The Determinants of Dying Where We Choose: An Analysis of Coordinate My Care
Authors: Thomas Callender, Julia Riley, Helen Broadhurst, Natasha Wiggins, Amanda Shaw, Stephanie Archer, Ara Darzi, Joanne Droney
Journal: Annals of Internal Medicine (2017)

Letters3 October 2017The Determinants of Dying Where We Choose: An Analysis of Coordinate My CareThomas Callender, MBChB, Julia Riley, MD, Helen Broadhurst, MBChB, Natasha Wiggins, MBBS, Amanda Shaw, MSc, Stephanie Archer, PhD, Ara Darzi, MD, and Joanne Droney, PhDThomas Callender, MBChBFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Julia Riley, MDFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Helen Broadhurst, MBChBFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Natasha Wiggins, MBBSFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Amanda Shaw, MScFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Stephanie Archer, PhDFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., Ara Darzi, MDFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom., and Joanne Droney, PhDFrom The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-0695 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Enabling persons to die where they choose is considered a key quality indicator in end-of-life care (1). Most persons state that they would prefer to die at home or in a hospice (2), but more persons in England die in a hospital than in these settings (48% vs. 29%) (3). Initially developed as the Electronic Palliative Care Co-ordination System for London, United Kingdom, the Coordinate My Care (CMC) service enables persons to create a digital urgent care plan with their clinicians that is accessible to all health and social care professionals involved in a patient's care. This system provides ...References1. The Choice in End of Life Care Programme Board. What's important to me: a review of choice in end of life care. February 2015. Accessed at www.ncpc.org.uk/sites/default/files/CHOICE%20REVIEW_FINAL%20for%20web.pdf on 5 March 2017. Google Scholar2. Gomes B, Calanzani N, Higginson IJ. Local Preferences and Place of Death in Regions within England 2010. London: Cicely Saunders Institute; 2011. Google Scholar3. National End of Life Care Intelligence Network. Trends in leading causes and place of death, England 2005 to 2014. 2014. Accessed at www.endoflifecare-intelligence.org.uk/resources/tools on 8 February 2017. Google Scholar4. Gomes B, Higginson IJ. Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ. 2006;332:515-21. [PMID: 16467346] CrossrefMedlineGoogle Scholar5. Stapleton RD, Ehlenbach WJ, Deyo RA, Curtis JR. Long-term outcomes after in-hospital CPR in older adults with chronic illness. Chest. 2014;146:1214-25. [PMID: 25086252] doi:10.1378/chest.13-2110 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From The Royal Marsden NHS Foundation Trust and Imperial College London, London, United Kingdom.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-0695.This article was published at Annals.org on 15 August 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byViews of advance care planning in older hospitalized patients following an emergency admission: A qualitative studyCo-designing an intervention to increase uptake of advance care planning in later life following emergency hospitalisation: a research protocol using accelerated experience-based co-design (AEBCD) and the behaviour change wheel (BCW)Underutilisation of EPaCCS (Electronic Palliative Care Coordination Systems) in end-of life-care: a cross-sectional studyTransforming End-of-Life Care Through Advance Care Planning and Sharing of Information DigitallyImpact of advance care planning on dying in hospital: Evidence from urgent care records"Triggers" for early palliative care referral in patients with cancer: a review of urgent unplanned admissions and outcomesElectronic palliative care coordination systems (EPaCCS): a systematic reviewAdvance care planning: the who, what, when, where and whyElectronic care coordination systems for people with advanced progressive illness: a mixed-methods evaluation in Scottish primary careUnderstanding the factors associated with patients with dementia achieving their preferred place of death: a retrospective cohort study 3 October 2017Volume 167, Issue 7Page: 519-521KeywordsDisclosureDo not resuscitate ordersElectronic medical recordsGlobal healthHealth careOdds ratioPalliative carePatientsQuality indicatorsResuscitation ePublished: 15 August 2017 Issue Published: 3 October 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. 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