Cited 9 times in
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 | 김태현 | - |
dc.contributor.author | 박은철 | - |
dc.date.accessioned | 2016-02-04T11:45:29Z | - |
dc.date.available | 2016-02-04T11:45:29Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0269-2163 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/141134 | - |
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 3 months 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.description.statementOfResponsibility | open | - |
dc.format.extent | 808~816 | - |
dc.relation.isPartOf | PALLIATIVE MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Hospice Care/economics | - |
dc.subject.MESH | Hospice Care/organization & administration* | - |
dc.subject.MESH | Hospital Bed Capacity/economics* | - |
dc.subject.MESH | Hospital Bed Capacity/statistics & numerical data | - |
dc.subject.MESH | Hospital Charges/statistics & numerical data* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Length of Stay/statistics & numerical data* | - |
dc.subject.MESH | Lung Neoplasms/economics* | - |
dc.subject.MESH | Lung Neoplasms/therapy | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Palliative Care/economics* | - |
dc.subject.MESH | Palliative Care/organization & administration | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Terminal Care/economics* | - |
dc.subject.MESH | Terminal Care/organization & administration | - |
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.contributor.college | Graduate School of Public Health (보건대학원) | - |
dc.contributor.department | Graduate School of Public Health (보건대학원) | - |
dc.contributor.googleauthor | Sun Jung Kim | - |
dc.contributor.googleauthor | Kyu-Tae Han | - |
dc.contributor.googleauthor | Tae Hyun Kim | - |
dc.contributor.googleauthor | Eun-Cheol Park | - |
dc.identifier.doi | 10.1177/0269216315582123 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01082 | - |
dc.contributor.localId | A01618 | - |
dc.relation.journalcode | J02462 | - |
dc.identifier.eissn | 1477-030X | - |
dc.identifier.pmid | 25881621 | - |
dc.identifier.url | http://pmj.sagepub.com/content/29/9/808.long | - |
dc.subject.keyword | Hospice care | - |
dc.subject.keyword | fees and charges | - |
dc.subject.keyword | length of stay | - |
dc.subject.keyword | lung neoplasms | - |
dc.contributor.alternativeName | Kim, Tae Hyun | - |
dc.contributor.alternativeName | Park, Eun Chul | - |
dc.contributor.affiliatedAuthor | Kim, Tae Hyun | - |
dc.contributor.affiliatedAuthor | Park, Eun Chul | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 29 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 808 | - |
dc.citation.endPage | 816 | - |
dc.identifier.bibliographicCitation | PALLIATIVE MEDICINE, Vol.29(9) : 808-816, 2015 | - |
dc.identifier.rimsid | 30537 | - |
dc.type.rims | ART | - |
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