{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:54:49Z","timestamp":1777384489214,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T00:00:00Z","timestamp":1642550400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Puli Branch of Taichung Veterans General Hospital, Taiwan","award":["PL-2018011"],"award-info":[{"award-number":["PL-2018011"]}]},{"name":"Department of Health, Taipei City Government, Taiwan","award":["No. 10801-62-006, No. TPCH-110-45"],"award-info":[{"award-number":["No. 10801-62-006, No. TPCH-110-45"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>Background: Hospice care involves improving quality of end-of-life (EOL) care and respecting patients\u2019 preferences regarding EOL treatment. However, the impact of hospice care services on the utilization of life-sustaining treatments during EOL care in patients with life-limiting diseases has not been extensively studied. Objectives: This nationwide cohort study aimed to determine the impact of hospice care services on the utilization of life-sustaining treatments during the last 3 months of life among people living with HIV\/AIDS (PLWHA) in Taiwan. Methods: From 2000 to 2018, we identified adult PLWHA from Taiwan centers for disease control HIV Surveillance System. HIV-infected individuals were defined as positive HIV-1 Western blot. Life-sustaining treatments included cardiopulmonary resuscitation, intubation, mechanical ventilation support, and defibrillation. The association of hospice care services with the utilization of life-sustaining treatments was determined using multiple logistic regression. Results: Of 5691 PLWHA, 2595 (45.9%) subjects utilized life-sustaining treatments during the last 3 months of life. After adjusting for other covariates, PLWHA with hospice care services were less likely to receive life-sustaining treatments during the last 3 months of life than those without the services (adjusted odds ratio [AOR] = .50, 95% confidence interval [CI]: .37-.66). Considering the type of life-sustaining treatments, hospice care services were associated with lower likelihood of receiving cardiopulmonary resuscitation (AOR = .22, 95% CI: .13-.39), endotracheal intubation (AOR = .48, 95% CI: .35-.65), and mechanical ventilation support (AOR = .56, 95% CI: .42-.75). Conclusion: Hospice care services were associated with a lower utilization of life-sustaining treatments during the last 3 months of life among PLWHA.<\/jats:p>","DOI":"10.1177\/10499091211072240","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T16:58:16Z","timestamp":1642611496000},"page":"1165-1173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospice Care Services Associated With a Lower Utilization of Life-Sustaining Treatments During End-Of-Life Care Among People Living With HIV\/AIDS: A Population-Based Cohort Study"],"prefix":"10.1177","volume":"39","author":[{"given":"Yun-Ju","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine, Puli Branch of Taichung Veterans General Hospital, Nantou, Taiwan"},{"name":"Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Chung","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan"},{"name":"Department of Urology, Taipei City Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4643-0386","authenticated-orcid":false,"given":"Shang-Yih","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan"},{"name":"Department of Internal Medicine, Taipei City Hospital Yangming Branch, Taipei, Taiwan"},{"name":"University of Taipei, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Sheng","family":"Chou","sequence":"additional","affiliation":[{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Department of Hematology and Oncology, Taipei City Hospital Renai Branch, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun-Chieh","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Chest Medicine, Department of Internal Medicine, Puli Branch of Taichung Veterans General Hospital, Nantou, Taiwan"},{"name":"Department of Eldercare, Central Taiwan University of Science and Technology Taichung, Nantou, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Wen","family":"Ku","sequence":"additional","affiliation":[{"name":"Graduate Institute of Sports and Health Management, National Chung Hsing University, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Jung","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Fei","family":"Hsu","sequence":"additional","affiliation":[{"name":"College of Public Health, National Taiwan University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei-Hung","family":"Chuang","sequence":"additional","affiliation":[{"name":"Taipei Association of Health and Welfare Data Science, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chu-Chieh","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4469-4732","authenticated-orcid":false,"given":"Yung-Feng","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan"},{"name":"University of Taipei, Taipei, Taiwan"},{"name":"Institute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Section of Infectious Diseases, Taipei City Hospital Yangming Branch, Taipei, Taiwan"},{"name":"Department of Education and Research, Taipei City Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,19]]},"reference":[{"key":"bibr1-10499091211072240","volume-title":"[Surveillance of HIV]","author":"World Health 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