Medical Costs and Healthcare Utilization among Cancer Decedents in the Last Year of Life in 2009
Open Access
- 15 January 2016
- journal article
- Published by Korean Cancer Association in Cancer Research and Treatment
- Vol. 48 (1), 365-375
- https://doi.org/10.4143/crt.2014.088
Abstract
The purpose of this study was to evaluate the cancer care cost during the last year of life of patients in Korea. We studied the breakdown of spending on the components of cancer care. Cancer decedents in 2009 were identified from the Korean Central Cancer Registry and linked with the Korean National Health Insurance Claims Database. The final number of patients included in the study was 70,558. In 2009, the average cancer care cost during the last year of life was US $15,720. Patients under age 20 spent US $53,890 while those 70 or over spent US $11,801. Those with leukemia incurred the highest costs (US $43,219) while bladder cancer patients spent the least (US $13,155). General costs, drugs other than analgesics, and test fees were relatively high (29.7%, 23.8%, and 20.7% of total medical costs, respectively). Analgesic drugs, rehabilitation, and psychotherapy were still relatively low (4.3%, 0.7%, and 0.1%, respectively). Among the results of multiple regression analysis, few were notable. Age was found to be negatively related to cancer care costs while income level was positively associated. Those classified under distant Surveillance, Epidemiology, and End Results stages of cancer and higher comorbidity level also incurred higher cancer care costs. Average cancer care costs varied significantly by patient characteristics. However, the study results suggest an underutilization of support services likely due to lack of alternative accommodations for terminal cancer patients. Further examination of utilization patterns of healthcare resources will help provide tailored evidence for policymakers in efforts to reduce the burdens of cancer care.Keywords
Funding Information
- National R&D Program for Cancer Control
- Chungbuk National University
This publication has 19 references indexed in Scilit:
- Health Care Costs for Patients With Cancer at the End of LifeJournal of Oncology Practice, 2012
- Economic Burden of Cancer in the United States: Estimates, Projections, and Future ResearchCancer Epidemiology, Biomarkers & Prevention, 2011
- Inequalities in Medical Care Utilization by South Korean Cancer Patients According to Income: A Retrospective Cohort StudyInternational Journal of Health Services, 2011
- Disparities in Utilization of High-Volume Hospitals for Cancer Surgery: Results of a Korean Population-Based StudyAnnals of Surgical Oncology, 2010
- Changes in the Use and Costs of Diagnostic Imaging Among Medicare Beneficiaries With Cancer, 1999-2006JAMA, 2010
- Projections of the costs associated with colorectal cancer care in the United States, 2000–2020Health Economics, 2007
- [Medical expenses by site of cancer and survival time among cancer patients in the last one year of life].2005
- Travel Distance to Radiation Therapy and Receipt of Radiotherapy Following Breast-Conserving SurgeryJNCI Journal of the National Cancer Institute, 2000
- Psychosocial interventions for patients with cancer: what works and what doesn'tEuropean Journal of Cancer, 1999
- REHABILITATION FOR THE TERMINAL CANCER PATIENTAmerican Journal of Physical Medicine & Rehabilitation, 1994