Associations Between End-of-Life Expenditures and Hospice Stay Length Vary by Clinical Condition and Expenditure Duration
| Autor: | Sylvia H. Hsu, Shi-Yi Wang, Peiyin Hung |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Disease Medicare law.invention 03 medical and health sciences 0302 clinical medicine law Epidemiology medicine Humans Dementia 030212 general & internal medicine Duration (project management) Aged Aged 80 and over Terminal Care COPD business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Emergency department Length of Stay medicine.disease Intensive care unit United States Hospitalization Intensive Care Units Hospice Care Emergency medicine Medicare Hospice Female Health Expenditures Emergency Service Hospital 0305 other medical science business SEER Program |
| Zdroj: | Value in Health. 23:697-704 |
| ISSN: | 1098-3015 |
| DOI: | 10.1016/j.jval.2020.01.021 |
| Popis: | Hospice use reduces costly aggressive end-of-life (EOL) care (eg, repeated hospitalizations, intensive care unit care, and emergency department visits). Nevertheless, associations between hospice stays and EOL expenditures in prior research have been inconsistent. We examined the differential associations between hospice stay duration and EOL expenditures among newly diagnosed patients with cancer, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and dementia.In the Surveillance, Epidemiology, and End Results-Medicare data, we identified 240 246 decedents diagnosed with the aforementioned conditions during 2001 to 2013. We used zero-inflated negative binomial regression models to examine the differential associations between hospice length of services and EOL expenditures incurred during the last 90, 180, and 360 days of life.For the last 360 days of expenditures, hospice stays beyond 30 days were positively associated with expenditures for decedents with COPD, CHF, and dementia but were negatively associated for cancer decedents (all P.001) after adjusting for demographic and medical covariates. In contrast, for the last 90 days of expenditures, hospice stay duration and expenditures were consistently negatively associated for each of the 4 patient disease groups.Longer hospice stays were associated with lower 360-day expenditures for cancer patients but higher expenditures for other patients. We recommend that Medicare hospice payment reforms take distinct disease trajectories into account. The relationship between expenditures and hospice stay length also depended on the measurement duration, such that measuring expenditures for the last 6 months of life or less overstates the cost-saving benefit of lengthy hospice stays. |
| Databáze: | OpenAIRE |
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