A survey on older adults’ attitudes toward end-of-life care preferences
The aging of the population is a global demographic trend that we can also observe in Croatia. This brings additional challenges for individuals, families, and communities. One of the most important goals is to extend life expectancy and increase the number of healthy life years. It is therefore imp...
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Estonian Academy Publishers
2025-08-01
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| Series: | Proceedings of the Estonian Academy of Sciences |
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| author | Nataša Gašparini Milanović Marija Spevan Bojan Miletić Željko Jovanović |
| author_facet | Nataša Gašparini Milanović Marija Spevan Bojan Miletić Željko Jovanović |
| author_sort | Nataša Gašparini Milanović |
| collection | DOAJ |
| description | The aging of the population is a global demographic trend that we can also observe in Croatia. This brings additional challenges for individuals, families, and communities. One of the most important goals is to extend life expectancy and increase the number of healthy life years. It is therefore important to ensure high-quality end-of-life care, which means that we need to understand what matters most to patients, families, and caregivers. The main aim of the study was to investigate the preferred type of care during the last days of life among older adults over 60 years of age. A cross-sectional survey was conducted among outpatient healthcare users in Istria County (Croatia). 106 older adults took part in the survey, of which 72 (67.9%) were women and 34 men (32.1%) between the ages of 60 and 98. The results show that older adults in Istria County would rather spend the last days of their lives at home than in a hospital. The older adults who prefer hospitalization at the end of their lives cite reasons such as fear of dying alone and burdening the family. In addition to comprehensively and continuously improving the quality of life of older adults, healthcare systems should take more time to ensure a dignified end of life, i.e., working toward ensuring that the last moments of a personâs life, as well as death itself, take place exactly where the individual wishes, and that each individual is treated holistically in meeting their needs and improving palliative care at home. |
| format | Article |
| id | doaj-art-838fb1b4d5bc4d3fa7ec75b31d4eb99f |
| institution | Kabale University |
| issn | 1736-6046 1736-7530 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Estonian Academy Publishers |
| record_format | Article |
| series | Proceedings of the Estonian Academy of Sciences |
| spelling | doaj-art-838fb1b4d5bc4d3fa7ec75b31d4eb99f2025-08-22T05:20:27ZengEstonian Academy PublishersProceedings of the Estonian Academy of Sciences1736-60461736-75302025-08-01743401408https://doi.org/10.3176/proc.2025.3.10https://doi.org/10.3176/proc.2025.3.10A survey on older adults’ attitudes toward end-of-life care preferencesNataša Gašparini Milanović0Marija Spevan1Bojan Miletić2Željko Jovanović3Istrian Health Centres, Flanatička ulica 27, 52100 Pula, Croatia; Faculty of Medicine, University of Juraj Dobrila, Zagrebačka ulica 30, 52100 Pula, CroatiaFaculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, CroatiaFaculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, CroatiaFaculty of Medicine, University of Juraj Dobrila, Zagrebačka ulica 30, 52100 Pula, Croatia; Faculty of Health Studies, University of Rijeka, Viktora Cara Emina 5, 51000 Rijeka, CroatiaThe aging of the population is a global demographic trend that we can also observe in Croatia. This brings additional challenges for individuals, families, and communities. One of the most important goals is to extend life expectancy and increase the number of healthy life years. It is therefore important to ensure high-quality end-of-life care, which means that we need to understand what matters most to patients, families, and caregivers. The main aim of the study was to investigate the preferred type of care during the last days of life among older adults over 60 years of age. A cross-sectional survey was conducted among outpatient healthcare users in Istria County (Croatia). 106 older adults took part in the survey, of which 72 (67.9%) were women and 34 men (32.1%) between the ages of 60 and 98. The results show that older adults in Istria County would rather spend the last days of their lives at home than in a hospital. The older adults who prefer hospitalization at the end of their lives cite reasons such as fear of dying alone and burdening the family. In addition to comprehensively and continuously improving the quality of life of older adults, healthcare systems should take more time to ensure a dignified end of life, i.e., working toward ensuring that the last moments of a personâs life, as well as death itself, take place exactly where the individual wishes, and that each individual is treated holistically in meeting their needs and improving palliative care at home.https://kirj.ee/wp-content/plugins/kirj/pub/proc-3-2025-401-408_20250821210006.pdfagingdying with dignityhealthcareolder adultscare service |
| spellingShingle | Nataša Gašparini Milanović Marija Spevan Bojan Miletić Željko Jovanović A survey on older adults’ attitudes toward end-of-life care preferences Proceedings of the Estonian Academy of Sciences aging dying with dignity healthcare older adults care service |
| title | A survey on older adults’ attitudes toward end-of-life care preferences |
| title_full | A survey on older adults’ attitudes toward end-of-life care preferences |
| title_fullStr | A survey on older adults’ attitudes toward end-of-life care preferences |
| title_full_unstemmed | A survey on older adults’ attitudes toward end-of-life care preferences |
| title_short | A survey on older adults’ attitudes toward end-of-life care preferences |
| title_sort | survey on older adults attitudes toward end of life care preferences |
| topic | aging dying with dignity healthcare older adults care service |
| url | https://kirj.ee/wp-content/plugins/kirj/pub/proc-3-2025-401-408_20250821210006.pdf |
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