Discrepant effect of age on hospice utilization by cancer patients in Taiwan: Hospital versus home care services

Lo, Yu‐Tai; Chen, Ru-Yih; Wang, Chun-Nien; Chen, Yen-Shu

doi:10.1177/0269216311421836

Cited by 2 publications

(2 citation statements)

References 14 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, they should be the main target of hospice palliative care. However, they are often disadvantaged in accessing hospice care and making autonomous end-of-life decisions (Chen et al, 2022; Dobson, 2005; Lo et al, 2012; Tobin et al, 2022; United Nations Department of Economic and Social Affairs, 2018). In the present study, we found that patients aged ≥65 were negatively correlated with family members’ willingness change to transfer them to the hospice ward after the tour.…”

Section: Discussionmentioning

confidence: 99%

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

Huang,

Chen,

et al. 2024

Sage Open

Self Cite

View full text Add to dashboard Cite

In Taiwan, hospice nurses often take family members of terminally ill patients on hospice ward tours and provide information on transfers. We conducted a study to investigate the tour’s effectiveness in encouraging family members to transfer their loved ones to hospice. We conceptualized our study framework based on the Andersen healthcare utilization model. The hospice nurses invited family members who participated in the tour to complete the survey to investigate the tour and hospice facilities’ influence on their willingness to transfer. A total of 87 participants responded to the study, with an average age of 48.84 ± 12.08 years. Most participants were women (78.16%) and the children of patients (55.17%). The results showed that the tour significantly increased willingness scores (before 4.46 ± 0.73, after 4.74 ± 0.58, p = .0036). Practical and activity-related facilities had the highest influence scores. However, binary logistic regression revealed that patients aged ≥65 years (odds ratio [OR]: 0.281, 95% confidence interval [CI] [0.099, 0.797]) and higher influence scores for psychospiritual care features (OR: 0.182, 95% CI [0.040, 0.821]) negatively affected the change in willingness score, possibly due to family members’ anticipatory grief. Hospice tour guides should be able to identify, assess, and deal with this issue. Overall, hospice tours can effectively encourage transfer to the hospice ward, but addressing psychological barriers such as anticipatory grief is crucial for success.

show abstract

Section: Discussionmentioning

confidence: 99%

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

Huang,

Chen,

et al. 2024

Sage Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…17 For example, Asian population tend to view themselves as an emotional and financial burden if relatives are needed as caregivers, resulting in a larger proportion of Asians who die in medical facility-based hospice care. 18,19 More Hispanics receive hospice care at home due to lack of bilingual staff in medical facilities and the desire to care for their own family members. 20 Research has shown that blacks are less likely to utilize hospice care due to lack of education on the hospice philosophy, distrust in the health care system 9 , lack of diversity among hospice employees, and the desire for aggressive treatment.…”

mentioning

confidence: 99%

Socioeconomic Factors Associated With Posthospitalization Hospice Care Settings

Kirkendall

Shen

Greenway

et al. 2014

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Investigating whether socioeconomic characteristics determine if hospice is received at home or in a medical facility is important to examine, considering most patients prefer to die at home. This study relied upon The State Inpatient Data of Nevada. A total of 19 206 discharges were analyzed from the data set between 2009 and 2013. The results indicate that increasingly patients are being discharged to home and overall socioeconomic characteristics appear to have less of an influence over whether hospice is received at home or in a medical facility. Further research on the perspectives of patients would provide insight into whether patients' preferences or socioeconomic characteristics are more influential on where hospice services are received.

show abstract

Discrepant effect of age on hospice utilization by cancer patients in Taiwan: Hospital versus home care services

Cited by 2 publications

References 14 publications

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

Socioeconomic Factors Associated With Posthospitalization Hospice Care Settings

Contact Info

Product

Resources

About