Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data

The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hos...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Young-Taek Park [verfasserIn] Daekyun Kim [verfasserIn] Su-Jin Koh [verfasserIn] Yeon Sook Kim [verfasserIn] Sang Mi Kim [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	hospice palliative care hospice shared care hospice units terminal illness

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 19(2022), 1566, p 1566
Übergeordnetes Werk:	volume:19 ; year:2022 ; number:1566, p 1566

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/ijerph19031566

Katalog-ID:	DOAJ070766932

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allfields	10.3390/ijerph19031566 doi (DE-627)DOAJ070766932 (DE-599)DOAJf434090947934f2facdae0b52660265f DE-627 ger DE-627 rakwb eng Young-Taek Park verfasserin aut Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems. hospice palliative care hospice shared care hospice units terminal illness Medicine R Daekyun Kim verfasserin aut Su-Jin Koh verfasserin aut Yeon Sook Kim verfasserin aut Sang Mi Kim verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 1566, p 1566 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:1566, p 1566 https://doi.org/10.3390/ijerph19031566 kostenfrei https://doaj.org/article/f434090947934f2facdae0b52660265f kostenfrei https://www.mdpi.com/1660-4601/19/3/1566 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 1566, p 1566
spelling	10.3390/ijerph19031566 doi (DE-627)DOAJ070766932 (DE-599)DOAJf434090947934f2facdae0b52660265f DE-627 ger DE-627 rakwb eng Young-Taek Park verfasserin aut Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems. hospice palliative care hospice shared care hospice units terminal illness Medicine R Daekyun Kim verfasserin aut Su-Jin Koh verfasserin aut Yeon Sook Kim verfasserin aut Sang Mi Kim verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 1566, p 1566 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:1566, p 1566 https://doi.org/10.3390/ijerph19031566 kostenfrei https://doaj.org/article/f434090947934f2facdae0b52660265f kostenfrei https://www.mdpi.com/1660-4601/19/3/1566 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 1566, p 1566
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allfieldsGer	10.3390/ijerph19031566 doi (DE-627)DOAJ070766932 (DE-599)DOAJf434090947934f2facdae0b52660265f DE-627 ger DE-627 rakwb eng Young-Taek Park verfasserin aut Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems. hospice palliative care hospice shared care hospice units terminal illness Medicine R Daekyun Kim verfasserin aut Su-Jin Koh verfasserin aut Yeon Sook Kim verfasserin aut Sang Mi Kim verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 1566, p 1566 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:1566, p 1566 https://doi.org/10.3390/ijerph19031566 kostenfrei https://doaj.org/article/f434090947934f2facdae0b52660265f kostenfrei https://www.mdpi.com/1660-4601/19/3/1566 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 1566, p 1566
allfieldsSound	10.3390/ijerph19031566 doi (DE-627)DOAJ070766932 (DE-599)DOAJf434090947934f2facdae0b52660265f DE-627 ger DE-627 rakwb eng Young-Taek Park verfasserin aut Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems. hospice palliative care hospice shared care hospice units terminal illness Medicine R Daekyun Kim verfasserin aut Su-Jin Koh verfasserin aut Yeon Sook Kim verfasserin aut Sang Mi Kim verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 19(2022), 1566, p 1566 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:19 year:2022 number:1566, p 1566 https://doi.org/10.3390/ijerph19031566 kostenfrei https://doaj.org/article/f434090947934f2facdae0b52660265f kostenfrei https://www.mdpi.com/1660-4601/19/3/1566 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 19 2022 1566, p 1566
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topic_title	Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data hospice palliative care hospice shared care hospice units terminal illness
topic	misc hospice misc palliative care misc hospice shared care misc hospice units misc terminal illness misc Medicine misc R
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title	Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
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title_full	Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
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title_sort	patient factors associated with different hospice programs in korea: analyzing healthcare big data
title_auth	Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
abstract	The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems.
abstractGer	The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems.
abstract_unstemmed	The Korean government has implemented a pilot project that introduces a new type of hospice care program called “Consultative Hospice Care” (COHC) since August 2017. The COHC is a new type of hospice program for terminally ill patients in acute care wards, which is different from the Independent Hospice Unit (IHU) care. This study aimed to compare the characteristics of two groups of hospice patients: COHC care only and both IHU care and COHC groups. Healthcare claim data from 1 April 2018 to 31 March 2020 were retrieved from the HIRA data warehouse system. The main outcome variable was patients receiving COHC only or both COHC and IHU care. The total number of hospice patients was 6482. A multivariate logistic regression analysis was used. Of 6482 hospice care recipients, 3789 (58.5%) received both COHC and IHU care. Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. Policymakers on hospice care need to establish plans that promote efficient hospice care delivery systems.
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title_short	Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
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Those who received both COHC and IHU care were significantly associated with several factors: period from the first evaluation to death (adjusted odds ratio (aOR), 1.026; 95% confidence internal (CI), 1.024–1.029; <i<p</i< < 0.0001), disease severity measured by the Charlson Comorbidity Index (aOR, 1.032; CI, 1.017–1.047; <i<p</i< < 0.0001), consciousness (aOR, 3.654; CI, 3.269–4.085; <i<p</i< < 0.0001), and awareness of end-stage disease (aOR, 1.422; CI, 1.226–1.650; <i<p</i< < 0.0001). The COHC program had a critical role in hospice delivery to terminally ill patients. 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