Hospice Palliative Care Ontario Facts
Jan. 30, 2013
The Canadian Hospice Palliative Care Association estimates that each death in Canada affects the immediate well being of an average of five other people, or more than 1.25 million Canadians each year.
Only 2.9% of all deaths are sudden, however, there are at least 70% of Canadians who do not have access to palliative care (and when there is access, it is not equitable) (CIHI), (Carstairs, 2010).
Even though cancer patients represent 28% of Canadian deaths (Statistics Canada, 2005), they make up 55% of referrals to CCACs for End of Life care (OACCAC).
Seniors account for 75% of deaths each year (Carstairs, 2010) – many have non-Cancer diagnosis such as diseases of the circulatory system (35% of deaths) and of the respiratory system (about 10% of deaths) (Statistics Canada, 2005).
Seniors make up the fastest-growing age group. In 2003, an estimated 4.6 million Canadians were 65 years of age or older, a number that is expected to double in the next 25 years.
There will be 40% more deaths each year by 2020.
Polls suggest that 70 to 80% of Canadians indicate they would prefer to die at home if supports were available but the reality is that two-thirds (67%) of Canadians died in hospital (Statistics Canada, 2007).
In home care in Ontario (CCAC), caregiver distress affects about one in five (22%) palliative care clients (interRAI, 2007 – 2009 data) .
In 2007/2008, 345,327 acute care bed days and 95,018 Alternate Level of Care (ALC) bed days were occupied by patients with a palliative care diagnosis .
34% of ALC patients are in hospital because they seeking palliative care (Drummond 2011).
75% of deaths today still take place in hospitals and long-term care facilities.
In Ontario, for those individuals admitted to hospital with a primary diagnosis of palliative, 6,927 (73%) died in hospital beds (IntelliHealth, MOHLTC, 2008).
- The average length of stay was 13.5 days (2008)
- The average age of these patients was 72.8 years of age
- 55.5% had two or more admissions before dying in hospital
A residential hospice bed costs $439 per day to operate vs. at least $850 per day for an acute care bed. Government funding cover 56% of the daily cost of a residential hospice bed, the remainder is fundraised.
There is a need for more and varied palliative care; at home and in residential hospices. (2012 Drummond Report, recommendation 5-77).