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End-of-life Medical Expenditures in Association of Rurality of China
End-of-life Medical Expenditures in Association of Rurality of China
Association of rurality, type of primary caregiver and place of death with end-of-life medical expenditures among the oldest-old population in China. Explore Further
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Research article overview in layman's terms. This paper examines the trends in medical expenditures associated with the type of primary caregiver and end-of-life (EOL) care location among the oldest-old population in China from 1998-2018. Specifically, it aims to assess the associations between rurality, the type of primary caregiver, place of death and EOL medical expenditures. By understanding these trends, we can inform global debates on policies for efficient and effective EOL care.
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Association of rurality, type of primary caregiver and place of death with end-of-life medical expenditures among the oldest-old population in China
Abstract Medical Expenditures Understanding whether the type of primary caregiver and end-of-life (EOL) care location are associated with EOL medical expenditures is crucial to inform global debates on policies for efficient and effective EOL care. This study aims to assess trends in the type of primary caregiver and place of death stratified by rural-urban status among the oldest-old population from 1998-2018 in China. A secondary objective is to determine the associations between rurality, the type of primary caregiver, place of death and EOL medical expenditures. Methods A total of 20,149 deaths of people aged 80 years or older were derived from the Chinese Longitudinal Health Longevity Survey (CLHLS). Cochran-Armitage tests and Cuzick’s tests were used to test trends in the type of primary caregiver and place of death over time, respectively. Tobit models were used to estimate the marginal associations of rurality, type of primary caregiver, and place of death with EOL medical expenditures because CLHLS sets 100,000 Chinese yuan (approximately US$15,286) as the upper limit of the outcome variable. Results Of the 20,149 oldest-old people, the median age at death was 97 years old, 12,490 (weighted, 58.6%, hereafter) were female, and 8,235 lived in urban areas. From 1998-2018, the prevalence of informal caregivers significantly increased from 94.3% to 96.2%, and home death significantly increased from 86.0% to 89.5%. The proportion of people receiving help from informal caregivers significantly increased in urban decedents (16.5%) but decreased in rural decedents (-4.0%), while home death rates significantly increased among both urban (15.3%) and rural (1.8%) decedents. In the adjusted models, rural decedents spent less than urban decedents did (marginal difference : $-229 ). Those who died in hospitals spent more than those who died at home ($798 ). No difference in medical expenditures by type of primary caregiver was observed. Conclusions Over the past two decades, the increases in informal caregiver utilization and home deaths were unequal, leading to substantially higher EOL medical expenditures among urban decedents and deceased individuals who died at hospitals than among their counterparts who lived in rural areas and died at home. Authors Zhong Li, Peiyin Hung, Kewei Shi, You Fu, Dongfu Qian Journal International Journal for Equity in Health Published Date 2023-01-03 Keywords China | End-of-life Care | Medical Expenditures | Place of Death | Primary Caregivers Download PDF DOI: https://doi.org/10.1186/s12939-022-01813-2 Go to DOI Page
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PATIENTS STILL DYING AT LIFE ESIDIMENI #CCHR #News #Esidimeni #PlaceofDeath #Patients R1.169 million paid to suspended Esidimeni officials (Esidimeni means place of Dignity) No dignity for Patients. Two senior officials implicated in the transfers that led to the deaths of more than 100 Esidimeni patients have received R1.169 million while suspended on full pay. Six other officials involved in the scandal around the treatment of state psychiatric patients are still working for the Gauteng Health Department. This was disclosed by Gauteng Health MEC Gwen Ramokgopa in a written reply to questions in the Gauteng Legislature by the Democratic Alliance’s MPL‚ Jack Bloom. He said in a statement on Tuesday that the head of department (HOD) Dr Tiego Selebano and Director of Mental Health Dr Makgabo Manamela were suspended in February this year after the report of the Health Ombudsman. Two senior officials implicated in the transfers that led to the deaths of more than 100 Esidimeni patients have received R1.169 million while suspended on full pay. Six other officials involved in the scandal around the treatment of state psychiatric patients are still working for the Gauteng Health Department. This was disclosed by Gauteng Health MEC Gwen Ramokgopa in a written reply to questions in the Gauteng Legislature by the Democratic Alliance’s MPL‚ Jack Bloom. He said in a statement on Tuesday that the head of department (HOD) Dr Tiego Selebano and Director of Mental Health Dr Makgabo Manamela were suspended in February this year after the report of the Health Ombudsman. Police probing Esidimeni deaths still awaiting post-mortem reports Police investigating the deaths of 115 Esidimeni mental health patients are still awaiting post-mortem reports from the Gauteng Health Department. "Dr Selebano has since been paid R784‚040 and Dr Manamela has received R385‚269 while their disciplinary process continues." This comes after the inquiry of the health ombudsman‚ Prof Malegapuru Makgoba‚ into the deaths of state psychiatric patients after they were transferred from Life Esidimeni care centres to 27 unregistered NGOs across the province. The ombudsman called for urgent action
"PLACE OF DEATH" SoundClash - Full Round 1.2.3 Video
+ Round 4 & Dub fi Dub Audio
SUPERTUFF (De) vs DEEBUZZ (De) vs IRIE CREW (Fr)
PLACE OF DEATH SOUNDCLASH FULL AUDIO
IRIE CREW (Fr) vs DEEBUZZ (De) vs SUPERTUFF (De)
U-Club - Wupertal - Germany
Enjoy and share ! SoundClash 4 Life !
PLACE OF DEATH SOUNDCLASH RESULT
SAT. OCT. 25TH - PLACE OF DEATH SOUNDCLASH
@ UCLUB GERMANY
IRIE CREW vs SUPERTUFF vs DEEBUZZ
PLACE OF DEATH SOUNDCLASH RESULT :
Deebuzz drop out first We did a very nice dub fi dub with Supertuff Sound and they finally took the trophy home But honestly, Win or Loose, Who cares ?? We took the heart of the people, and we entertain them good, and that's finally the most important for your Irie Crew. Big up The best Reggae Spot in Germany : The U-Club Wuppertal and big up everybody who was in the Club last night.
Audio will be soon available. Stay tune !
#soundclash #4life #iriecrew #placeofdeath #uclub