A comparison of the survival, place of death, and medical utilization of terminal patients receiving hospital-based and community-based palliative home care: A retrospective and propensity score matching cohort study

Cheng Pei Lin, Min Shiow Tsay, Yi Hui Chang, Hung Cheng Chen, Ching Yu Wang, Yun Shiuan Chuang, Chien Yi Wu*

*此作品的通信作者

研究成果: Article同行評審

3 引文 斯高帕斯(Scopus)

摘要

Evidence shows that community-based palliative home care (PHC) provision enhances continuous care and improves patient outcomes. This study compared patient survival, place of death, and medical utilization in community-versus hospital-based PHC. A retrospective cohort study was conducted of patients aged over 18 referred to either community-or hospital-based PHC from May to December 2018 at a tertiary hospital and surrounding communities in Southern Taiwan. A descriptive analysis, Chi-square test, t-test, and Log-rank test were used for the data analysis of 131 hospital-based PHC patients and 43 community-based PHC patients, with 42 paired patient datasets analyzed after propensity score matching. More nurse visits (p = 0.02), fewer emergency-room visits (p = 0.01), and a shorter waiting time to access PHC (p = 0.02) were found in the community group. There was no difference in the duration of survival and hospitalization between groups. Most hospital-based patients (57%) died in hospice wards, while most community-based patients died at home (52%). Community-based PHC is comparable to hospital-based PHC in Taiwan. Although it has fewer staffing and training requirements, it is an alternative for terminal patients to meet the growing end-of-life care demand.

原文English
文章編號7272
期刊International journal of environmental research and public health
18
發行號14
DOIs
出版狀態Published - 2 7月 2021

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