Evidence map›Paper›PMID 29514632›Full record

ArticleBMC palliative care2018

Effects of a new medical insurance payment system for hospice patients in palliative care programs in Korea.

Youngin Lee, Seung Hun Lee, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Dong Wook Jeong, Yu Hyeon Yi, Young Jin Tak, Hye Rim Hwang, Mieun Gwon

Abstract read
In one paragraph

Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Youngin LeeDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Seung Hun LeeDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea. greatseunghun@hanmail.net.
Yun Jin KimDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Sang Yeoup LeeMedical Education Unit and Medical Research Institute, Pusan National University School of Medicine, Yangsan, 626-870, South Korea.
Jeong Gyu LeeDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Dong Wook JeongPusan National University Yangsan Hospital, Yangsan, Gyeongsangnam-do, 626-770, South Korea.
Yu Hyeon YiDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Young Jin TakDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Hye Rim HwangDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.
Mieun GwonDepartment of Family Medicine, Pusan National University Hospital, Busan, 602-739, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigates the effects of a new medical insurance payment system for hospice patients in palliative care programs and analyzes length of survival (LoS) determinants.

methodAt the Pusan National University Hospital hospice center, between January 2015 and April 2016, 276 patients were hospitalized with several diagnosed types of terminal stage cancer. This study separated patients into two groups, "old" and "new," by admission date, considering the new system has been applied from July 15, 2015. The study subsequently compared LoS, total cost, and out-of-pocket expenses for the two groups.

resultsOverall, 142 patients applied to the new medical insurance payment system group, while the old medical insurance payment system included 134 patients. The results do not show a significantly negative difference in LoS for the new system group (p = 0.054). Total cost is higher within the new group (p <  0.001); however, the new system registers lower patient out-of-pocket expenses (p <  0.001).

conclusionThe novelty of this study is proving that the new medical insurance payment system is not inferior to the classic one in terms of LoS. The total cost of the new system increased due to a multidisciplinary approach toward palliative care. However, out-of-pocket expenses for patients overall decreased, easing their financial burden.

Indexed as

AgedFemaleHumansInsurance, HealthLength of StayMaleMiddle AgedNeoplasmsPalliative CareProspective Payment SystemRepublic of KoreaSurvival AnalysisHospiceInsuranceLength of survivalPalliativePayment system

Identifiers

PMID29514632
PMCPMC5842575

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.