Pediatric palliative care: describing hospice users and identifying factors that affect hospice expenditures.
J Palliat Med
; 12(3): 223-9, 2009 Mar.
Article
em En
| MEDLINE
| ID: mdl-19254199
ABSTRACT
OBJECTIVE:
Each year approximately 50,000 children die. These children could benefit from pediatric palliative care, and hospice is one important provider of palliative care. However, little information exists to understand pediatric hospice care. This study seeks to describe Medicaid pediatric hospice and nonhospice users and to identify factors that affect hospice expenditures.DESIGN:
Analyses of Medicaid administrative data and death certificate data.PARTICIPANTS:
A total of 1527 children in Florida Medicaid program.RESULTS:
Few children in the sample used hospice services (11%) and the dominant location of death was home for hospice users (55%). Descriptive analyses show that pediatric hospice users had higher inpatient, outpatient, emergency department, and pharmacy expenditures than nonhospice users. Regression results suggest that black non-Hispanic, Hispanic, and children of other races had $730 to $880 fewer hospice expenditures than Whites. Higher hospice expenditures ($970) were associated with longer enrollment spans.CONCLUSIONS:
Descriptive analyses suggest that there are differences between pediatric hospice and nonhospice users. Minority race/ethnicities, as well as shortened Medicaid enrollment spans, are both associated with decreased hospice expenditures. Information from this study can be used to develop interventions aimed at increasing the prevalence of and reducing inequalities in hospice care.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
/
Pediatria
/
Causas de Morte
/
Cuidados Paliativos na Terminalidade da Vida
/
Gastos em Saúde
Tipo de estudo:
Diagnostic_studies
/
Health_economic_evaluation
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article