{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:20:45Z","timestamp":1788272445717,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T00:00:00Z","timestamp":1620345600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Taiwan\u2019s National Health Insurance provides coverage for palliative and hospice care. The following 10 types of diseases have been added to the National Health Insurance reimbursement regulation: end-stage cancer, motor neuron disease, organic psychosis, brain degeneration, heart failure, chronic airway obstruction diseases, other lung diseases, chronic liver disease and cirrhosis, acute renal failure, and chronic renal failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to determine the association between physicians\u2019 palliative education and use of hospice care in hospitalized patients at the end of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting:<\/jats:title>\n                    <jats:p>A cross-sectional study in a Taipei community hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Patients who died between 2014 and 2019 were identified. The deceased had at least 1 of the 10 diseases covered by health insurance were included. Hospice care services included hospice ward care and hospice shared care. This study included 2,661 individuals. In total, 972 (36.5%) patients used hospice care services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After adjusting for age, gender, and comorbidities, physicians\u2019 palliative education was found to significantly associated with the use of hospice care (OR: 14.38, 95% CI: 10.90-18.98).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Physicians\u2019 palliative education was found to be an independent factor associated with higher use of hospice care. The findings suggest increasing palliative and hospice education among physicians so that they can ensure that their patients have high-quality end-of-life medical care in an aging society.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091211014160","type":"journal-article","created":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T03:41:49Z","timestamp":1620531709000},"page":"237-242","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Physician Palliative Education Associated With High Use of Hospice Care Service"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3193-5146","authenticated-orcid":false,"given":"Mei-Hsing","family":"Chuang","sequence":"first","affiliation":[{"name":"Division of Family Medicine, Taipei City Hospital Zhong Xiao Branch, Taipei"},{"name":"Department of Family Medicine, School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang-Niarn","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Taipei City Hospital Zhong Xiao Branch, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yih-Tsong","family":"Shiau","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei City Hospital Zhong Xiao Branch, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiu-Yi","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Taipei City Hospital Zhong Xiao Branch, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Ching","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei City Hospital Zhong Xiao Branch, Taipei"},{"name":"Division of Palliative Medicine, Taipei City Hospital Zhong Xiao Branch, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saint Shiou-Sheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Urology, Taipei City Hospital Zhong Xiao Branch, Taipei"},{"name":"Department of Urology, National Yang-Ming University School of Medicine, Taipei"},{"name":"Commission for General Education, College of Applied Science, National Taiwan University of Science and Technology, Taipei"},{"name":"University of Taipei, General Education Center, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng-Jean","family":"Huang","sequence":"additional","affiliation":[{"name":"Superintendent Office & Division of Neurosurgery, Department of Surgery, Taipei City Hospital, Taipei"},{"name":"Department of Surgery, College of Medicine, National Taiwan University, Taipei"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,7]]},"reference":[{"key":"bibr1-10499091211014160","unstructured":"United Nations. 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