Inpatient Care Expenditure of Terminally Ill Patients in the Geriatric Ward of Peking Union Medical College Hospital

• Published in: Zhōngguó yīxué kēxuéyuàn xuébào Vol. 43; no. 1; p. 15
• Main Authors: Jin, Shuang, Liu, Shuo, Wang, Xue Ping, Buluhan, Halan, Chen, Dong Ni, Yuan, Xin Rui, Ge, Nan, Ning, Xiao Hong
• Format: Journal Article
• Language: Chinese
• Published: China 28.02.2021
• Subjects: Aged; Aged, 80 and over; China; Female; Health Expenditures; Hospitalization; Humans; Inpatients; Male; Terminally Ill; China; expenditure; value-based care; hospice and palliative care; inpatient care; symptom control; terminally ill patients
• ISSN: 1000-503X
• DOI: 10.3881/j.issn.1000-503X.13328

Objective To describe the inpatient care expenditure of the terminally ill patients in the geriatric ward of Peking Union Medical College Hospital and facilitate future research on the economic outcomes of hospice and palliative care.Methods The histories of patients admitted to the Department of Geriatrics of Peking Union Medical College Hospital during 2018 were reviewed by trained doctors.According to the diagnosis and overall health state,terminally ill patients were selected and enrolled in the study.Demographics,health and disease information,prescriptions,and expenditure details were retrieved from the HIS system.Results In 2018,35 patients were terminally ill and eligible for hospice care,including 20 males and 15 females,with the average age of(78±8)years(59-91 years),the average age-adjusted Charlson Comorbidity Index of 10±3,and the median Barthel index of 40(10,70).These patients had malignant tumor(23 cases),heart failure(4 cases),end-stage renal disease(1 case),end-stage liver disease(2 cases),d