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What happens at the end of life? Using linked administrative health data to understand healthcare usage in the last year of life in New Zealand

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  • Hamblin, Richard
  • Minko, Nikolai
  • Shuker, Carl
  • Hill, Jennifer
  • Merry, Alan F.

Abstract

The end of life is often associated with increased use of healthcare services. This increased use can include over-medicalisation, or over-treatment with interventions designed to cure that are likely futile in people who are dying. This is an issue with medical, ethical, and financial dimensions, and has implications for health policy, funding and the structure of care delivery.

Suggested Citation

  • Hamblin, Richard & Minko, Nikolai & Shuker, Carl & Hill, Jennifer & Merry, Alan F., 2018. "What happens at the end of life? Using linked administrative health data to understand healthcare usage in the last year of life in New Zealand," Health Policy, Elsevier, vol. 122(7), pages 783-790.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:7:p:783-790
    DOI: 10.1016/j.healthpol.2018.05.011
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    References listed on IDEAS

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    1. Polder, Johan J. & Barendregt, Jan J. & van Oers, Hans, 2006. "Health care costs in the last year of life--The Dutch experience," Social Science & Medicine, Elsevier, vol. 63(7), pages 1720-1731, October.
    2. Gielen, Birgit & Remacle, Anne & Mertens, Raf, 2010. "Patterns of health care use and expenditure during the last 6 months of life in Belgium: Differences between age categories in cancer and non-cancer patients," Health Policy, Elsevier, vol. 97(1), pages 53-61, September.
    3. Gaston, Christine M. & Mitchell, Geoffrey, 2005. "Information giving and decision-making in patients with advanced cancer: A systematic review," Social Science & Medicine, Elsevier, vol. 61(10), pages 2252-2264, November.
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