Burden of Healthcare Utilization among Chronic Obstructive Pulmonary Disease Patients with and without Cancer Receiving Palliative Care: A Population-Based Study in Taiwan

doi:10.3390/ijerph17144980

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標題:	Burden of Healthcare Utilization among Chronic Obstructive Pulmonary Disease Patients with and without Cancer Receiving Palliative Care: A Population-Based Study in Taiwan
作者:	Kao, Li-Ting Cheng, Kuo-Chen Chen, Chin-Ming Ko, Shian-Chin Chen, Ping-Jen Liao, Kuang-Ming Ho, Chung-Han
貢獻者:	Chi Mei Med Ctr, Dept Resp Therapy Chi Mei Med Ctr, Dept Internal Med Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Chi Mei Med Ctr, Dept Intens Care Med Chi Mei Med Ctr, Palliat Care Ctr UCL, Marie Curie Palliat Care Res Dept, Div Psychiat Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Family Med Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Div Geriatr & Gerontol Kaohsiung Med Univ, Sch Med Chi Mei Med Ctr, Dept Internal Med Chi Mei Med Ctr, Dept Med Res Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Management
關鍵字:	palliative care chronic obstructive pulmonary disease healthcare utilization
日期:	2020
上傳時間:	2022-11-18 11:23:33 (UTC+8)
出版者:	Mdpi
摘要:	Chronic obstructive pulmonary disease (COPD) is a chronic disease that burdens patients worldwide. This study aims to discover the burdens of health services among COPD patients who received palliative care (PC). Study subjects were identified as COPD patients with ICU and PC records between 2009 and 2013 in Taiwan's National Health Insurance Research Database. The burdens of healthcare utilization were analyzed using logistic regression to estimate the difference between those with and without cancer. Of all 1215 COPD patients receiving PC, patients without cancer were older and had more comorbidities, higher rates of ICU admissions, and longer ICU stays than those with cancer. COPD patients with cancer received significantly more blood transfusions (Odds Ratio, OR: 1.66; 95% C.I.: 1.11-2.49) and computed tomography scans (OR: 1.88; 95% C.I.: 1.10-3.22) compared with those without cancer. Bronchoscopic interventions (OR: 0.26; 95% C.I.: 0.07-0.97) and inpatient physical restraints (OR: 0.24; 95% C.I.: 0.08-0.72) were significantly more utilized in patients without cancer. COPD patients without cancer appeared to receive more invasive healthcare interventions than those without cancer. The unmet needs and preferences of patients in the life-limiting stage should be taken into consideration for the quality of care in the ICU environment.
關聯:	International Journal of Environmental Research and Public Health, v.17, n.14, pp.12
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