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March 2019 List
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Citation List Month
March 2019 List
URL Address
<a href="http://doi.org/10.1177/1049909118789868" target="_blank" rel="noreferrer noopener"> http://doi.o rg/10.1177/1049909118789868</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Children Enrolled in Hospice Care Under Commercial Insurance: A Comparison of Different Age Groups
Publisher
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American Journal of Hospice & Palliative Medicine
Date
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2019
Subject
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Data Analysis Software; Age Factors; Male; Human; Sex Factors; Length of Stay; Child; Prospective Studies; Female; Child Preschool; Analysis of Variance; Infant; Adolescence; Health Care Costs; Insurance Health; Pediatric Care; Pennsylvania; Descriptive Statistics; Retrospective Design; Funding Source; Chi Square Test; Cross Sectional Studies; Health Resource Utilization; Academic Medical Centers -- Pennsylvania; Chronic Disease -- Classification -- In Infancy and Childhood; Comparative Studies; Geographic Factors; Hospice Care -- Economics -- In Infancy and Childhood; Hospice Patients -- Psychosocial Factors; Pearson's Correlation Coefficient
Creator
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Lindley Lisa C; Cohrs A C; Keim-Malpass J; Leslie D L
Identifier
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<a href="http://doi.org/10.1177/1049909118789868" target="_blank" rel="noreferrer noopener"> 10.1177/1049909118789868</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
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Background: Although most children at end of life have commercial insurance, little is known about their demographic and clinical characteristics, what care they are receiving, and how much it costs. Objectives: To describe commercially insured children who enrolled in hospice care during their last year of life and to examine differences across age-groups. Methods: A retrospective cohort study was conducted using 2005 to 2014 data from the MarketScan Commercial Claims and Encounters database from Truven Health Analytics. Variables were created for demographics, health, utilization, and spending. Analyses included χ2 and analysis of variance tests of differences. Results: Among the 17 062 children who utilized hospice, 49% had a preferred provider organization (PPO). Hospice length of stay averaged less than 5 days. Over 80% of children visited their primary care physician. Eight percent had hospital readmissions, and 38% had emergency department (ED) visits. Average expenditures were US$3686 per month or US$44 232 annually. The most common condition for children less than 1 year was cardiovascular (21.96%). Neuromuscular conditions were the most frequent (7.89%) in children aged 1 to 5 years, while malignancies (10.53% and 11.32%, respectively) were prevalent in ages 6 to 14 and 15 to 17. Children less than 1 year had the highest frequency of hospital readmissions (16.25%) with the lowest ED visits (28.67%) while incurring the highest expenses (US$11 211/month). Conclusions: The findings suggest that commercially insured children, who enroll in hospice, have flexible coverage with a PPO. Hospital readmissions and ED visits were relatively low for a population who was seriously ill. There were significant age-group differences.
2019
Academic Medical Centers -- Pennsylvania
Adolescence
Age Factors
American Journal of Hospice & Palliative Medicine
Analysis of Variance
Chi Square Test
Child
Child Preschool
Chronic Disease -- Classification -- In Infancy and Childhood
Cohrs A C
Comparative Studies
Cross Sectional Studies
Data Analysis Software
Descriptive Statistics
Female
Funding Source
Geographic Factors
Health Care Costs
Health Resource Utilization
Hospice Care -- Economics -- In Infancy and Childhood
Hospice Patients -- Psychosocial Factors
Human
Infant
Insurance Health
Keim-Malpass J
Length Of Stay
Leslie D L
Lindley Lisa C
Male
March 2019 List
Pearson's Correlation Coefficient
Pediatric Care
Pennsylvania
Prospective Studies
Retrospective Design
Sex Factors