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- Joachim Cohen, Kenneth Chambaere, Johan Bilsen, Dirk Houttekier, Freddy Mortier, and Luc Deliens.
- Vrije Universiteit Brussel, End-of-Life Care Research Group, Laarbeeklaan 103, 1090 Brussels, Belgium. jcohen@vub.ac.be
- Health Place. 2010 Sep 1;16(5):784-93.
AbstractResearch is beginning to show differences between end-of-life care in metropolitan and non-metropolitan areas. Using population-based post-mortem surveys this article compares medical end-of-life decisions in the Brussels metropolitan area and non-metropolitan Flanders (Belgium). In Brussels, administering lethal drugs without an explicit patient request occurred more often, intensification of symptom alleviation and non-treatment decisions less often, and end-of-life treatment was more often aimed at cure or life prolongation, than in non-metropolitan Flanders. This paper argues that these differences in end-of-life decisions are related to characteristics of the metropolitan environment and hence may also apply in other metropolitan regions worldwide. Specific approaches to end-of-life decisions in metropolitan areas need to be considered.Copyright 2010 Elsevier Ltd. All rights reserved.
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