https://scholars.lib.ntu.edu.tw/handle/123456789/545035
Title: | Medical care utilization and costs on end-of-life cancer patients the role of hospice care | Authors: | Chang H.-T. Lin M.-H. Chen C.-K. Chen T.-J. Tsai S.-L. SHAO-YI CHENG TAI-YUAN CHIU Tsai S.-T. Hwang S.-J. |
Issue Date: | 2016 | Publisher: | Lippincott Williams and Wilkins | Journal Volume: | 95 | Journal Issue: | 44 | Start page/Pages: | e5216 | Source: | Medicine (United States) | Abstract: | Although there are 3 hospice care programs for terminal cancer patients in Taiwan, the medical utilization and expenses for these patients by programs have not been well-explored. The aim of this study was to examine the medical utilization and expenses of terminal cancer patients under different programs of hospice care in the last 90, 30, and 14 days of life. This was a retrospective observational study by secondary data analysis. By using the National Health Insurance claim database and Hospice Shared Care Databases. We identified cancer descents from these databases and classified them into nonhospice care and hospice care groups based on different combination of hospice care received. We then analyzed medical utilization including inpatient care, outpatient care, emergency room visits, and medical expenses by patient groups in the last 90, 30, and 14 days of life. Among 118,376 cancer descents, 46.9% ever received hospice care. Patients had ever received hospice care had significantly lower average medical utilization and expenses in their last 90, 30, and 14 days of life (all P<0.001) compared to nonhospice care group. Each hospice care group had significantly less medical utilization and expenses in the last 90, 30, and 14 days of life (all P< 0.01). Different kinds of hospice care program have different effects on medical care utilization reduction and cost-saving at different stage of the end of life of terminal cancer patients. Copyright ? 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84995961625&doi=10.1097%2fMD.0000000000005216&partnerID=40&md5=f4004f67fc892073e0c42e6175b7d219 https://scholars.lib.ntu.edu.tw/handle/123456789/545035 |
ISSN: | 0025-7974 | DOI: | 10.1097/MD.0000000000005216 | SDG/Keyword: | adult; aged; economics; female; health care cost; hospice care; human; male; middle aged; Neoplasms; retrospective study; terminal care; utilization; very elderly; Adult; Aged; Aged, 80 and over; Female; Health Care Costs; Hospice Care; Humans; Male; Middle Aged; Neoplasms; Retrospective Studies; Terminal Care |
Appears in Collections: | 醫學系 |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.