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

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  • 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

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  • 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
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    References listed on IDEAS

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    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.
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    1. 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.
    2. 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.

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