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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 FieldValueLanguage
dc.contributor.author김태현-
dc.contributor.author박은철-
dc.date.accessioned2016-02-04T11:45:29Z-
dc.date.available2016-02-04T11:45:29Z-
dc.date.issued2015-
dc.identifier.issn0269-2163-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141134-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityopen-
dc.format.extent808~816-
dc.relation.isPartOfPalliative Medicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleDoes 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.typeArticle-
dc.contributor.collegeGraduate School of Public Health (보건대학원)-
dc.contributor.departmentGraduate School of Public Health (보건대학원)-
dc.contributor.googleauthorSun Jung Kim-
dc.contributor.googleauthorKyu-Tae Han-
dc.contributor.googleauthorTae Hyun Kim-
dc.contributor.googleauthorEun-Cheol Park-
dc.identifier.doi10.1177/0269216315582123-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01082-
dc.contributor.localIdA01618-
dc.relation.journalcodeJ02462-
dc.identifier.urlhttp://pmj.sagepub.com/content/29/9/808.long-
dc.contributor.alternativeNameKim, Tae Hyun-
dc.contributor.alternativeNamePark, Eun Chul-
dc.contributor.affiliatedAuthorKim, Tae Hyun-
dc.contributor.affiliatedAuthorPark, Eun Chul-
dc.rights.accessRightsnot free-
dc.citation.volume29-
dc.citation.number9-
dc.citation.startPage808-
dc.citation.endPage816-
dc.identifier.bibliographicCitationPalliative Medicine, Vol.29(9) : 808-816, 2015-
Appears in Collections:
1. Journal Papers (연구논문) > 4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실)

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