Title | |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Keating NL, Landrum MBeth, Huskamp HA, Kouri EM, Prigerson HG, Schrag D, Maciejewski PK, Hornbrook MC, Haggstrom DA |
Journal | Health Serv Res |
Volume | 51 |
Issue | 4 |
Pagination | 1584-94 |
Date Published | 2016 Aug |
ISSN | 1475-6773 |
Abstract | OBJECTIVE: Assess validity of the retrospective Dartmouth hospital referral region (HRR) end-of-life spending measures by comparing with health care expenditures from diagnosis to death for prospectively identified advanced lung cancer patients. DATA/SETTING/DESIGN: We calculated health care spending from diagnosis (2003-2005) to death or through 2011 for 885 patients aged ≥65 years with advanced lung cancer using Medicare claims. We assessed the association between Dartmouth HRR-level spending in the last 2 years of life and patient-level spending using linear regression with random HRR effects, adjusting for patient characteristics. FINDINGS: For each $1 increase in the Dartmouth metric, spending for our cohort increased by $0.74 (p < .001). The Dartmouth spending variable explained 93.4 percent of the HRR-level variance in observed spending. CONCLUSIONS: HRR-level spending estimates for deceased patient cohorts reflect area-level care intensity for prospectively identified advanced lung cancer patients. |
DOI | 10.1111/1475-6773.12440 |
Alternate Journal | Health Serv Res |
PubMed ID | 26799913 |
PubMed Central ID | PMC4946029 |
Dartmouth Atlas Area-Level Estimates of End-of-Life Expenditures: How Well Do They Reflect Expenditures for Prospectively Identified Advanced Lung Cancer Patients?
Submitted by deb3002 on August 24, 2016 - 1:16pm