Medical Expenditure and Family Satisfaction Between Hospice and General Care in Terminal Cancer Patients in Taiwan

ASIA unversity > 醫學暨健康學院 > 健康產業管理學系 > 期刊論文 > Item 310904400/8437

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题名:	Medical Expenditure and Family Satisfaction Between Hospice and General Care in Terminal Cancer Patients in Taiwan
作者:	Wen-Yuan Lin;Tai-Yuan Chiu;Hua-Shai Hsu;Lance E. Davidson;Tsann Lin;Kao-Chi Cheng;Chang-Fang Chiu;Chia-Ing Li;Yi-Wen Chiu;Cheng-Chieh Lin;Chiu-Shong Liu
贡献者:	Department of Healthcare Administration
关键词:	family;general care;health expenditures;hospices;satisfaction;Taiwan
日期:	2009-10
上传时间:	2010-03-26 02:52:19 (UTC+0)
出版者:	Asia University
摘要:	Background/Purpose: As the number of terminal cancer patients increases, several care models have been adopted to provide better care quality and reduce medical expenditure. This study compared inpatient medical expenditure and family satisfaction in a hospice ward (HW) and general ward (GW) for terminal cancer patients in Taiwan. Methods: We enrolled terminal cancer patients who were admitted and died during the same admission period in a tertiary care hospital in Taiwan from January 2003 to December 2005. These patients were allocated into three groups: inpatient care in HW alone; inpatient care in GW alone; and inpatient care in mixed group (initially in GW, then transferred to HW). Inpatient medical expenditure and family satisfaction were compared between the three groups. Results: A total of 1942 patients were recruited and allocated into HW (n=292), GW (n=1511) and mixed (n=139) groups. The average medical expenditure per person or per inpatient day was lower in the HW than the GW or mixed group. Subjects who had ever been admitted to the intensive care unit or received cardiopulmonary resuscitation in the GW or mixed groups required more expenditure on medical care than that in the HW group. Daily medical expenditure in the HW group also was much lower than that in the GW and mixed groups, based on length of stay and cancer type. The family satisfaction score was significantly higher in the mixed and/or HW group than the GW group. Conclusion: For terminal cancer patients, hospice care can improve family satisfaction while reducing medical expenditure in Taiwan. [J Formos Med Assoc 2009;108(10):794-802]
關聯:	JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION,108 (10):794-802.
显示于类别:	[健康產業管理學系] 期刊論文

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