Hospital expenditure at the end-of-life: what are the impacts of health status and health risks?

PloS One
Claudia GeueAndrew Briggs

Abstract

It is important for health policy and expenditure projections to understand the relationship between age, death and expenditure on health care (HC). Research has shown that older age groups incur lower hospital costs than previously anticipated and that remaining time to death (TTD) was a much stronger indicator for expenditure than age. How health behaviour or risk factors impact on HC utilisation and costs at the end of life is relatively unknown. Smoking and Body Mass Index (BMI) have featured most prominently and mixed findings exist as to the exact nature of this association. This paper considers the relationship between TTD, age and expenditure for inpatient care in the last 12 quarters of life; and introduces measures of health status and risks. A longitudinal dataset covering 35 years is utilised, including baseline survey data linked to hospital and death records. The effect of age, TTD and health indicators on expenditure for inpatient care is estimated using a two-part model. As individuals approach death costs increase. This effect is highly significant (p<0.01) from the last until the 8th quarter before death and influenced by age. Statistically significant effects on costs were found for: smoking status, systolic ...Continue Reading

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Citations

Dec 6, 2019·The International Journal of Health Planning and Management·Rodney P Jones
Jul 18, 2020·Health Economics·Joan Costa-Font, Cristina Vilaplana-Prieto
Jul 2, 2020·Health Economics Review·Idaira Rodriguez SantanaAnne Rosemary Mason
Feb 14, 2021·BMJ Supportive & Palliative Care·Katharina DiernbergerPeter Hall
Jun 18, 2017·American Journal of Surgery·Motaz QadanMurray F Brennan

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