Children Enrolled in Hospice Care Under Commercial Insurance: A Comparison of Different Age Groups

Lindley, Lisa C.; Cohrs, Austin C.; Keim‐Malpass, Jessica; Leslie, Douglas L.

doi:10.1177/1049909118789868

Cited by 18 publications

(27 citation statements)

References 32 publications

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“…According to the research, there was a significant positive correlation between self-rated health status and private medical insurance ( 12 , 13 ). In order to further study the relationship between self-rated health status of the elderly and insurance, Polsky et al took whether the elderly participated in health insurance as the major variable ( 14 , 15 ). According to the research, after the elderly were covered by the health insurance plan, it was possible to improve their self-rated health status ( 16 ).…”

Section: Literature Review and Research Hypothesismentioning

confidence: 99%

Influence of Commercial Insurance Purchase on the Health Status of Chinese Residents

Gao

2021

Front. Public Health

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Under the context of rapid economic and social development, and growing demands for a better life, Chinese residents have been increasingly concerned with their health status and issues. In this study, the internal relations between the purchase of commercial insurance by residents and their health status are analyzed and studied with a polytomous logit model based on the data of Chinese General Social Survey (CGSS) in 2015. According to the research result, purchase of commercial insurance significantly improved the health status of residents, with an improving effect for rural residents apparently better than that among urban residents. In addition, purchase of commercial insurance can promote the health status of residents by increasing their household income. This research will provide an effective reference for the innovative development and medical reform of the commercial insurance of China in the future, which is theoretically and practically significant to the implementation of the Healthy China Strategy.

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Section: Literature Review and Research Hypothesismentioning

confidence: 99%

Influence of Commercial Insurance Purchase on the Health Status of Chinese Residents

Gao

2021

Front. Public Health

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“…Our concern, based on extensive work with pediatric secondary and claim-based data sets, is that a significant number of very young children might be excluded from palliative and endof-life studies because they are not classified with a CCC. 14,15,17 Understanding whether the CCC classification system applies to infants is critical in advancing the science of palliative and end-of-life care. 18 Given that over half of the children who die each year in the United States are infants, 19 ensuring an effective method of identifying these very young children in research will reduce bias and improve the reliability of our findings.…”

Section: Introductionmentioning

confidence: 99%

“…Finally, the performance of the CCCs has not been assessed, particularly among infants. Although the CCCs were developed with children <1 to 24 years and have been used in several infant studies, 6,7,14 -17 there is no information on how they perform specifically with children < 1 year. It is unknown how prevalent CCCs are among infants and what non-CCCs exist in this population.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric Complex Chronic Conditions: Does the Classification System Work for Infants?

Lindley

Fortney

2019

Am J Hosp Palliat Care

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Background: One widely accepted approach to identify children with life-limiting health problems is the complex chronic conditions (CCCs) classification system. Although considered the “gold standard” for classifying children with serious illness, little is known about its performance, especially among infants. Objective/Hypothesis: This research examined the prevalence of CCCs and the infant characteristics related to a CCC classification. Methods: Multivariate regression analysis was conducted with 2012 Kids’ Inpatient Database, Healthcare Cost and Utilization Project data files, using a national sample of infant decedents less than 1 year. Results: Our findings showed that 40% of the infants were classified with a CCC. African Americans were negatively associated with a CCC classification (adjusted odds ratio [aOR] = 0.63; 95% confidence interval [CI] = 0.543-0.731). When infants had other insurance coverage, they were less likely (aOR = 0.63; 95% CI = 0.537-0.748) to have a CCC classification. Infants who resided in nonurban areas (aOR = 1.21; 95% CI =1.034-1.415) and had comorbidities (aOR = 38.19; 95% CI = 33.12-44.04) had greater odds of having a CCC classification. Conclusions: The findings suggested that the infants are not commonly classified with a CCC and highlighted the significant variation in race with African American infants exhibiting different CCC classifications than Caucasian infants. Given the importance of reducing disparities in palliative care, critical attention to using CCC classifications in research is warranted.

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“…To our knowledge, there is no systematic overview to date of known health interventions that have an influence—whether negative, neutral, or positive—on quality of life at the end of life in children’s care. Available reviews in seriously ill children are limited in that they mainly focus on health interventions and associated quality-of-life outcomes in a curative phase, but not terminal or end-of-life phase [3, 24, 25], or they focus only on the association between one health intervention and quality of life, such as the identification of benefits of specialized pediatric palliative care services [4] and do not provide an overview of other health interventions at the end of life. Individual studies of various health interventions and associations or impact on quality of life at the child’s end of life are available but have not yet been systematically reviewed, summarized, or assessed for quality or bias.…”

Section: Introductionmentioning

confidence: 99%

Influence of health interventions on quality of life in seriously ill children at the end of life: a systematic review protocol

et al. 2019

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Background Seriously ill children suffer from numerous symptoms at the end of their lives, including pain, anxiety, and restricted communication. There are currently no comprehensive overviews of which health interventions have proven benefits and which have proven detrimental effects on the quality of life of children in an end-of-life context. In order to identify potential quality indicators to eventually improve care, a systematic review of available evidence is needed. The aim of the current systematic review will be to make an overview of the influence of health interventions on associated outcomes related to quality of life at the end of life in seriously ill children. Methods A systematic search will be conducted in MEDLINE, Embase, CENTRAL, CINAHL, and Web of Science. We will include quantitative empirical designs looking into the influence of a health intervention on (proxies of) quality of life at the end of life in seriously ill children. Three independent authors will review titles and abstracts and screen full texts against eligibility criteria. One reviewer will carry out full data extraction and quality assessment, and a 20% random sample will be extracted and assessed by two independent reviewers. We will use the QualSyst Tool for assessment of the quality of the included studies (QualSyst Tool) for quality assessment; overall strength of the body of evidence will be assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. An overview table of health interventions will be discussed through narrative synthesis. Should sufficient homogeneous publications arise, we will perform meta-analyses with a random-effects model. Our protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) checklist for study protocols. Discussion As part of a larger project, we will use the results of this review to identify a first set of quality indicators for the care for children at the end of life. Reviewing the current span of evidence and identifying research gaps will uncover future research priorities into the care for children at the end of life. Systematic review registration PROSPERO CRD42018105109 Electronic supplementary material The online version of this article (10.1186/s13643-019-1059-8) contains supplementary material, which is available to authorized users.

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Children Enrolled in Hospice Care Under Commercial Insurance: A Comparison of Different Age Groups

Abstract: The findings suggest that commercially insured children, who enroll in hospice, have flexible coverage with a PPO. Hospital readmissions and ED visits were relatively low for a population who was seriously ill. There were significant age-group differences.

Cited by 18 publications

References 32 publications

Influence of Commercial Insurance Purchase on the Health Status of Chinese Residents

Influence of Commercial Insurance Purchase on the Health Status of Chinese Residents

Pediatric Complex Chronic Conditions: Does the Classification System Work for Infants?

Influence of health interventions on quality of life in seriously ill children at the end of life: a systematic review protocol

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