Evidence map›Paper›PMID 36978057›Full record

Observational studyBMC palliative care2023

The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study.

Tsung-Hsien Yu, Frank Leigh Lu, Chung-Jen Wei, Wei-Wen Wu

Abstract readObservational Study
In one paragraph

Observational study in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Tsung-Hsien YuDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Frank Leigh LuDepartment of Pediatrics, National Taiwan University Children's Hospital, Taipei, Taiwan.
Chung-Jen WeiDepartment of Public Health, Fu-Jen Catholic University, New Taipei, Taiwan.
Wei-Wen WuSchool of Medicine, National Taiwan University, No.1 Jen-Ai Road section 1 Taipei 100, Taipei, Taiwan. weiwen@ntu.edu.tw.

Funding

Ministry of Science and Technology, Taiwan 109-2628-H-227 -003 -MY2Taiwan National Science and Technology Council 111-2410-H-227 -002 -SS3
6 · The paper itself

Abstract

objectivesCompared to aggressive treatment for patients at the end stage of life, hospice care might be more likely to satisfy such patients' need and benefits and improve their dignity and quality of life. Whether the reimbursement policy expansion affect the use of hospice care among various demographics characteristics and health status was unknown. Therefore, the purpose of this study was to explore the impacts of reimbursement policy expansion on hospice care use, and to investigate the effects on people with various demographics characteristics and health status.

methodsWe used the 2001-2017 Taiwan NHI claims data, Death Registry, and Cancer Registry in this study, and we included people who died between 2002 and 2017. The study period was divided into 4 sub-periods. hospice care use and the initiation time of 1st hospice care use were used as dependent variables; demographic characteristics and health status were also collected.

resultsThere were 2,445,781 people who died in Taiwan during the study period. The results show that the trend of hospice care use increased over time, going steeply upward after the scope of benefits expansion, but the initiation time of 1st hospice care use did not increase after the scope of benefits expansion. The results also show that the effects of expansion varied among patients by demographic characteristics.

conclusionThe scope of benefits expansion might induce people's needs in hospice care, but the effects varied by demographic characteristics. Understanding the reasons for the variations in all populations would be the next step for Taiwan's health authorities.

Indexed as

Hospice CareHospicesTerminal CareAdultHumansLongitudinal StudiesQuality of LifeTaiwanHealth Care utilizationHospice carePopulation characteristics

Identifiers

PMID36978057
PMCPMC10053103

What OpenQuestion holds

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Registered trials

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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.