Who needs, receives and misses out on palliative and end-of-life care? A population-based study to identify needs and gaps in a regional health service

2021 ◽  
Author(s):  
Victoria Westley-Wise ◽  
Stephen Moules ◽  
Malcolm Masso ◽  
Greg Barclay ◽  
Zivai Nangati ◽  
...  
Keyword(s):  
Health Service ◽  
End Of Life ◽  
End Of Life Care ◽  
Population Based ◽  
Life Care ◽  
Regional Health ◽  
Population Based Study

End-of-life care for head and neck cancer patients: a population-based study

2016 ◽  
Vol 25 (5) ◽  
pp. 1529-1536 ◽  
Author(s):  
Tzu-Lung Kuo ◽  
Ching-Heng Lin ◽  
Rong-San Jiang ◽  
Ting-Ting Yen ◽  
Chen-Chi Wang ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
End Of Life ◽  
Cancer Patients ◽  
Neck Cancer ◽  
End Of Life Care ◽  
Population Based ◽  
Life Care ◽  
Population Based Study

Predictors of and trends in high-intensity end-of-life care among children with cancer: A population-based study using health services data.su.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. 10521-10521
Author(s):  
Sumit Gupta ◽  
Rinku Sutradhar ◽  
Jason D Pole ◽  
Alisha Kassam ◽  
Adam Rapoport ◽  
...  
Keyword(s):  
Health Services ◽  
End Of Life ◽  
High Intensity ◽  
End Of Life Care ◽  
Population Based ◽  
Life Care ◽  
Children With Cancer ◽  
Population Based Study

Patterns of intensity of end of life care for adolescents and young adults with cancer: A population based study.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. e21518-e21518
Author(s):  
Emily E. Johnston ◽  
Elysia Marie Alvarez ◽  
Olga Saynina ◽  
Lee Sanders ◽  
Smita Bhatia ◽  
...  
Keyword(s):  
Young Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
Population Based ◽  
Adolescents And Young Adults ◽  
Life Care ◽  
Population Based Study

End-of-life care in cancer and dementia: a nationwide population-based study of palliative care policy changes

2019 ◽  
pp. bmjspcare-2019-001782 ◽  
Author(s):  
Lou-Ching Kuo ◽  
Jung Jae Lee ◽  
Denise Shuk Ting Cheung ◽  
Ping-Jen Chen ◽  
Chia-Chin Lin
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Population Based ◽  
Life Care ◽  
Population Based Study ◽  
Patients With Cancer ◽  
Insurance Programme ◽  
National Health Insurance Programme ◽  
Vasopressor Use

ObjectivesThe National Health Insurance programme started providing coverage for inpatient care in palliative care (PC) units of acute care hospitals in 2000; however, initially, only PC provided to patients with terminal cancer was covered. A PC policy that enabled PC reimbursement for patients with dementia was implemented in 2009. However, the association of this PC policy with end-of-life care remains unclear. The study aims to compare the association of the PC policy with end-of-life care between patients with dementia and patients with cancer during the last 6 months of their lives.MethodsWe analysed the claims data of 7396 patients dying with dementia (PDD) and 24 319 patients dying with cancer (PDC) during 1997–2013.ResultsAmong PDC, while the percentage of receiving PC increased from 3.6% in 1999 to 14.2% by the end of 2000 (adjusted OR (aOR)=4.07, 95% CI 2.70 to 6.13) and from 20.9% in 2010 to 41.0% in 2013 (aOR=1.40, 95% CI 1.33 to 1.47), vasopressor use decreased from 71.6% in 1999 to 35.5% in 2001 (aOR=0.90, 95% CI 0.82 to 0.98). Among PDD, PC use increased from 0.2% in 2009 to 4.9% in 2013 (aOR=2.05, 95% CI 1.60 to 2.63) and cardiopulmonary resuscitation use decreased from 17.6% in 2009 to 10.0% in 2013 (aOR=0.83, 95% CI 0.76 to 0.90).ConclusionsImplementation of the PC policy in Taiwan was associated with improved PC utilisation among patients with cancer and dementia, which may reduce unnecessary medical care procedures.

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