The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study
Abstract Objectives Compared to aggressive treatment for patients at the end stage of life, hospice care might be more likely to satisfy such patients’ need and benefits and improve their dignity and quality of life. Whether the reimbursement policy expansion affect the use of hospice care among var...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12904-023-01146-z |
| _version_ | 1797853534982504448 |
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| author | Tsung-Hsien Yu Frank Leigh Lu Chung-Jen Wei Wei-Wen Wu |
| author_facet | Tsung-Hsien Yu Frank Leigh Lu Chung-Jen Wei Wei-Wen Wu |
| author_sort | Tsung-Hsien Yu |
| collection | DOAJ |
| description | Abstract Objectives Compared to aggressive treatment for patients at the end stage of life, hospice care might be more likely to satisfy such patients’ need and benefits and improve their dignity and quality of life. Whether the reimbursement policy expansion affect the use of hospice care among various demographics characteristics and health status was unknown. Therefore, the purpose of this study was to explore the impacts of reimbursement policy expansion on hospice care use, and to investigate the effects on people with various demographics characteristics and health status. Methods We used the 2001–2017 Taiwan NHI claims data, Death Registry, and Cancer Registry in this study, and we included people who died between 2002 and 2017. The study period was divided into 4 sub-periods. hospice care use and the initiation time of 1st hospice care use were used as dependent variables; demographic characteristics and health status were also collected. Results There were 2,445,781 people who died in Taiwan during the study period. The results show that the trend of hospice care use increased over time, going steeply upward after the scope of benefits expansion, but the initiation time of 1st hospice care use did not increase after the scope of benefits expansion. The results also show that the effects of expansion varied among patients by demographic characteristics. Conclusion The scope of benefits expansion might induce people’s needs in hospice care, but the effects varied by demographic characteristics. Understanding the reasons for the variations in all populations would be the next step for Taiwan’s health authorities. |
| first_indexed | 2024-04-09T19:51:05Z |
| format | Article |
| id | doaj.art-9fa505fc5cba480f92d64e2d80528781 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-04-09T19:51:05Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-9fa505fc5cba480f92d64e2d805287812023-04-03T05:44:28ZengBMCBMC Palliative Care1472-684X2023-03-0122111010.1186/s12904-023-01146-zThe impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational studyTsung-Hsien Yu0Frank Leigh Lu1Chung-Jen Wei2Wei-Wen Wu3Department of Health Care Management, National Taipei University of Nursing and Health SciencesDepartment of Pediatrics, National Taiwan University Children’s HospitalDepartment of Public Health, Fu-Jen Catholic UniversitySchool of Medicine, National Taiwan UniversityAbstract Objectives Compared to aggressive treatment for patients at the end stage of life, hospice care might be more likely to satisfy such patients’ need and benefits and improve their dignity and quality of life. Whether the reimbursement policy expansion affect the use of hospice care among various demographics characteristics and health status was unknown. Therefore, the purpose of this study was to explore the impacts of reimbursement policy expansion on hospice care use, and to investigate the effects on people with various demographics characteristics and health status. Methods We used the 2001–2017 Taiwan NHI claims data, Death Registry, and Cancer Registry in this study, and we included people who died between 2002 and 2017. The study period was divided into 4 sub-periods. hospice care use and the initiation time of 1st hospice care use were used as dependent variables; demographic characteristics and health status were also collected. Results There were 2,445,781 people who died in Taiwan during the study period. The results show that the trend of hospice care use increased over time, going steeply upward after the scope of benefits expansion, but the initiation time of 1st hospice care use did not increase after the scope of benefits expansion. The results also show that the effects of expansion varied among patients by demographic characteristics. Conclusion The scope of benefits expansion might induce people’s needs in hospice care, but the effects varied by demographic characteristics. Understanding the reasons for the variations in all populations would be the next step for Taiwan’s health authorities.https://doi.org/10.1186/s12904-023-01146-zHospice careHealth Care utilizationPopulation characteristics |
| spellingShingle | Tsung-Hsien Yu Frank Leigh Lu Chung-Jen Wei Wei-Wen Wu The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study BMC Palliative Care Hospice care Health Care utilization Population characteristics |
| title | The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study |
| title_full | The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study |
| title_fullStr | The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study |
| title_full_unstemmed | The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study |
| title_short | The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study |
| title_sort | impacts of the scope of benefits expansion on hospice care among adult decedents a nationwide longitudinal observational study |
| topic | Hospice care Health Care utilization Population characteristics |
| url | https://doi.org/10.1186/s12904-023-01146-z |
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