Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study
Hospice care has a positive effect on medical costs. The correlation between survival time after receiving hospice care and medical costs has not been previously investigated in the literature on Taiwan. This study aimed to compare the differences in medical costs between traditional care and hospic...
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| Veröffentlicht in: | PloS one 2020-02, Vol.15 (2), p.e0229176-e0229176 |
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| creator | Huang, Ya-Ting Wang, Ying-Wei Chi, Chou-Wen Hu, Wen-Yu Lin, Jr, Rung Shiao, Chih-Chung Tang, Woung-Ru |
| description | Hospice care has a positive effect on medical costs. The correlation between survival time after receiving hospice care and medical costs has not been previously investigated in the literature on Taiwan. This study aimed to compare the differences in medical costs between traditional care and hospice care among end-of-life patients with cancer.
Data from Taiwan's National Health Insurance program on all patients who had passed away between 2010 and 2013 were used. Those whose year of death was between 2010 and 2013 were defined as end-of-life patients. The patients were divided into two groups: traditional care and hospice care. We then analyzed the differences in end-of-life medical cost between the two groups.
From 2010 to 2013, the proportion of patients receiving hospice care significantly increased from 22.2% to 41.30%. In the hospice group, compared with the traditional group, the proportions of hospital stays over 14 days and deaths in a hospital were significantly higher, but the proportions of outpatient clinic visits; emergency room admissions; intensive care unit admissions; use of ventilator; use of cardiopulmonary resuscitation; and use of hemodialysis, surgery, and chemotherapy were significantly lower. Total medical costs were significantly lower. A greater number of days of survival for end-of-life patients when receiving hospice care results in higher saved medical costs.
Hospice care can effectively save a large amount of end-of-life medical costs, and more medical costs are saved when patients are referred to hospice care earlier. |
| doi_str_mv | 10.1371/journal.pone.0229176 |
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Data from Taiwan's National Health Insurance program on all patients who had passed away between 2010 and 2013 were used. Those whose year of death was between 2010 and 2013 were defined as end-of-life patients. The patients were divided into two groups: traditional care and hospice care. We then analyzed the differences in end-of-life medical cost between the two groups.
From 2010 to 2013, the proportion of patients receiving hospice care significantly increased from 22.2% to 41.30%. In the hospice group, compared with the traditional group, the proportions of hospital stays over 14 days and deaths in a hospital were significantly higher, but the proportions of outpatient clinic visits; emergency room admissions; intensive care unit admissions; use of ventilator; use of cardiopulmonary resuscitation; and use of hemodialysis, surgery, and chemotherapy were significantly lower. Total medical costs were significantly lower. A greater number of days of survival for end-of-life patients when receiving hospice care results in higher saved medical costs.
Hospice care can effectively save a large amount of end-of-life medical costs, and more medical costs are saved when patients are referred to hospice care earlier.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0229176</identifier><identifier>PMID: 32078660</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Ambulatory care facilities ; Analysis ; Cancer ; Cardiopulmonary resuscitation ; Chemotherapy ; Chronic illnesses ; Community colleges ; Comorbidity ; Cost analysis ; Costs ; Death ; Disease ; Economic aspects ; Emergency medical care ; Emergency medical services ; Female ; Health ; Health care costs ; Health Care Costs - statistics & numerical data ; Health insurance ; Hemodialysis ; Hospice care ; Hospice Care - economics ; Hospices ; Hospitalization ; Hospitals ; Humans ; Male ; Medical diagnosis ; Medical economics ; Medical schools ; Medicine ; Medicine and Health Sciences ; National health insurance ; Nursing ; Palliative care ; Patients ; People and Places ; Resuscitation ; Retrospective Studies ; Social Sciences ; Studies ; Surgery ; Survival ; Terminal Care - economics ; Terminally Ill - statistics & numerical data ; Time ; Traditional medicine</subject><ispartof>PloS one, 2020-02, Vol.15 (2), p.e0229176-e0229176</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Huang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Huang et al 2020 Huang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-f4755bf8b0c43e91e84351cfbce585b344d5c9eaf48c8f83e22aa7aa8d5732be3</citedby><cites>FETCH-LOGICAL-c692t-f4755bf8b0c43e91e84351cfbce585b344d5c9eaf48c8f83e22aa7aa8d5732be3</cites><orcidid>0000-0003-2220-7574 ; 0000-0002-2960-1841</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7032706/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7032706/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32078660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Yeh, Chun Chieh</contributor><creatorcontrib>Huang, Ya-Ting</creatorcontrib><creatorcontrib>Wang, Ying-Wei</creatorcontrib><creatorcontrib>Chi, Chou-Wen</creatorcontrib><creatorcontrib>Hu, Wen-Yu</creatorcontrib><creatorcontrib>Lin, Jr, Rung</creatorcontrib><creatorcontrib>Shiao, Chih-Chung</creatorcontrib><creatorcontrib>Tang, Woung-Ru</creatorcontrib><title>Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Hospice care has a positive effect on medical costs. The correlation between survival time after receiving hospice care and medical costs has not been previously investigated in the literature on Taiwan. This study aimed to compare the differences in medical costs between traditional care and hospice care among end-of-life patients with cancer.
Data from Taiwan's National Health Insurance program on all patients who had passed away between 2010 and 2013 were used. Those whose year of death was between 2010 and 2013 were defined as end-of-life patients. The patients were divided into two groups: traditional care and hospice care. We then analyzed the differences in end-of-life medical cost between the two groups.
From 2010 to 2013, the proportion of patients receiving hospice care significantly increased from 22.2% to 41.30%. In the hospice group, compared with the traditional group, the proportions of hospital stays over 14 days and deaths in a hospital were significantly higher, but the proportions of outpatient clinic visits; emergency room admissions; intensive care unit admissions; use of ventilator; use of cardiopulmonary resuscitation; and use of hemodialysis, surgery, and chemotherapy were significantly lower. Total medical costs were significantly lower. A greater number of days of survival for end-of-life patients when receiving hospice care results in higher saved medical costs.
Hospice care can effectively save a large amount of end-of-life medical costs, and more medical costs are saved when patients are referred to hospice care earlier.</description><subject>Aged</subject><subject>Ambulatory care facilities</subject><subject>Analysis</subject><subject>Cancer</subject><subject>Cardiopulmonary resuscitation</subject><subject>Chemotherapy</subject><subject>Chronic illnesses</subject><subject>Community colleges</subject><subject>Comorbidity</subject><subject>Cost analysis</subject><subject>Costs</subject><subject>Death</subject><subject>Disease</subject><subject>Economic aspects</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Female</subject><subject>Health</subject><subject>Health care costs</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health insurance</subject><subject>Hemodialysis</subject><subject>Hospice care</subject><subject>Hospice Care - economics</subject><subject>Hospices</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical economics</subject><subject>Medical schools</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>National health insurance</subject><subject>Nursing</subject><subject>Palliative care</subject><subject>Patients</subject><subject>People and Places</subject><subject>Resuscitation</subject><subject>Retrospective Studies</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surgery</subject><subject>Survival</subject><subject>Terminal Care - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Ya-Ting</au><au>Wang, Ying-Wei</au><au>Chi, Chou-Wen</au><au>Hu, Wen-Yu</au><au>Lin, Jr, Rung</au><au>Shiao, Chih-Chung</au><au>Tang, Woung-Ru</au><au>Yeh, Chun Chieh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-02-20</date><risdate>2020</risdate><volume>15</volume><issue>2</issue><spage>e0229176</spage><epage>e0229176</epage><pages>e0229176-e0229176</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Hospice care has a positive effect on medical costs. The correlation between survival time after receiving hospice care and medical costs has not been previously investigated in the literature on Taiwan. This study aimed to compare the differences in medical costs between traditional care and hospice care among end-of-life patients with cancer.
Data from Taiwan's National Health Insurance program on all patients who had passed away between 2010 and 2013 were used. Those whose year of death was between 2010 and 2013 were defined as end-of-life patients. The patients were divided into two groups: traditional care and hospice care. We then analyzed the differences in end-of-life medical cost between the two groups.
From 2010 to 2013, the proportion of patients receiving hospice care significantly increased from 22.2% to 41.30%. In the hospice group, compared with the traditional group, the proportions of hospital stays over 14 days and deaths in a hospital were significantly higher, but the proportions of outpatient clinic visits; emergency room admissions; intensive care unit admissions; use of ventilator; use of cardiopulmonary resuscitation; and use of hemodialysis, surgery, and chemotherapy were significantly lower. Total medical costs were significantly lower. A greater number of days of survival for end-of-life patients when receiving hospice care results in higher saved medical costs.
Hospice care can effectively save a large amount of end-of-life medical costs, and more medical costs are saved when patients are referred to hospice care earlier.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32078660</pmid><doi>10.1371/journal.pone.0229176</doi><tpages>e0229176</tpages><orcidid>https://orcid.org/0000-0003-2220-7574</orcidid><orcidid>https://orcid.org/0000-0002-2960-1841</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2020-02, Vol.15 (2), p.e0229176-e0229176 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2359362096 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Aged Ambulatory care facilities Analysis Cancer Cardiopulmonary resuscitation Chemotherapy Chronic illnesses Community colleges Comorbidity Cost analysis Costs Death Disease Economic aspects Emergency medical care Emergency medical services Female Health Health care costs Health Care Costs - statistics & numerical data Health insurance Hemodialysis Hospice care Hospice Care - economics Hospices Hospitalization Hospitals Humans Male Medical diagnosis Medical economics Medical schools Medicine Medicine and Health Sciences National health insurance Nursing Palliative care Patients People and Places Resuscitation Retrospective Studies Social Sciences Studies Surgery Survival Terminal Care - economics Terminally Ill - statistics & numerical data Time Traditional medicine |
| title | Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T17%3A57%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Differences%20in%20medical%20costs%20for%20end-of-life%20patients%20receiving%20traditional%20care%20and%20those%20receiving%20hospice%20care:%20A%20retrospective%20study&rft.jtitle=PloS%20one&rft.au=Huang,%20Ya-Ting&rft.date=2020-02-20&rft.volume=15&rft.issue=2&rft.spage=e0229176&rft.epage=e0229176&rft.pages=e0229176-e0229176&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0229176&rft_dat=%3Cgale_plos_%3EA614452877%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2359362096&rft_id=info:pmid/32078660&rft_galeid=A614452877&rft_doaj_id=oai_doaj_org_article_18cf36d0d62b43dfa6c1b9408cb1652e&rfr_iscdi=true |