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Hospice utilization during the SARS outbreak in Taiwan.

Tzeng-Ji Chen1, Ming-Hwai Lin, Li-Fang Chou

  • 1Department of Family Medicine, Taipei Veterans General Hospital, Shih-Pai Road, Section 2, No 201, Taipei 11217, Taiwan. tjchen@vghtpe.gov.tw

BMC Health Services Research
|August 8, 2006
PubMed
Summary

During the 2003 SARS epidemic in Taiwan, hospice inpatient care saw a significant decline, much more than general hospital beds. Recovery was also slower, highlighting the need for robust palliative care networks.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • The 2003 Severe Acute Respiratory Syndrome (SARS) epidemic significantly impacted global health services.
  • While many studies examined general health service utilization, palliative (hospice) care impacts remained under-researched.
  • This study focuses on changes in hospice inpatient utilization in Taiwan during and after the 2003 SARS epidemic.

Purpose of the Study:

  • To quantify the changes in hospice inpatient utilization during the SARS epidemic in Taiwan.
  • To compare hospice utilization trends with general hospital bed utilization during the same period.
  • To identify the recovery trajectory of hospice services post-epidemic.

Main Methods:

  • Utilized complete inpatient admission data from Taiwan's National Health Insurance Research Database for 2002 and 2003.

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  • Conducted before-and-after comparisons of daily and monthly hospice inpatient utilization.
  • Extended comparisons to total hospital bed utilization and patients admitted during the SARS peak.

    • Main Results:

    • Hospice utilization decreased significantly starting mid-April 2003, reaching a minimum in late May.
    • Hospices experienced a more pronounced reduction (-52.5% in May 2003) compared to general hospital beds (-19.9%).
    • Hospice care showed a slower recovery, with a three-month lag, and a notable decrease in patient admissions during May/June 2003 compared to 2002.

    Conclusions:

    • Hospice inpatient utilization in Taiwan was highly sensitive to the SARS epidemic, exceeding the impact on general inpatient services.
    • The findings underscore the vulnerability of specialized palliative care during public health crises.
    • Ensuring a well-balanced healthcare network with seamless continuity of care is crucial for managing future epidemics.