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KMID : 1170320170230010123
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Korean Journal of Health Economics and Policy
2017 Volume.23 No. 1 p.123 ~ p.142
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Cancer Care Costs at the End of Life
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Kim Hea-Lim
Yang Dong-Wook
Kang Eun-Sil
Kim Da-Eun
Kim Jin-Hyun
Bae Eun-Young
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Abstract
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Objectives : This study aims to identify the current status and aspect of end-of-life (EOL) cancer care costs.
Methods : This study used a retrospective cohort data from cancer patients who died between 2011 and 2013, which were available from National Sample Cohort Data Base provided by the Korean National Health Insurance Service. The composition of EOL cancer care costs, the distribution of cancer care costs according to the characteristics of the decedent and elapsed time before death were analyzed.
Results : A total of 4,156 cancer decedents were included in the study, of whom 3,711 had cancer care costs in the last one year of life. The average EOL cancer care costs were about 24.1 million won. When the age of death was low or the duration of the cancer was short, the EOL cancer care costs were high. Cancer care costs began to increase from 6 months before death and rose sharply from 3 months before death. Among the various cancer type, the EOL cancer care costs of leukemia were the highest at about 55.3 million won. The proportion of drug cost remained around 40% in the 10-12 months, 7-9months, and 4-6months before death, and the proportion of drug cost dropped to 28.8% in the remaining 3 months before death.
Conclusion : The EOL cancer care costs were still high in Korea. The EOL cancer care costs varied according to the characteristics of the decedent and the time to death.
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KEYWORD
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Cancer, End of Life, Time to death, Cancer care cost
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