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Meeting ReportManagement

The Medical Cost Difference Between Patients on Prolonged Mechanical Ventilation With or Without Hospice Palliative Care

Yeong-Ruey Chu, Chin-Jung Liu, Pei-Tseng Kung, Chia-Chen Chu, Wen-Yu Chou and Wen-Chen Tsai
Respiratory Care October 2020, 65 (Suppl 10) 3447987;
Yeong-Ruey Chu
Public Health, China Medical University, Taichung, Taiwan
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Chin-Jung Liu
Public Health, China Medical University, Taichung, Taiwan
Respiratory Therapy, China medical University and Hospital, Taichung, Taiwan
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Pei-Tseng Kung
Healthcare Administration, Asia University, Taichung, Taiwan
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Chia-Chen Chu
Respiratory Therapy, China medical University and Hospital, Taichung, Taiwan
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Wen-Yu Chou
Health Services Administration, China Medical University, Taichung, Taiwan
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Wen-Chen Tsai
Health Services Administration, China Medical University, Taichung, Taiwan
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Abstract

Background: In Taiwan, the prevalence of prolonged mechanical ventilation (PMV) patients was 35,143 to 37,043 per year from 2005 to 2010. Since 2000, non-cancer patients also can receive the hospice palliative care in Taiwan. The acceptance rate of the hospice palliative care with the PMV patients, the family member of patients were 66.2%-79.3% and patients themselves were 67.55%. We assume that with the hospice palliative care intervention on the PMV patients, the unnecessary examination and treatment can be prevented and final cost down the medical cost. We use secondary database to investigate the medical cost within 30 days before death, the difference between PMV patients who received hospice palliative care or not.

Methods: We use Taiwan National Health Insurance Research Database from year 2005 to 2010. The study population was patients on PMV that ventilator had using at least 21 days, and didn’t discontinue ventilator use over five days. Patients under 18 years old were excluded. The Chi-Squared test and T-test were used to estimate the difference between two groups. The SAS 9.4 version was used to investigate the relation.

Results: There were 45,140 PMV patients included in the study. There were 276 patients received hospice palliative care within 30 days before death and 44,864 patients were in the control group. The medical cost between case group (USD $16,452 ± $12,045) and control group (USD $18,719 ± $11,693) were significant difference, the P value was .0013.

Conclusions: The hospice palliative care not only provide mental support but also decrease the medical cost within the 30 days before death in patients on prolonged mechanical ventilation.

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Footnotes

  • Commercial Relationships: None

  • Support: Finical support by China Medical University Hospital: CMUH108-REC2-129

  • Copyright © 2020 by Daedalus Enterprises
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Respiratory Care
Vol. 65, Issue Suppl 10
1 Oct 2020
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The Medical Cost Difference Between Patients on Prolonged Mechanical Ventilation With or Without Hospice Palliative Care
Yeong-Ruey Chu, Chin-Jung Liu, Pei-Tseng Kung, Chia-Chen Chu, Wen-Yu Chou, Wen-Chen Tsai
Respiratory Care Oct 2020, 65 (Suppl 10) 3447987;

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The Medical Cost Difference Between Patients on Prolonged Mechanical Ventilation With or Without Hospice Palliative Care
Yeong-Ruey Chu, Chin-Jung Liu, Pei-Tseng Kung, Chia-Chen Chu, Wen-Yu Chou, Wen-Chen Tsai
Respiratory Care Oct 2020, 65 (Suppl 10) 3447987;
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