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首页> 外文期刊>Scientific reports. >Healthcare utilization among children and young people with life-limiting conditions: Exploring palliative care needs using National Health Insurance claims data
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Healthcare utilization among children and young people with life-limiting conditions: Exploring palliative care needs using National Health Insurance claims data

机译：儿童和青少年有限公司的医疗保健利用：使用国家医疗保险索赔数据探索姑息治疗需求

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Paediatric palliative care (PPC) is regarded as standard care for children and young people (CYP) with life-limiting conditions (LLCs). There is a lack of knowledge about the rate of CYP with LLCs, hampering the development of PPC. This retrospective study aimed to examine population-based statistics of South Korean CYP with LLCs and the pattern of healthcare use and costs in their last year of life, analysing the National Health Insurance Service claims database for the period 2013–2015. In 2015, the number of CYP (≤24 years old) living with LLCs was 133,177, with those who died accounting for 1,032. Prevalence of LLC and mortality rate per 100,000 were highest among under-1-age group (2,151.7 and 82.7, respectively). In the last year of life, 91.8% of deceased CYP with LLCs were hospitalized at least once and the average length of stay was 101.2 days (standard deviation?=?104.1). Deceased CYP with cancer spent more on healthcare than non-cancer CYP (64,266 vs. 40,694 US dollar, p??0.001). The average relevance index for CYP death related to LLCs was 55.9%. Our results provide baseline information on healthcare utilization and expenditure among CYP with LLCs, which is crucial data for designing evidence-based PPC policy and services.
机译：儿科姑息治疗（PPC）被认为是儿童和青少年（CYP）的标准护理（CYP），具有终身条件（LLC）。缺乏关于CYP的速率与LLC的了解，阻碍了PPC的发展。这项回顾性研究旨在将韩国CYP的基于人口的统计数据与LLC和他们去年后的医疗用途和成本的模式进行了研究，分析了2013 - 2015年期间的国家健康保险服务索赔数据库。 2015年，与LLC一起生活的CYP（≤24岁）的数量为133,177人，那些死于1,032的人。 LLC的患病率和每10万人的死亡率分别是1岁以下的（分别为2,151.7和82.7）中最高的。在过去的一年中，91.8％的死者CYP至少住院，至少一次，平均逗留时间为101.2天（标准差？=？104.1）。死于癌症的CYP在医疗保健中比非癌症CYP更多（64,266与40,694美元，P？<0.001）。与LLC相关的CYP死亡的平均相关指数为55.9％。我们的结果提供了有关CYP的医疗利用率和支出的基线信息，即LLCS，这是设计基于证据的PPC政策和服务的重要数据。

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