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Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data
Young-Taek Park1, Daekyun Kim2, Su-Jin Koh3
1HIRA Research Institute, Health Insurance Review & Assessment Service (HIRA), Wonju 26465, Korea.
International Journal of Environmental Research and Public Health
|February 15, 2022
Summary
South Korea
Area of Science:
- Palliative Care
- Health Services Research
- Oncology
Background:
- South Korea introduced Consultative Hospice Care (COHC) in 2017 for terminally ill patients in acute care wards.
- COHC differs from the established Independent Hospice Unit (IHU) care model.
- Understanding patient characteristics in these different hospice settings is crucial for optimizing care delivery.
Purpose of the Study:
- To compare characteristics of terminally ill patients receiving COHC only versus those receiving both IHU and COHC.
- To identify factors associated with receiving combined hospice care.
Main Methods:
- Analysis of healthcare claim data from April 2018 to March 2020.
- Utilized data from the HIRA data warehouse system.
- Employed multivariate logistic regression analysis on 6482 hospice care recipients.
Main Results:
- 58.5% of patients (3789) received both COHC and IHU care.
- Receiving both care types was associated with longer survival periods, higher disease severity (Charlson Comorbidity Index), patient consciousness, and awareness of end-stage disease.
- Statistical significance was observed for all identified factors (p < 0.0001).
Conclusions:
- Consultative Hospice Care plays a vital role in delivering end-of-life care to terminally ill patients.
- Findings suggest combined COHC and IHU care benefits specific patient groups.
- Policymakers should develop strategies to enhance the efficiency of hospice care systems.
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