Patterns of Healthcare Services Among Children With Advanced Cancer in Concurrent Hospice Care.
Patterns of Healthcare Services Among Children With Advanced Cancer in Concurrent Hospice Care.
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DOI：
10.1097/ncc.0000000000001067
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发表时间：
2022-11-01
期刊：
影响因子：
2.6
通讯作者：
Mack, Jennifer W.
中科院分区：
文献类型：
--
作者：
Svynarenko, Radion;Lindley, Lisa C.;Mooney-Doyle, Kim;Mendola, Annette;Naumann, Wendy C.;Mack, Jennifer W.
晚期癌症儿童可以获得全面的癌症护理和临终关怀，如果在并发临终关怀登记。然而，很少有人知道这些儿童使用的非临终关怀医疗服务的模式。探讨癌症病童接受同期安宁疗护之非安宁疗护服务模式。这项研究是对2011- 2013年862名儿童癌症患者的医疗补助索赔数据的回顾性队列分析。资料以描述性统计及潜在类别分析（LCA）进行分析。儿童使用了120，388次医疗服务，包括住院和门诊服务、实验室和X光检查、耐用医疗设备、药物和其他服务。这些服务可分为中等强度（57.49%）和高强度（42.50%）两类。与中等强度组相比，高强度组的儿童更有可能居住在南方，患有合并症，精神/行为健康状况，技术依赖，并且不太可能患有实体瘤。非临终关怀医疗服务聚集在一起，在两个不同的类提供关键洞察的复杂性，癌症儿童在并发临终关怀的医疗保健使用。了解儿科患者在并行护理可能有不同的医疗保健服务模式可能有助于肿瘤科护士照顾晚期癌症儿童。这些发现也具有政策含义。
Children with advanced cancer have access to comprehensive cancer care and hospice care if the enroll in concurrent hospice care. However, little is known about the patterns of non-hospice health care services used by these children. To examine the patterns of non-hospice health care services among children with cancer in concurrent hospice care. This study was a retrospective cohort analysis of 2011–2013Medicaid claims data from 862 pediatric cancer patients. Data were analyzed using descriptive statistics and latent class analysis (LCA). Children used 120, 388 health care services, including inpatient and outpatient hospital services, labs & x-rays, durable medical equipment, medications, and others. These services clustered into two classes with moderate-intensity (57.49%) and high-intensity (42.50%) health care service use. Children in the high-intensity cluster were more likely to reside in the South with comorbidities, mental/behavioral health conditions, technology dependence, and were less likely to have solid tumors, compared to the moderate-intensity group. Non-hospice health care services clustered together in two distinct classes providing critical insight into the complexity of the health care use among children with cancer in concurrent hospice care. Understanding that pediatric patients in concurrent care may have different health care service patterns may assist oncology nurses caring for children with advanced cancer. These findings also have policy implications.