IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0138773.html
   My bibliography  Save this article

The Impact of Hospice Care on Survival and Healthcare Costs for Patients with Lung Cancer: A National Longitudinal Population-Based Study in Taiwan

Author

Listed:
  • Jui-Kun Chiang
  • Yee-Hsin Kao
  • Ning-Sheng Lai

Abstract

Background: The healthcare costs of cancer care are highest in the last month of life. The effect of hospice care on end-of-life (EOL) healthcare costs is not clearly understood. Purpose: The purpose of this study was to evaluate the effect of hospice care on survival and healthcare costs for lung cancer patients in their final month of life. Methods: We adopted Taiwan’s National Health Insurance Research Claims Database to analyze data for 3399 adult lung cancer patients who died in 1997–2011. A logistic regression analysis was performed to determine the predictors of high healthcare cost, defined as costs falling above the 90th percentile. Patients who received hospice cares were assigned to a hospice (H) group and those who did not were assigned to a non-hospice (non-H) group. Results: The patients in the H group had a longer mean (median) survival time than those in the non-H group did (1.40 ± 1.61 y (0.86) vs. 1.10 ± 1.47 (0.61), p

Suggested Citation

  • Jui-Kun Chiang & Yee-Hsin Kao & Ning-Sheng Lai, 2015. "The Impact of Hospice Care on Survival and Healthcare Costs for Patients with Lung Cancer: A National Longitudinal Population-Based Study in Taiwan," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-19, September.
    • Handle: RePEc:plo:pone00:0138773
    DOI: 10.1371/journal.pone.0138773
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0138773
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0138773&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0138773?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Kreng, Victor B. & Yang, Chi-Tien, 2011. "The equality of resource allocation in health care under the National Health Insurance System in Taiwan," Health Policy, Elsevier, vol. 100(2), pages 203-210.
    2. Kreng, Victor B. & Yang, Chi-Tien, 2011. "The equality of resource allocation in health care under the National Health Insurance System in Taiwan," Health Policy, Elsevier, vol. 100(2-3), pages 203-210, May.
    3. Obermeyer, Ziad & Makar, Maggie & Abujaber, Samer & Dominici, Francesca & Block, Susan Dale & Cutler, David M., 2014. "Association Between the Medicare Hospice Benefit and Health Care Utilization and Costs for Patients With Poor-Prognosis Cancer," Scholarly Articles 22856726, Harvard University Department of Economics.
    4. Lynne F Forrest & Jean Adams & Helen Wareham & Greg Rubin & Martin White, 2013. "Socioeconomic Inequalities in Lung Cancer Treatment: Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 10(2), pages 1-25, February.
    5. Lo, Joan C., 2002. "The impact of hospices on health care expenditures--the case of Taiwan," Social Science & Medicine, Elsevier, vol. 54(6), pages 981-991, March.
    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. Ya-Ting Huang & Ying-Wei Wang & Chou-Wen Chi & Wen-Yu Hu & Rung Lin Jr & Chih-Chung Shiao & Woung-Ru Tang, 2020. "Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-21, February.
    2. Dong Jun Kim & Sun Jung Kim, 2022. "Is Hospital Hospice Service Associated with Efficient Healthcare Utilization in Deceased Lung Cancer Patients? Hospital Charges at Their End of Life," IJERPH, MDPI, vol. 19(22), pages 1-10, 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. Ehsan Javanmardi & Sifeng Liu, 2019. "Exploring Grey Systems Theory-Based Methods and Applications in Analyzing Socio-Economic Systems," Sustainability, MDPI, vol. 11(15), pages 1-19, August.
    2. Rocha, António & Costa, Ana Sara & Figueira, José Rui & Ferreira, Diogo Cunha & Marques, Rui Cunha, 2021. "Quality assessment of the Portuguese public hospitals: A multiple criteria approach," Omega, Elsevier, vol. 105(C).
    3. Bin Zhu & Chih-Wei Hsieh & Yue Zhang, 2018. "Incorporating Spatial Statistics into Examining Equity in Health Workforce Distribution: An Empirical Analysis in the Chinese Context," IJERPH, MDPI, vol. 15(7), pages 1-15, June.
    4. Yi Tao & Kizito Henry & Qinpei Zou & Xiaoni Zhong, 2014. "Methods for measuring horizontal equity in health resource allocation: a comparative study," Health Economics Review, Springer, vol. 4(1), pages 1-10, December.
    5. Lane, Haylee & Sarkies, Mitchell & Martin, Jennifer & Haines, Terry, 2017. "Equity in healthcare resource allocation decision making: A systematic review," Social Science & Medicine, Elsevier, vol. 175(C), pages 11-27.
    6. Xiaolin Cao & Ge Bai & Chunxiang Cao & Yinan Zhou & Xuechen Xiong & Jiaoling Huang & Li Luo, 2020. "Comparing Regional Distribution Equity among Doctors in China before and after the 2009 Medical Reform Policy: A Data Analysis from 2002 to 2017," IJERPH, MDPI, vol. 17(5), pages 1-13, February.
    7. Chin-Piao Yeh & Ai-Chi Hsu & Wei-Hsien & Kuang-Cheng Chai, 2014. "Neural Network Forecasts of Taiwan Bureau of National Health Insurance Expenditires," The International Journal of Business and Finance Research, The Institute for Business and Finance Research, vol. 8(5), pages 95-114.
    8. George Halkos & Georgia Argyropoulou, 2021. "Pollution and Health Effects: A Nonparametric Approach," Computational Economics, Springer;Society for Computational Economics, vol. 58(3), pages 691-714, October.
    9. Jin-Li Hu & Min-Yueh Chuang & Shang-Ho Yeh, 2023. "A Dynamic DEA Analysis of Health Output Efficiencies of Cities and Counties in Taiwan," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    10. Dong Jun Kim & Sun Jung Kim, 2022. "Is Hospital Hospice Service Associated with Efficient Healthcare Utilization in Deceased Lung Cancer Patients? Hospital Charges at Their End of Life," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
    11. Domantas Jasilionis & Giedre Smailyte & Ieva Vincerzevskiene & Vladimir Shkolnikov, 2015. "Educational differentials in cancer mortality and avoidable deaths in Lithuania, 2001–2009: a census-linked study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 919-926, December.
    12. Ya-Ting Huang & Ying-Wei Wang & Chou-Wen Chi & Wen-Yu Hu & Rung Lin Jr & Chih-Chung Shiao & Woung-Ru Tang, 2020. "Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-21, February.
    13. Ajay Mahal & Lainie Sutton, 2014. "Economic prosperity and non-communicable disease: understanding the linkages," Chapters, in: Raghbendra Jha & Raghav Gaiha & Anil B. Deolalikar (ed.), Handbook on Food, chapter 12, pages 278-324, Edward Elgar Publishing.
    14. Xiaotong Niu & Melinda Buntin & Joyce Manchester, 2015. "Changes in Medicare Spending per Beneficiary by Age: Working Paper 2015-08," Working Papers 51027, Congressional Budget Office.
    15. Pousette, Andreas & Hofmarcher, Thomas, 2024. "Tackling inequalities in cancer care in the European Union," IHE Report / IHE Rapport 2024:1, IHE - The Swedish Institute for Health Economics.
    16. Niyazi Taneri & Arnoud De Meyer, 2017. "Contract Theory: Impact on Biopharmaceutical Alliance Structure and Performance," Manufacturing & Service Operations Management, INFORMS, vol. 19(3), pages 453-471, July.
    17. Poon, Charlotte & Haderi, Artes & Roediger, Alexander & Yuan, Megan, 2022. "Should we screen for lung cancer? A 10-country analysis identifying key decision-making factors," Health Policy, Elsevier, vol. 126(9), pages 879-888.
    18. Maheswaran, Hendramoorthy & Kupek, Emil & Petrou, Stavros, 2015. "Self-reported health and socio-economic inequalities in England, 1996–2009: Repeated national cross-sectional study," Social Science & Medicine, Elsevier, vol. 136, pages 135-146.
    19. Klaas H J Ultee & Elke K M Tjeertes & Frederico Bastos Gonçalves & Ellen V Rouwet & Anton G M Hoofwijk & Robert Jan Stolker & Hence J M Verhagen & Sanne E Hoeks, 2018. "The relation between household income and surgical outcome in the Dutch setting of equal access to and provision of healthcare," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-13, January.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0138773. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.