국민건강보험공단 표본코호트를 이용한 고형암 사망자의 호스피스 이용 관련 요인
Factors Associated with Hospice Service Use among Decedents with Solid Cancers : A Population-Based Study Using the National Health Insurance Service–National Sample Cohort
Objectives: This study examined factors associated with hospice use decedents with solid cancers. Methods: We analyzed 2,886 adults who died from solid cancer between February 2018 and December 2019 using the National Health Insurance Service(NHIS) Sample Cohort 2.2. Multivariable logistic regression models adjusted for demographic and baseline clinical characteristics were used to identify factors associated with hospice use. Results: Overall, 480 patients (16.6%) used hospice services. Older age, male sex, disability, and ICU admission were associated with lower hospice use, whereas receiving care at general hospital or hospital as the last healthcare institution and making self- or family-based end-of-life decisions were associated with higher hospice use. Conclusions: Hospice use was associated with patient characteristics, healthcare settings, end-of-life decision-making, and ICU utilization. These findings may help inform hospice access and referral practices in end-of-life care.
목차
Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 및 자료 2. 연구변수 3. 자료분석 4. 윤리적 고려 Ⅲ. 연구결과 1. 연구대상자의 일반적 특성과 호스피스 이용여부에 따른 차이 2. 호스피스 이용과 관련된 요인 Ⅳ. 고찰 Ⅴ. 결론 REFERENCES