RT Journal Article SR Electronic T1 A qualitative inquiry into the barriers and facilitators to achieving home death JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP e18 OP e18 DO 10.1136/bmjspcare-2016-001260 VO 10 IS 2 A1 Sayma, Meelad A1 Saleh, Dina A1 Kerwat, Doa’a A1 Jamshaid, Shiraz A1 Ahmed, Aaniya A1 Oyewole, Folashade A1 Wahid, Abdul Samad A1 Perry, Claire A1 Cox, Benita YR 2020 UL http://spcare.bmj.com/content/10/2/e18.abstract AB 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.