Healthcare use and costs in the last year of life: a national population data linkage study.

Details

Serval ID
serval:BIB_EF07CD758733
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Healthcare use and costs in the last year of life: a national population data linkage study.
Journal
BMJ supportive & palliative care
Author(s)
Diernberger K., Luta X., Bowden J., Fallon M., Droney J., Lemmon E., Gray E., Marti J., Hall P.
ISSN
2045-4368 (Electronic)
ISSN-L
2045-435X
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
People who are nearing the end of life are high users of healthcare. The cost to providers is high and the value of care is uncertain.
To describe the pattern, trajectory and drivers of secondary care use and cost by people in Scotland in their last year of life.
Retrospective whole-population secondary care administrative data linkage study of Scottish decedents of 60 years and over between 2012 and 2017 (N=274 048).
Secondary care use was high in the last year of life with a sharp rise in inpatient admissions in the last 3 months. The mean cost was £10 000. Cause of death was associated with differing patterns of healthcare use: dying of cancer was preceded by the greatest number of hospital admissions and dementia the least. Greater age was associated with lower admission rates and cost. There was higher resource use in the urban areas. No difference was observed by deprivation.
Hospitalisation near the end of life was least frequent for older people and those living rurally, although length of stay for both groups, when they were admitted, was longer. Research is required to understand if variation in hospitalisation is due to variation in the quantity or quality of end-of-life care available, varying community support, patient preferences or an inevitable consequence of disease-specific needs.
Keywords
hospital care, service evaluation, supportive care, terminal care
Pubmed
Open Access
Yes
Create date
22/02/2021 11:17
Last modification date
28/10/2021 5:45
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