IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2021i1p85-d708868.html
   My bibliography  Save this article

Predictors and Assessment of Hospice Use for End-Stage Renal Disease Patients in Taiwan

Author

Listed:
  • Hung-Cheng Chen

    (Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Chien-Yi Wu

    (Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Hui-Ya Hsieh

    (Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Jiun-Shiuan He

    (Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Shang-Jyh Hwang

    (Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Hui-Min Hsieh

    (Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Public Health, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Community Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Center for Big Data Research, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

Abstract

Objectives: Hospice and early palliative care are generally considered as an alternative and supportive care to offer symptoms relief and optimize the quality of life among end-stage renal disease (ESRD) patients, but hospice care remains underutilized. This study aimed to examine patient and health system characteristics and develop a patient assessment scale to evaluate ESRD patients for hospice care after the implementation of non-cancer hospice care reimbursement policy in 2009 in Taiwan. Method: We conducted a retrospective cohort study using nationwide population-based datasets. Adult long-term dialysis patients between 2009 and 2012 were included. Multivariable logistic regression and the Firth penalized likelihood estimation were used to estimate the likelihood of receiving hospice care. A receiver operating characteristic curve (ROC) analysis and C-statistic were calculated to determine the optimal models for a patient assessment of hospice use. Results: Patients who were older, comorbid with anemia (odds ratio [OR] 3.53, 95% CI 1.43–8.70) or sepsis (OR 1.62, 95% CI 1.08–2.44), with longer dialysis durations, more hospitalizations (OR 4.68, 95% CI 2.56–8.55), or primary provider care with hospice (OR 5.15, 95% CI 2.80–9.45) were more likely to receive hospice care. The total score of the patient assessment scale of hospice care was 0–28 with a cut-off value of 19 based on the results of the receiver operating characteristic curve. Conclusion: Given the “Patient Right to Autonomy Act” implemented in Taiwan in 2019 to promote the concept of a “good quality of death”, this patient assessment scale may help health professionals target ESRD patients for hospice care and engage in shared decision making and the advance care planning process.

Suggested Citation

  • Hung-Cheng Chen & Chien-Yi Wu & Hui-Ya Hsieh & Jiun-Shiuan He & Shang-Jyh Hwang & Hui-Min Hsieh, 2021. "Predictors and Assessment of Hospice Use for End-Stage Renal Disease Patients in Taiwan," IJERPH, MDPI, vol. 19(1), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:85-:d:708868
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/1/85/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/1/85/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yi-Jhen He & Ming-Hwai Lin & Jo-Lan Hsu & Bo-Ren Cheng & Tzeng-Ji Chen & Shinn-Jang Hwang, 2021. "Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan," IJERPH, MDPI, vol. 18(2), pages 1-12, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chun-Li Wang & Chia-Yen Lin & Shun-Fa Yang, 2022. "Hospice Care Improves Patients’ Self-Decision Making and Reduces Aggressiveness of End-of-Life Care for Advanced Cancer Patients," IJERPH, MDPI, vol. 19(23), pages 1-15, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Noorhazlina Ali & Philomena Anthony & Wee Shiong Lim & Mei Sian Chong & Edward Wing Hong Poon & Vicki Drury & Mark Chan, 2021. "Exploring Differential Perceptions and Barriers to Advance Care Planning in Dementia among Asian Patient–Caregiver Dyads—A Mixed-Methods Study," IJERPH, MDPI, vol. 18(13), pages 1-15, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:85-:d:708868. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.