Does hospital need more hospice beds? Hospital charges and length of stays by lung cancer inpatients at their end of life: A retrospective cohort design of 2002-2012
DC Field | Value | Language |
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dc.contributor.author | Kim, Sun Jung | - |
dc.contributor.author | Han, Kyu-Tae | - |
dc.contributor.author | Kim, Tae Hyun | - |
dc.contributor.author | Park, Eun-Cheol | - |
dc.date.accessioned | 2021-08-11T19:44:00Z | - |
dc.date.available | 2021-08-11T19:44:00Z | - |
dc.date.issued | 2015-10 | - |
dc.identifier.issn | 0269-2163 | - |
dc.identifier.issn | 1477-030X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10254 | - |
dc.description.abstract | Background: Previous studies found that hospice and palliative care reduces healthcare costs for end-of-life cancer patients. Aim: To investigate hospital inpatient charges and length-of-stay differences by availability of hospice care beds within hospitals using nationwide data from end-of-life inpatients with lung cancer. Design: A retrospective cohort study was performed using nationwide lung cancer health insurance claims from 2002 to 2012 in Korea. Setting and participants: Descriptive and multi-level (patient-level and hospital-level) mixed models were used to compare inpatient charges and lengths of stay. Using 673,122 inpatient health insurance claims, we obtained aggregated hospital inpatient charges and lengths of stay from a total of 114,828 inpatients and 866 hospital records. Results: Hospital inpatient charges and length of stay drastically increased as patients approached death; a significant portion of hospital inpatient charges and lengths of stay occurred during the end-of-life period. According to our multi-level analysis, hospitals with hospice care beds tend to have significantly lower end-of-life hospital inpatient charges; however, length of stay did not differ. Hospitals with more hospice care beds were associated with reduction in hospital inpatient charges within 3months before death. Conclusion: Higher end-of-life healthcare hospital charges were found for lung cancer inpatients who were admitted to hospitals without hospice care beds. This study suggests that health policy-makers and the National Health Insurance program need to consider expanding the use of hospice care beds within hospitals and hospice care facilities for end-of-life patients with lung cancer in South Korea, where very limited numbers of resources are currently available. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SAGE Publications | - |
dc.title | Does hospital need more hospice beds? Hospital charges and length of stays by lung cancer inpatients at their end of life: A retrospective cohort design of 2002-2012 | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1177/0269216315582123 | - |
dc.identifier.scopusid | 2-s2.0-84941957422 | - |
dc.identifier.wosid | 000361491800004 | - |
dc.identifier.bibliographicCitation | Palliative Medicine, v.29, no.9, pp 808 - 816 | - |
dc.citation.title | Palliative Medicine | - |
dc.citation.volume | 29 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 808 | - |
dc.citation.endPage | 816 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | PALLIATIVE-CARE INTERVENTION | - |
dc.subject.keywordPlus | NATIONAL-HEALTH INSURANCE | - |
dc.subject.keywordPlus | NEAR-DEATH | - |
dc.subject.keywordPlus | LAST YEAR | - |
dc.subject.keywordPlus | PLACE | - |
dc.subject.keywordPlus | COSTS | - |
dc.subject.keywordPlus | MEDICARE | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | TRENDS | - |
dc.subject.keywordPlus | ASSOCIATIONS | - |
dc.subject.keywordAuthor | Hospice care | - |
dc.subject.keywordAuthor | lung neoplasms | - |
dc.subject.keywordAuthor | fees and charges | - |
dc.subject.keywordAuthor | length of stay | - |
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