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The effects of hospice care on healthcare expenditure among cancer patients

PURPOSE: It is necessary to estimate the hospice usage and hospice-related cost for entire cancer patients using nationwide cohort data to establish a suitable ethical and cultural infrastructure. This study aims to show the effects of hospital hospice care on healthcare expenditure among South Kore...

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Autores principales: Jhang, Hoyol, Jeong, Wonjeong, Zhang, Hyun-Soo, Choi, Dong-Woo, Kang, Hyejung, Park, Sohee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405473/
https://www.ncbi.nlm.nih.gov/pubmed/37550691
http://dx.doi.org/10.1186/s12913-023-09578-2
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author Jhang, Hoyol
Jeong, Wonjeong
Zhang, Hyun-Soo
Choi, Dong-Woo
Kang, Hyejung
Park, Sohee
author_facet Jhang, Hoyol
Jeong, Wonjeong
Zhang, Hyun-Soo
Choi, Dong-Woo
Kang, Hyejung
Park, Sohee
author_sort Jhang, Hoyol
collection PubMed
description PURPOSE: It is necessary to estimate the hospice usage and hospice-related cost for entire cancer patients using nationwide cohort data to establish a suitable ethical and cultural infrastructure. This study aims to show the effects of hospital hospice care on healthcare expenditure among South Korean cancer patients. METHODS: This study is a retrospective cohort study using customized health information data provided by the National Health Insurance Service. Individuals who were diagnosed with stomach, colorectal, or lung cancer between 2003 and 2012 were defined as new cancer patients, which included 7,176 subjects. Patients who died under hospital-based hospice care during the follow-up period from January 2016 to December 2018 comprised the treatment group. Healthcare expenditure was the dependent variable. Generalized estimating equations was used. RESULTS: Among the subjects, 2,219 (30.9%) had used hospice care at an average total cost of 948,771 (± 3,417,384) won. Individuals who had used hospice care had a lower odds ratio (EXP(β)) of healthcare expenditure than those who did not (Total cost: EXP(β) = 0.27, 95% confidence intervals (CI) = 0.25–0.30; Hospitalization cost: EXP(β) = 0.32, 95% CI = 0.29–0.35; Outpatient cost: EXP(β) = 0.02, 95% CI = 0.02–0.02). CONCLUSION: Healthcare expenditure was reduced among those cancer patients in South Korea who used hospice care compared with among those who did not. This emphasizes the importance of using hospice care and encourages those hesitant to use hospice care. The results provide useful insights into both official policy and the existing practices of healthcare systems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09578-2.
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spelling pubmed-104054732023-08-08 The effects of hospice care on healthcare expenditure among cancer patients Jhang, Hoyol Jeong, Wonjeong Zhang, Hyun-Soo Choi, Dong-Woo Kang, Hyejung Park, Sohee BMC Health Serv Res Research PURPOSE: It is necessary to estimate the hospice usage and hospice-related cost for entire cancer patients using nationwide cohort data to establish a suitable ethical and cultural infrastructure. This study aims to show the effects of hospital hospice care on healthcare expenditure among South Korean cancer patients. METHODS: This study is a retrospective cohort study using customized health information data provided by the National Health Insurance Service. Individuals who were diagnosed with stomach, colorectal, or lung cancer between 2003 and 2012 were defined as new cancer patients, which included 7,176 subjects. Patients who died under hospital-based hospice care during the follow-up period from January 2016 to December 2018 comprised the treatment group. Healthcare expenditure was the dependent variable. Generalized estimating equations was used. RESULTS: Among the subjects, 2,219 (30.9%) had used hospice care at an average total cost of 948,771 (± 3,417,384) won. Individuals who had used hospice care had a lower odds ratio (EXP(β)) of healthcare expenditure than those who did not (Total cost: EXP(β) = 0.27, 95% confidence intervals (CI) = 0.25–0.30; Hospitalization cost: EXP(β) = 0.32, 95% CI = 0.29–0.35; Outpatient cost: EXP(β) = 0.02, 95% CI = 0.02–0.02). CONCLUSION: Healthcare expenditure was reduced among those cancer patients in South Korea who used hospice care compared with among those who did not. This emphasizes the importance of using hospice care and encourages those hesitant to use hospice care. The results provide useful insights into both official policy and the existing practices of healthcare systems. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09578-2. BioMed Central 2023-08-07 /pmc/articles/PMC10405473/ /pubmed/37550691 http://dx.doi.org/10.1186/s12913-023-09578-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Jhang, Hoyol
Jeong, Wonjeong
Zhang, Hyun-Soo
Choi, Dong-Woo
Kang, Hyejung
Park, Sohee
The effects of hospice care on healthcare expenditure among cancer patients
title The effects of hospice care on healthcare expenditure among cancer patients
title_full The effects of hospice care on healthcare expenditure among cancer patients
title_fullStr The effects of hospice care on healthcare expenditure among cancer patients
title_full_unstemmed The effects of hospice care on healthcare expenditure among cancer patients
title_short The effects of hospice care on healthcare expenditure among cancer patients
title_sort effects of hospice care on healthcare expenditure among cancer patients
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405473/
https://www.ncbi.nlm.nih.gov/pubmed/37550691
http://dx.doi.org/10.1186/s12913-023-09578-2
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