Over the past century, nursing homes and hospitals have increasingly
become the site of death. Teno and colleagues conducted a mortality follow-back
survey of family members of decedents to examine whether family members' perceptions
of the quality of end-of-life care differed by the last place of care. Overall,
family members reported high rates of unmet needs for symptom management,
physician communication, emotional support, and being treated with respect.
Family members of decedents who received care at home with hospice services
reported greater satisfaction with overall quality of care and fewer unmet
needs than did family members of decedents whose last setting of care was
a hospital, nursing home, or home with home nursing services.