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An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life
PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, no...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122891/ https://www.ncbi.nlm.nih.gov/pubmed/30214370 http://dx.doi.org/10.2147/AHMT.S168501 |
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author | Keim-Malpass, Jessica Cohrs, Austin C Lindley, Lisa C Leslie, Douglas L |
author_facet | Keim-Malpass, Jessica Cohrs, Austin C Lindley, Lisa C Leslie, Douglas L |
author_sort | Keim-Malpass, Jessica |
collection | PubMed |
description | PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, nonexperimental design was used to collect and analyze longitudinal claims data from the Truven Health MarketScan™ database. The sample included AYA (aged 15–24 years) who utilized hospice during their last year of life. RESULTS: Totally, 17,408 AYA were included in this analysis. Mean hospice length of stay (LOS) was low overall, but there was a statistically significant difference in hospice LOS in ages 15–19 years (mean 3.56, SD 15.17 days) compared with those aged 20–24 years (mean 2.26, SD 8.24; P<0.001 days). More than a third (37%) of the AYAs used the emergency department during the last year of life and 83% sought care from a primary care visit. However, only 6% of the sample who were hospice enrollees used frequent inpatient hospital services. CONCLUSIONS: This study provides preliminary data for private insurance expenditures and clinical utilization for AYA who were enrolled in hospice. This analysis also provides initial evidence to suggest extremely short hospice LOS for AYAs prior to the end of life and represents an area of future research need. |
format | Online Article Text |
id | pubmed-6122891 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61228912018-09-13 An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life Keim-Malpass, Jessica Cohrs, Austin C Lindley, Lisa C Leslie, Douglas L Adolesc Health Med Ther Short Report PURPOSE: The purpose of this study was to generate baseline data on the health characteristics, health care utilization, and health care spending among privately insured adolescents and young adults (AYA), who were enrolled in hospice care during their last year of life. METHODS: A retrospective, nonexperimental design was used to collect and analyze longitudinal claims data from the Truven Health MarketScan™ database. The sample included AYA (aged 15–24 years) who utilized hospice during their last year of life. RESULTS: Totally, 17,408 AYA were included in this analysis. Mean hospice length of stay (LOS) was low overall, but there was a statistically significant difference in hospice LOS in ages 15–19 years (mean 3.56, SD 15.17 days) compared with those aged 20–24 years (mean 2.26, SD 8.24; P<0.001 days). More than a third (37%) of the AYAs used the emergency department during the last year of life and 83% sought care from a primary care visit. However, only 6% of the sample who were hospice enrollees used frequent inpatient hospital services. CONCLUSIONS: This study provides preliminary data for private insurance expenditures and clinical utilization for AYA who were enrolled in hospice. This analysis also provides initial evidence to suggest extremely short hospice LOS for AYAs prior to the end of life and represents an area of future research need. Dove Medical Press 2018-08-30 /pmc/articles/PMC6122891/ /pubmed/30214370 http://dx.doi.org/10.2147/AHMT.S168501 Text en © 2018 Keim-Malpass et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Short Report Keim-Malpass, Jessica Cohrs, Austin C Lindley, Lisa C Leslie, Douglas L An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title | An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title_full | An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title_fullStr | An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title_full_unstemmed | An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title_short | An economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
title_sort | economic examination of private insurance claims among adolescents and young adults who were enrolled in hospice during the last year of life |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122891/ https://www.ncbi.nlm.nih.gov/pubmed/30214370 http://dx.doi.org/10.2147/AHMT.S168501 |
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