{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:25:27Z","timestamp":1777929927550,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"\n Background:<\/jats:title>\n Relieving the total pain of patients with cancer and supporting their well-being throughout their lives are important roles of palliative and supportive care. Poverty may inhibit patients from receiving dignified end-of-life care; however, using social welfare services may reduce its impact on patients\u2019 end-of-life experiences. Nevertheless, no study has investigated which social welfare service could lead to favorable end-of-life experiences for patients living in poverty.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n This study aimed to describe the characteristics of users of palliative care among low-income patients and examine the difference in survival time among patients with cancer on social welfare services in a single center in Kyoto, Japan.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n We conducted a retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting\/Subjects:<\/jats:title>\n We included 220 patients using Public Assistance (PA: aid minimum income and medical\/long-term care), Free\/Low-Cost Medical Care (FLCMC: aid only medical care), and nonwelfare-users who newly received palliative care in 2021.<\/jats:p>\n <\/jats:sec>\n \n Measurements:<\/jats:title>\n We calculated patients\u2019 survival time from the initiation of palliative care to death. In addition, we identified patients who experienced home death.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Compared with nonusers, FLCMC beneficiaries had shorter survival times (adjusted hazard ratio [aHR] 2.05, 95% confidence interval [CI] 0.80\u20135.22). No difference was observed among PA beneficiaries (aHR 1.19, 95% CI 0.49\u20132.87). No home death was observed among welfare service recipients.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Social welfare benefits only for medical expenses may not sufficiently support dignified end-of-life care for low-income patients. Further studies are required to examine the robustness of this study considering various bio-psycho-social factors that can influence these findings, to support low-income patients with cancer on social welfare services.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/pmr.2023.0077","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T05:00:28Z","timestamp":1715749228000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Survival Time Disparities after Palliative Care Use Among Low-Income Patients on Social Welfare Programs: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3116-1195","authenticated-orcid":false,"given":"Daisuke","family":"Nishioka","sequence":"first","affiliation":[{"name":"Department of Medical Statistics, Research & Development Center, Osaka Medical and Pharmaceutical University, Takatsuki, Japan."},{"name":"Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iku","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Department of Patient Support Center, Kyoto Min-iren Asukai Hospital, Kyoto, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayumi","family":"Kihara","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Kyoto Min-iren Asukai Hospital, Kyoto, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61228-8"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-12-18"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.10.265"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/13600818.2017.1311852"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.1232491"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.1238041"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002782"},{"key":"e_1_3_6_9_2","unstructured":"Sakamoto H Rahman M Nomura S et al. Japan health system review. 2018."},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40609-016-0073-1"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6337-1"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2020-216158"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-02868-0"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2022-218893"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20210005"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14597-5"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-022-00605-8"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdm199"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.01.004"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5332"}],"container-title":["Palliative Medicine Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/pmr.2023.0077","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pmr.2023.0077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/pmr.2023.0077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:58:05Z","timestamp":1777679885000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/pmr.2023.0077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,1]]}},"alternative-id":["10.1089\/pmr.2023.0077"],"URL":"https:\/\/doi.org\/10.1089\/pmr.2023.0077","relation":{},"ISSN":["2689-2820","2689-2820"],"issn-type":[{"value":"2689-2820","type":"print"},{"value":"2689-2820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,1]]},"article-number":"pmr.2023.0077"}}