.6

59.9

80.7

*

57.5

48.9

67.5

*

*

68.4

Percent distribution

...... . .. .

67.0

51.5

/ 91.5

*

29.9

94.8

37.3

*

*

90’.7

*

60.0

61.4

48.6,

84.6

60.4

46.9

*

*

*

*

“*

S7.2

63.1

53.9

45.7

77.7

49.2

70.6

*

50.2

33.4

59.2

*

*

63.5

+

1.4

*

3.4

*

*

*

*

*

*

3.7

*

2.2

3.2

1.0

5.5

5.1

*

*

*

*

*

*

*

3.9

7.4

6.5

7.0

10.7

10.1

*

7.3

15.5

8.3

*

*

4.9

2.1

4.1

2.5

*

1.8

*

*

*

*

*

*

3.2

5.1

4.3

5.8

4.1

*

*

‘k

*

*

*

*

4.9

12.4

11.9

6.1

16.9

3.0

*

26.9

27.4

11.8

*

*

9.7

29.5

44.4

2.6

*’

68.3

4.6

57.9

*

*

5.7

., *

34.6

30.2

46.1

4.1

30.4

50.0

*

*i

*

.*

*

*

28.1

26.4

35.9

9.3”

23.2

16.3

*

15.6

23.6 “

20.7

*

*

21.9

35
APPENDIX 1

TECHNICAL

Statistical Design OT the

... . .-. .

‘National Mortili~ Survey

Sumey procetire+~~~e procedures for conducting the NationaLMortality Survey assumed theexistence

of and took advantage of a national system, fortiregistration of deaths. .~e death record served as the

sampling unit, and samples of tiese’~its were selecte~

horn the frame of recurds representing ‘Kgisterecl

deaths. The survey was conducted principally wifh

sources of information identified on the death record

and, mcasionally, with referral oz secondaty sources

reported by a primary source. Since the -g addresses of the primary sources were us~y reported

mn the death record or codI& r.eatiy be obtained from

directories or from the funeral diremor, the mail survey was the principal method of data collection. There”

was provision, -however, for co~ectirrg information by

other means which “included telephone rem-mders and

personal interviews.

The survey sample was subselected each monti

from a lo-percent systematic sample taken monthly

from death certificates received in = vital statistics offices from leti registrars and forwarded

to the Division .of Vital Statistics, National Center for

Health Statistics. Since the subsampltig of.deatha was

systematic at a rate of 1 out ~f 33, the montbIy<~mple

of deaths cumdated over the year ta a selection d 1

out of 330. This procedure produced a sample of 5;154

deaths.in 1961 for the survey.

After co@es.of the selected death certificams were

received in the Divisiom of Health Records Statistics,

th~ were grouped according to whether or not the

place of death was a hos.pital..or an institution. For any

death -occurring in a hospital or an institution, a questionnaire was mailedto the establisbmenmo obt@ information about periods of care during the last ‘year .ti

life. and to inquire about names and addresses’ofu@er

hospitals and institutions in which care may ham -been

provided. For deatha occurring outside hospitals and

institution, questionnaires were sent to d’eath-record

informants (usually relatives of the deceased-persons)

to ask for names snd addresses of hospimls and institutions in which care was received. (Informants in 10

percent.of deaths occurring in hospitalsandinstitntions

were surveyed for methodological reasons ESexplained

NOTE ON METHODS

later “in.this appendix. ) The returns horn informants

were used, “then, to initiate mailings to hospitals and

institutions.

Followup wailings ~were routinely sent to persons

and establishments not ~esponding, and other mailings

were made to obtain complete and consistent information

“on the forms rejected as inadequate in a concurrent

Editing procedure. Special ‘efforts were made in each

sample case ‘to assure that corn#Iete and consistent

information was obtained.

Es fimati~ methods.— me statistics shown in thfs

report are estimates prepared by use of a poststmtified ratio estimation procedure. This procedure

Was used for each-of the following 40 groups.

Group

l—----------—-

2 ----------------

~--------------

4 ----------------

5 ----— ----------

6 --------— ------

7--.-— ----------

8 ------—----——

9 ------—-—---~

10---------------

11 through 20----

21 tirough 30----

.31 through 40----

Sex, color, ad age

Male, white:

Under 1 year

“1-14 ..Years

‘G-24 years

25-34 years

35-*4 years

45-54 years

55-64 :years

65-74 years

75-.34 yea~s

S5+ years

Male, nonwhite:

Same groups as for male, white

Female, white:

Same groups as for male, white

#emale, Xmmauhite:

‘Same groups as for male, white

‘For each of the 40 groups, the national count of

deaths was obtained! and the ratio of the sample count

of deaths to the complete count was determined, Each

defi in the group was zhen asaigned a constant value

such that the sum of tie values equaled the national

total for the group. J~-s post~~tified ratiaestimation

.

I
procedure tends toreduce’the sampling error bymaking the sample more closely representative of thepopula;ion of ali deaths than would beexpected by random”

methods alone.

Roudiw of nwmbers. —The tabdations upon which

the tables in this report were based show figures to

the nearest unit. The published tables were prepzred

with corresponding figures ;rounded to the nearest

thousand. Percentages were computed; however, using

unrounded data. Neither numbers nor percentages are

necessarily accurate in the detail shown.

Reliability of Estimates

Since the estimates-were obtained from a sample,

they may differ somewhat from the resflts that would

have been obtained had.a survey covering all decedents

been undertaken using the same questionnaires and

procedures. As is true of all surveys, the results are

also subject to nonsampling errors such as those of

response and recording.

Nonsampli~ evyoy, geneYal.—Fa~ure to. semre’

complete questionnaire returns-. in the survey, errors.

made by respondents in interpreting survey questions,..

and- errozs in processing the xeturned questionnaires

and their associated records represenr.a few of ‘the

main sources of non sampling error. Althougti there are

many cases in which adequate measures of such ~rors

wtich may tend to affect the data. are not available,

in some cases compensating factors play a role in

randomizing. and thus minimizing the effect of errors

on-the estimates. In other instanqes, measures of error

me available.

EKYor associated with nmyesponse. —About 2 percent of the forms mailed outto hospitals and institutions

in. tk- survey were either not returned or were r.etumed without information about care of the deceased

person in the last year of life. The corresponding nonresponse rate for informants who played a role in providing names of hospitals and institutions caring for

persons in- the year before death is 7 percent. The

effect of nonresponse in this survey was to limit information about hospi~l and institutional care of decease~:persons.

A general review of the file of materials. relating

to each decedent was made at the close of tlie survey

to determine whether any episodes of hospital or institutional. care might have been missing. This review.

procedure showed that an estimated 55,000 decedents

who were reported: as having no liospital or institutional

-care in the last year of fife ma-y in fact have received

such care (able I). This estimated number of deceased

Table I. Number and percent of decedents classi.f ied as having.no hosp$ta lizati.on experience in

the last year of l~fe who may have been misclassified: United States, 1961

,.. ,

,.. . . . .. .

All

Sex. “and age

. decedents

tho;;ands

Both sexes

All .agea------------------------------"--------------

w

Under 45 years ----------------------------------------------- 27C

45-64 years~------------------------------------------------- 415

6% years -------------------------------------------------- l, OIL

All ages--------------------------------------d------ I 96E

Under 45 y~rs-------------------------'--------------------- 163

$&6;e~~S---F ------------------------------------------- 270

-------- -------- ---------- -—----- -------- --------- - 535

FemaTe

1“

All ages---—------------------—----------——---—” I

735

Under 45 years-----------------------------"---------------- 107

;5G6;eg~s-------—---——— --------------- ------------------- 149

--+------ --—---- ----—---- -------------------- ------- 479

Decedents possibly

misclaaaified aa

without hospitalization

experience in the last

year of life

Number

in

thousands

55

32

10

.-;;

24

6

1?

Percent

3.3

6.1

4.0

2.2

3.3

6.3

4.0

2.0
persons who may have had hospitalization in the last

year of life but who were” not so classified is comprised

of those decedents for whom no satisfactory information

was obtained concerning hospitalization because of the

inability to locate establishments or informants who

cotid provide information, as well as because of nonresponse and inadequate response to the survey questionnaires.

EYYOY associated m“th. a problem’ in idern,tifiing

‘places providing care.—The procedures designed to

identify all places providing care to the survey decedents were deficient in certain respects, resdting

in a minor bias in the distribution of decedents by type

of service. Specifically, an assumption was made that

it was not”necessary to uniformly survey death rekord

informants to gather information about hospital and

institutional care of deceased persons when it was

established that the decedent had died in a hospital

or an institution. However, the informa~t for 10 percent

of all such deaths was surveyed in order to estimate

the effect of the procedures based upon this assumption.

The results of the test of the assumption are available

o~y in terms of the amount of care and not in terms of

number of decedents. “

Since the informant was routinely approached where

no information about hospital or institutional care for

a decedent was shown on the death record, the planned

omission of informants in the survey had no effect in

determining whether or not the decedent had hospital

or institutional care. The only effect this omission

had on the statistics in this report was a stight overestimate of the numbers of decedents who had received

care only in short-stay hospitals or only & resident

institutions, countered by a corresponding underestimate of decedents who had both short-stay and resident

care.

Sam&li& error. —The standard error is one measure “of the variations that occur by chance because

only a small portion rather than the whole population

of decedents was covered in the survey. The chances

are about 68 out of 100 that the sample estimate wotid

differ from the value that wodd be obtained from a

complete survey by less than the standard error.

Rules to determine the approximate standard errorsfor estimates presented in this report are as follows:

1. Estimates of ag~egates.—Approximate standard errors of estimates of numbers of decedents

. are giv~n ,in table II.

2. Estimates of percentages. —Approximate standard errors for percentages are determined in

one of the two foUowing ways, depending upon

the source of the base of the percentage:

a.

b.

Where both numerator and denominator k-re

estimates from the sample data, such as the

percentage of males in the Northeast Region

who had care in short-stay hospitals, the

approximate standard errors are given in

table 111.

Where the denominator is a value found in

1 of the 40 ratio estimate cells shown on

page 36, that is, where the denominator is

a Population value taken from the vital

registration system and is tierefore not

subject to sampling error, the relative standard-error of ti’e percent is equivalent to the

reIative standard error ~of“~the numerator.

The relative standard error of an estimate

is obtained by dividing the standsrd error

of the estimate by the estimate itself and Is

expressed as a .percentsge of the estimate.

For example, table 10 shows that 57,2 percent of all nonwhite female decedents had

care in short-stay hospitals only. The base

of this percentage is the group of nonwhite

females and is found to be one of the cells

in the ratio estimation table shown on page 36,

Therefore, the standard error of the numer-’

ator of the percentage 52,000 is determined

from table II, by interpolation, to be 3,858,

Dividing this figure by the numerator, the

quotient is 0.074 (relative standard error7.4 percent) which when multiplied by the

estimate itself, 57.2, yields 4.2 as the standard error. Thus, the chances are 68 out of

100 that a complete survey would produce

a figure between 53.0 percent and 61.4 percent and 95 out of 100 that this figure would

lie between 48.8 percent and 65.6 percent.

38
I

Table 11. Approximate standard errors for estimated numbers of decedents

. Estiqte Standard error

10,000------------------------- 1,700

25,000------------------------- 2,700

50,000------------------------- 3,800

100,000------------------------ 5,250

250,000------------------------ 7,850

500,000------------------------ 9,950

750,000------------------------ 10,600

1,000,000---------------------- 10,100

Example: In table 9, 60,000 nonwhite femsie

decedents are estimated as having had hospital

care in the last year of life. Using linear interpolation in table II, we obtain a standard

error of 4,100. The chances are about 68 out of

100 that a complete survey would produce a figure differing from the sample result by less

than 4,100; and the chances are about 95 out of”

LOO that the difference wouldbe less than twice

the standard error, or 8,200.

Table 111. Approximate standard errors-of estimated percentages of decedents

2 or 98-------- 2.4 1.1 .8 10.5 0.3

5 or 95--------

I 0.2

3.7 1.7 1.2 0.7 0.5 ; :.;

10 or 90------- 5.1 2.3 1.6 1.0 0.7

25 or 75------- 7.4 3.3 2.3 11.5 1.0 I 0:7

50------------- 8.6 3.8 2.7 ‘1.7 1.2 I 0.9

Exam le: Table 12 shows that 62.4 percent of

thedecedents aged 45-64 years residing in

the South had careinhogpitals and institutions

in the last year of iife. The standard error of

this percentage with a base of 83,000 is,by interpolation, about 2.9 percent. Therefore, the

chances are about 68 out of 100 that a complete

survey would produce a figure between 59.5 and

65.3 percent and 95 out of 100 that this figure

would lie between 56.6 percent and 68.2 percent.

ooo—

*

39
●

DERNITIONS OF mRTAIN T.ERMS USED IN THIS REPORT

Terms Relating to Hospitalization

Hospitals —di?zstitutiorzs. -fn thisreporthospitals

and instfi-tions is a phrase used to refer to facilities

@<viti~g medic~ .or personal care, suchas hospitals

.-. ---

listed in the Guide ‘bsue ,of Hospitals, Journal of the

American Hospital Association, and inchsdes homes.

for the mentally retarded, nursing homes, other!hames

for. the aged, and other places providing medical, nursing, personal, or domiciliary care. Questionnaires

returned by ~tablishments claiming to have provided

care to decedents as inpatients orinmates were accepted

as reports .of hospitals and institutions .Tegardless of

whether the establishments codtie located in the several ~tiags ..of such places which were used m connection with the processing of the s~ey *ta.

- ..—.-

Short-stay hos~”td. -A shorr-stay hospital is a

fscility for which the ..fie of service—a classification

of hospitis according to the predominant types of

:cases -for ~ch tiey .~rovide care—is genera matemi~, eye, earfi.mose,:~d~oa~ children’s; and osteopatbfc hospital. The type-of-se.zvice catego~:tuwhich

an individual hospital :is -assigned and ~the definition

of these categories fo~ows the usage of *e Amer~.

Hospital Association.

Resident ins.t%tion.-A resident institution “is a

facility for- which the type of service is psychiamic,

tubercdosis, orthopedic, contai’ous ..disewe, tichronic

@e=- and/or convalescent, and hospiti deparfient

of institution. Also included are homes for the mentally

retarded, numing or convalescent homes, other homes

for the ~ed: ti otber,places which provide-medical,

nursing, Personal? or —..domiciliary. care.

.

Hosfi”talizatik and hos@”talizatim- e@”eyj~n~e.’—

Hospi~ization and hospitalization experience are terrrrs

used in this zeport to refer to. care provided ta.decease~ persons in the last year of life by hospitals

or institutions. Such”care was determined to have been

provided if any continuous ‘petiod Of.kpatient.care or

inmate experience was .complet~ in .Zfiospital & an institution within 3@ *W preceding -death aa well as

on the day of death itseE..Any such period of care may

or may not have begun within the 12-month period

preceding death.

Place of death.— The place of death is the classification of decedents as ‘to whether the death certificate

or other information collected in the survey indicates

hat the death took place in a hospital or institution and,

if so, the kind of facili~. Data for “deaths occurring

in hospitals or institutions” shown in table A and se-

‘lected “from Vital. Statistics of the. United States, 1958,

. . . .— -.. . . .

may differ so~ew~at from comparable, data g~thered

in ‘the National “MoztaHty Survey for three reasons.

First, in the survey it .is possible to identify some

places of death .ss hos~mls and institutions by querying informants, where this would not be possible by

reference :mthe death certificate alone. Second, deatha

in hospitals and institutions as defined in Vital Statistics

of the Um”ted States include deaths classified as “died

on entry” or “died on arrival,” while the National Mortality ‘Survey data ‘exclude deaths among persons who

~ere not ‘!sdmftted’r on hospitaI records. Third, some

deaths recorded as having recurred in hospitals or

institutions on the death record were found in the survey to have occurre”d before,: or on arrival, or otherwise before admission .of the decedent.

Other Terms

Cause of death.—~ata are =hown in this report for

The 10 leading” causes of ,death in 1961. mesa are the

.10 most frequent causes as a wesult ti ranking the

causes included in the List ~uf’59 Selected Causes of

‘math (Seventh .Revision of fntemationaI” Lists of Diseases and Causes of -math, 195$) in accordance with

the rdes.uf ra~ng recommended by the Public Health

_@tierence o; Reeord~_m@ Statistics.7

Death record infortiatit.-”The ififormant is usually

the person whose name is T.ecorde&an the death certif~

icate aS ~having provided the infmmation about p6rsonal characteristics &the decedent such as name and

age which are shown on the deaticertificate, me informant is commotily a, dIose relative of the decedent.

40
1

I

Age. —Age is recorded or derived from entries on

the death certificate for age or date of birth. Reported

or calculated age is age at last birthday.

Color. —Color is recorded or derived from entries

I on the death certificate for color or race as white or

I nonwhite. The nonwhite population includes Negro,

American Indian. Chinese. Japanese. Aleut. Eskimo.

I

Hawaiian and part-Hawaiian. M~xican and Puerto Rican

are included with whi[e?

Metropolitan stutus. —Usual zesidence of decedent

was classified by location inside or outside counties

falling in standard metropolitan statistical areas

(metropolitan State economic areas in New England) as

delineated by the Office of Statistical Standards, U.S.

Bureau of the Budget for the 1960 Census. (See pages

XXVII and XXVIII of U.S. Census of Po@latio~ 1960.) 9

Standard metropolitan statistical areas were &vided

into two groups for use in the tables shown in W

report—those with .a population in xhe 1960 census of

1,000,000 or more and those with less than 1,000,000:

Re@on. —State of usual residence of decedents ia

classified according to four regions which correspond

to the regions used by the U.S. Bureau of the Census.

These are comprised as follows:

Re@on

Northeast --------

North Central -----

south ------------

West-------------

States Included

Connecticut, Maine, Massachusetts, New Hamp~hire,

‘New JerseR, New York,

Pennsylvania, Rhode Island,

Vermont

Illinois, ‘Indiana, Iowa, Kansas,

Michigan, Minnesota, Missouri,

Nebraska, North Dakota, Ohio,

South Dakota, Wisconsin

Alabama, Arkansas, Delaware,

District of Columbia, Florida,

Georgia, Kentucky, Louisiana,

Maryland, Mississippi, North

Carolina, Oklahoma, ‘South

Carolina, Tennessee, Texas,

Virginia, West Virginia

Alaska, kizona, .California,

Colorado. Hawaii, Idaho;

Montana, Nevada, New ‘Mexico,,

Oregon, Utah, Washington,

Wyoming

—000

.

41
#

APPENDIX Ill”

SOURCE FoRMs

CERTIFICATE OF DEATH Form .~~rw.d,

BIRTH No. STATE OF

Bud’.& BU,UU No. 66-R8761,

STATE FILE No.

1. ●UCE OF DSkTH 2. $-S~7~LlERESlDEFSCE ( wA”. d-d I{tib :;;:;Y1, MI: R“uimu bUm, d,nb,&nJ

a. COUNTY

b. CITY. TOWN. OR LOCATION C. LENGTH OF STAY IN lb c. CITY. ToWN. OR LOCATION

;

d. NAME OF (If not in hwpiEa2, ginc street addreaa) d. STREET ADDRESS

: HOSPITAL OR

INSTITUTION

?

~ e. IS PLACE OF DEATN INSIDE CITY LIMITS? e. IS RESIDENCE lNSIOE cITY LIMITS? J. IS RESIDENCE ON A FARM1

YES •1 NO ❑ YESD WOO YES ❑ NO ❑

3. NAME OF Fir#t MiddJe Lwt 4. D;;E

DECEkSED

Month Day Yaar

(fipe or print) DEATH

5. SEX 6 COLOR OR RACE 7 ~~RR,~~ ❑ N~”E~ “A~~,~~ ❑ 8. DATE OF BIRTH 9, AGE ([n vears IF UNDERI YEkR lIF UNNR 2Am,

.

last hirtAdauJ Mm,b. D.”, Hw, M{.,

WIDOWED ❑ DIVORCEO C

NJa. USUAL OCCUPATION (GiDt kind of work dOne !~. KINO OF BUSINESS OR 1NDUSTR% J 1 BIRTHPLAcE (Safe orrorcign counfrv)

durinv mwt o/ workinv lrfc, cntn II ret:rtd)

12. C1112ENOFwHAT 2CAJN7NY?

*.

b~

s

~ 13. ,FATHER.s NAME 14. MOTHER’S MAIDEN NAME

.% In

5:

h

< 15. WAS DECEASEO EVER IN U. S. ARMED FORCES?

3

16. WIAL SECURIN NO. 17. lN~RMANT

# (1’a. w. CT“nkMti

Addrea8

Q

[Itucs. cix -r m && of -ti~

Q

s

2

%

18. CAUSE OF OEkTSS [Enter otiu me cawe pr [{= for (.s), (b). and (c).]

Y. PART 1. DEkTN WkS CAUSED BY:

NITERVAL BEFWEEN

SJ

ONS~ ANO OEkTH

I.MMEDIATE UUSE (a) —-

;3

—

~

$ Condilianx, if anv,

s

1

DUE TO (b) _

which vane riac to

gg UboDc came (a).

..—.

atging the un&r.

2 ;. = lv:ng cauae Iaal. OtiS TO (c)

20 g PART IL OIHEU SIGMIFICkNTWNOtTlEW3 CONIRWUTING TO DEkTN EuF NOT RMTSD TO THE ~UINkL ~ CONOITION GIVEN IN Pm l(”) 19

Q

WAS AUTOPSY

%

~ 1-

Z 3

‘ Performed

$3 c

YES O NO❑

s

$ ~ 2Qa. ACCIDENT SUICIDE HOMICIDE 205. DESCRIBE Hoy INJURY OCCURRED. (Enter nafurc ofi”ju,v {“ Part 1 or Part II of flem 18.J

~“ E

0,0 •1

< ~ EUc. ~~AR;F Hour Month, .Dav, Year

g u a. m.

a p. m.

& w

o = 2nd. INJURY OCCURRED ~. PLACE OF INJURY (e. g., k or abDuf home. EOfi CITY. TOWN. OR LDCATION COUNTY

+

sTATE

~~~1’lE AT ❑ NOT WHILE ❑ from, ftiory, street, ofice bJdv., etc.)

5

z

. AT WORK

g

21. I attemded the dec.a~ed ffom . to ‘er alive on

;

and last SaW him

Death -curred at

n

rn on the date stated .tive; and to the best of my knowledte. from the cauaes #fated.

22a. SIGNATURE (Devrec or Nile) =. AODRESS ~. OATE SIGNEO

z

>

23u. BURIAL. CSUATION. 23b DATE W. NAME OF CEMETERY OR CREMATORY

~

REMOVAL(.SWcifr)

23d. LOCATION (CitV, t.non. or Counfuj (Sfdr)

. .

:

~ 24. FUNERAL DIRECTOR ADDRESS 2S. DATE RECD. BY LOCAL REG.

A

26. REGISTRAR’S SIGNATURE

2

42-
Survey Questionnaire for Hospitals

.P~f5_f;9 .0.,,..”,,”’,,, has 0,. ” c., s.r. d t,. !ndlvld.al

as P“,l I,had In ,,. Federal ,.91s,,, “r.y ,,, ,9,,

DEPARTMEIIT OF HEALTH, EOUCATIOH, ANO MELFARE

Public Health Service - #oVs

Hashlngt.a” 25, D.C.

HOSPITAL UTILIZATION IN THE LAST YEAR OF

B.deet Bureau No. 68.6102

APP.Ov.l Expires: 12-31-62

LIFE

Name of Rceasea File Number

Addressof Deceased Date of ~rth

Imte of Eath

HospitalIn whichBceased -s a Patient

Appro-ti ~te of LastDischarge

PART I - ROSPI~ - IIi~S INS~~ON

A. How - ttieswas the personwhosenzme appems abovedlsche.rgedfromWs hospitalsinceJ~ 1, 19@?

—nuuber of’sepmate dlacharges 81nce JANUARY 1, 19ti (Pleasecompletia sectionbelow for each of these

timesbe-g with the deceased’sWst stay in this hospital. If therewere more than four separati

dischargessinceJ~ 1, 19@, phase attachseparate~eet. )

IAs!c Month

=00

Day

Year

NEXT Month—

l’o

IAST Da~

-on

Yezx

=OD Wnth_

EiEmm

Day

Year

PERIOD Mont~

BDFORD

TSAT Day

Ye~

DISCtiGEll

ON I

= DIAGNOSES

&-

Month—

MY SecOnW

e

Year

Checkif none❑

Month—

~~ ~e=mw

Yea

Checkif none ❑

~-

Mont~

MY Sec0nd8ry

Yea

Checkif none O

~-

Month_

my Second2ry

Ye—

* ~eck if none ❑

FRONT E

\43
A. Accordingto yourreco~ or ta YOQ Prsona.1.knowledge,w the deceued a pstient in q other hospitalor

medicaltititution since JANUARY1, 19@?

1.0 Yes 2.D No

m INS!CImONS IN WCH DECEASD WAS A PA1. x= of Institution

Street Wess City or PL9ce

county S**

Appr~te Mscherge Mt.e

2. Nmne & ~stitutim

StreetAddress Citp Or Place

county state

3. - of Illstitutzcm

StreetAddress City or Plsce

Appr-te Discharge Da=

k. N- of Institution

stxeet. Aadress City or P?.ace

s.

Appr-ti Mscharge Date

* * * ** * * * *

Signatureof Wrson cq~t~ this form

x- or this tist.itutim

y- Position in this in8tituti0n

PHS-3699 -o ,077,1

(3-61 )b.ck

WK
.

Survey: Questionnaire for Informants

I

P$:;y .0”,1.. ,1,’, m h., ,... .S.”r.d t,. l“d,v,d”m, r

Bwd~et Bvre.u No. 6v.sI02

as 0.,, .?,* In tr..Federal @,gl.t.n.”aj 20+ r9sr APPrO.. I Expire=: 12-31-62

DEPARTHEHliOF HfALTH,.EDUCATION,AND HELFARE

Fub-l-lw- Healthserv~e . Hllvs

Mashlngton25, D.C.

HO SPi.T&’Z UTILIZA:TION.:IN TEE LAST XEAR OF LIFE

S7mneof -ceased PileN-r

Pleasemmr the following~stlms &out the Prsm -d above. Ifyouao mtknowt heexactmuers, @myOur

kst estimstes.mel -e to ask the assistanceof others*O w be able to help you in an~rtig the @stions.

PAST I—~CARS

A. Since~ 1,.196C,.* the &cef5ed a patientin a hospitalor mMcal 2.nstitutiOn?

l.m.Y&s 2.U:~O (W No; SSIF* ~ ~ an the reverm>tiw )

B. Ha many tiuesw he “~stige~ -m theseho6pf~ sinceJA!N?ASY1, 19@’xI

●

—mnnher of-s (maze Canplek-8 sectionW1.JW far each of these M*ges beginning with last hospitil

s-. * exMDPle,; if he< Metiti &hospiWj this dlschEI’geshouldW en-d az his Mt

hospitaz,6*.)

1. IAs!cEmPIw m

A. Uh@n w he .dischars&d- & ~0nPLW7 B. U’hEtis & m ti. -SS: Of the hoqital?

~ ~th ~ear N=

C. HOWinsnynightm.m he h W hospital? City or Flace

~a of. tights county Stati

2. Hmm~PITALsm

A. She.nm. ti.disctiged!b the homital? B. What 18 the nmn?’md -as of the hospita17.

.- ~th ~ear NC. HOW many nishtswas he.in the ho~ital? City or P@e

~- Oe nights Colmty state

30mFTPALSTAYSEmm ‘m

A: mn w-he, discharw m & ho@W7 B. What 1s tie n- e5d *SS or tie h08pAtal?

~ Wth ~- ne

c. mm’- nishtszwas * in * tiBpiw7 Ciw Or. Piece.

_n*r of Ill*ts county. state

4. mPl?rAL STAY mm w

A.. & mhe USC- ~ the homital? B. What is t.h=n8m@and -S8 of the hospital?

-. Uonth~em x0; ‘SW _ IIi@tswas &b the hospital? Cfty or P-e

_ntir- of tights Cmmw sta~

m

FRONT
PAST II - ~TICS OF ~ DE~ ~OW

A. Where Aid the deceased.Frson tie?

l.~ At bane

2.0 m a hospital‘ N=

City or P12ce

county . state

3.D ~her place (specify )

B. UIU’2DS19@, what was the totalincomeof the dece=ed and thoseof MS familylivinswltbbzm? (Iucluaainc~

fra all smu!cessuch.s6wzses,e-es, rentstia prwrty, %nsions, help froIurelatlves,etc.)

1.0 Unaer*,W 3.DW,W -$6,99

2.0 e>~ - $3>999 4.Clti,~ or more “

If the deceased- _ 16 years of ase, SIUP to M III wlow.

c. What Las he doingmost of the 12 monthsbeforedeath?

1.0 wOrkiDg , 3.0 S-thins else (sRcify )

2.0 Setil-ed

D. What was the highestwade the &ce86ed attendedin school? (Circb the highestgraaz)

?lcme 1234.5678 1?34 1234x

El~nt8ry ~sh Schcol college

A.

B.

PART III - mmm ABOU2!TEs PEssow cw~ m m

~tir below the - -a *s5 of tie %rson actuallycanpletingthis form,even if Mfferent fromthe ~raon

to whm the foamwa6 mallea.

n=

S-et Address city

Colmty State

~ YOU hm Of s~eone ebe who mishtbe able toaadtotheZnfzn.maticm thatw Bwuea?

1.0 Yes 2.a ?70

If Yes: What is the n- and *SS of this person?

I?-

-ess

*** * * * *

Use the xe klow to prwide eny Wtionel informationebcutthe &cea6ea Wrson$s hospitalCEXI?.

PHS.3700 .?0 *677, *

(3.61 )b. ck

MCK

46 * Us. GOVERNMENTPRINTINGOFFICE: 19as0-782-845
Series 1.

SeYies 2.

SeTies 3.

5erzes 4.

Se}ies 10.

SeYies 11.

SeYies 12.

SeYies 20.

Sevies 21,

SeYies 22,

OUTLINE OF REPORT SERIES FOR VITAL AND HEALTH

Public Health Service Publication No. 1000

P~ograms and collection procedures. —Reports which describe the

STATISTICS

general programs of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, and

other material necessary for understanding the data.

Reports number 1-4

Rata evaluation and methods research. —Studies of new statistical methodology including: experimental

tests of new survey methods, studies of vital statistics collection methods, new analytical techniques,

objective evaluations of reliability of collected data, contributions to statistical theory.

Reports number 1-10

Amlytical studies. —Reports presenting analytical or interpretive studies based on vital and health statistics, carrying the analysis further than the expository types of reports in the other series.

Reports number 1-4

Documents and committee reports .—Final reports of major committees concerned with vital and health

statistics, and documents such as recommended model vital registration laws and revised birth and

death certificates.

Reports number 1 and 2

Data From the Health Intevview Survey .—Statistics on illness, accidental injuries, disability, use of

hospital, medical, dental, and other services, and other health-related topics, based on data collected in

a continuing national household interview survey.

Reports number 1-22

Data From the Health Examination

measurement of national samples of

cific diseases, and distributions of

measurements.

Reports number 1-10

Suvvey.—Statistics based on the direct examination, testing, and

the population, including the medically defined prevalence of spethe population with respect to various physical and physiological

Data From the Heqlth Records Survey. —Statistics from records of hospital discharges and statistics

relating to the health characteristics of persons in institutions, and on hospital, medical, nursing, and

personal care received, based on national samples of establishments providing these services and

samples oi the residents or patients.

Reports number 1 and 2

Data m mo?’tality. —Various statistics on mortality other than as included in annual or monthly reports—

special analyses by cause of death, age, and other demographic variables, also geographic and time

series analyses.

No reports to date

Data on nutality, marriage, and divovce. —Various statistics on natality, marriage, and divorce other

than as included in annual or monthly reports -special analyses by demographic variables, also geographic and time series analyses, studies of fertility.

Reports number 1-6

Data From the Natioml Natality and Mortality Suvveys. —Statistics on characteristics of births and

deaths not available from the vital records, based on sample surveys stemming from these records,

including such topics as mortality by socioeconomic class, medical experience in the last year of life,

characteristics of pregnancy, etc.

Reports number 1

For a list of titles of reports published in these series, write to: National Center for Health Statistics

U.S. Public Health Service

Washington, D.C. 20201