%0 Journal Article %A Meelad Sayma %A Dina Saleh %A Doa’a Kerwat %A Shiraz Jamshaid %A Aaniya Ahmed %A Folashade Oyewole %A Abdul Samad Wahid %A Claire Perry %A Benita Cox %T A qualitative inquiry into the barriers and facilitators to achieving home death %D 2017 %R 10.1136/bmjspcare-2016-001260 %J BMJ Supportive & Palliative Care %P bmjspcare-2016-001260 %X Objectives To explore the barriers and facilitators to patients achieving death at home.Methods In-depth, semistructured interviews with end-of-life care experts were conducted to develop an insight into the barriers and facilitators to achieving death at home. Thirty-three interviews were conducted compromising of a mixture of face-to-face and tele interviews. Experts included healthcare professionals working in the community, hospital and policy/academic settings. Thematic analysis was undertaken on interview transcripts.Results Three overarching themes, further divided into a total of 12 subthemes were identified. The three themes were ‘managing people’, ‘education' and ‘planning’. The ‘managing people’ theme included subthemes of patient preferences and family influences; the ‘education’ theme encompassed knowledge and training, perceptions of death and communication and the ‘planning’ theme contained seven subthemes including ‘coordination’, ‘resources’ and ‘cost’.Conclusions Multiple barriers and facilitators to achieving death at home were identified in this study. Of particular significance was the identification of the fear and stigma associated with death among doctors, patients and their families serving as a barrier to home death, not previously identified in the literature. Additionally, the importance of social networks and resource provision were highlighted as key in influencing patient death at home. %U https://spcare.bmj.com/content/bmjspcare/early/2017/09/01/bmjspcare-2016-001260.full.pdf