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Pediatric palliative care utilization by decedent children: A nationwide population-based study, 2002-2017
Wei-Wen Wu1,2, Frank L Lu3, Chia-Chun Tang1,2
1School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Summary
Pediatric palliative care (PPC) enrollment surged from 2002-2017, yet duration decreased. Factors like age, sex, and socioeconomic status influenced PPC utilization among deceased children in Taiwan.
Area of Science:
- Medical research
- Public health
- Palliative care
Background:
- Pediatric palliative care (PPC) is crucial for improving the quality of life for children with life-threatening illnesses.
- Understanding trends and predictors of PPC utilization is essential for optimizing care delivery.
Purpose of the Study:
- To analyze changes in pediatric palliative care utilization from 2002 to 2017.
- To identify factors associated with PPC enrollment and duration among deceased children in Taiwan.
Main Methods:
- Retrospective analysis of national claims data from Taiwan (2002-2017).
- Inclusion of children aged 1-18 years who died during the study period.
- Logistic and generalized linear regression models to assess predictors of PPC enrollment and duration.
Main Results:
- PPC enrollment increased significantly (15.49-fold) over the 16-year period.
- PPC duration showed a decrease of 29.41%.
- Younger children (1-6 years), boys, those in poverty or rural areas, and those with non-cancer diagnoses were less likely to receive PPC.
Conclusions:
- Significant progress in PPC enrollment has been observed, but duration needs attention.
- Identifying underserved populations is key to achieving equitable family-centered care.
- Continued implementation of PPC in clinical practice is vital for end-of-life care quality.
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