ArticleThe oncologist2017
National Policies Fostering Hospice Care Increased Hospice Utilization and Reduced the Invasiveness of End-of-Life Care for Cancer Patients.
Article in The oncologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Bridging policy and practice: Determinants of place of death for palliative care recipients in Taiwan.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Developing supportive policy environments for hospice care in china: a quantitative policy evaluation based on the PMC-Index model.BMC palliative care · 2025Article
- How good are we at reporting the socioeconomic position, ethnicity, race, religion and main language of research participants? A review of the quality of reporting in palliative care intervention studies.Palliative medicine · 2024Review
- The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study.BMC palliative care · 2023Observational
- Outcomes and Prognostic Factors in Critical Patients with Hematologic Malignancies.Journal of clinical medicine · 2023Article
- Hospice Care Improves Patients' Self-Decision Making and Reduces Aggressiveness of End-of-Life Care for Advanced Cancer Patients.International journal of environmental research and public health · 2022Article
- Analysis of Cancer Patient Decision-Making and Health Service Utilization after Enforcement of the Life-Sustaining Treatment Decision-Making Act in Korea.Cancer research and treatment · 2022Article
- Optimal timing for hospice-shared care initiation in terminal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Choosing and Doing wisely: triage level I resuscitation a possible new field for starting palliative care and avoiding low-value care - a nationwide matched-pair retrospective cohort study in Taiwan.BMC palliative care · 2020Article
- Article
- Comparison of medical outcomes and health care costs at the end of life between dialysis patients with and without cancer: a national population-based study.BMC nephrology · 2019Article
- How we use hospice: Hospice enrollment patterns and costs in elderly ovarian cancer patients.Gynecologic oncology · 2019Article
- Utilization of hospice and nonhospice care in patients with end-stage renal disease on dialysis.Tzu chi medical journalArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2011, two national policies aiming to foster hospice services for terminal cancer patients took effect in Taiwan. The single-payer National Health Insurance of Taiwan started to reimburse full hospice services. The national hospital accreditation program, which graded all hospitals, incorporated hospice utilization in its evaluation. We assessed the impact of these national policies.
methodsA cohort of 249,394 patients aged ≥18 years who died of cancer between 2008 and 2013 were identified from the National Death Registry. We retrieved utilization data of medical services and compared the health care utilization in the final month of life before and after the implementation of the new policies.
resultsAfter the policy changes, hospice utilization increased from 20.8% to 36.2%. In a multivariate analysis adjusting for patient demographics, cancer features, and hospital characteristics, hospice utilization significantly increased after 2011 (adjusted odds ratio [AOR] 2.35,
conclusionThe national policy changes fostering hospice care significantly increased hospice utilization, decreased invasive end-of-life care, and reduced the medical costs of terminal cancer patients. IMPLICATIONS FOR PRACTICE: National policies fostering hospice care significantly increased hospice utilization, decreased invasive end-of-life care, and reduced the medical costs of terminal cancer patients.
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