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Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study

Author

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  • Jung-kyu Choi

    (Institute of Health Insurance & Clinical Research, National Health Insurance Service Ilsan Hospital, Goyang 10444, Korea)

  • Se-Hyung Kim

    (National Medical Center, National Emergency Medical Center, Seoul, Seoul 04564, Korea)

  • Myung-Bae Park

    (Department of Gerontology Health and Welfare, Pai Chai University, Daejeon 35345, Korea)

Abstract

This study aimed to identify the association between moving to a high-volume hospital and the mortality of patients with cancer living in the district. The study population comprised participants diagnosed with cancer within the past nine years (2004–2012). The final sample included 8197 patients with cancer, 3939 were males (48.1%), and 4258 were females (51.9%). A Cox proportional hazard model was used to estimate the hazard ratio (HR) for death. Confounding variables including sex, age, type of social security, income level, disability, and utilization volume were incorporated into the model. Among patients with cancer living in the district, 2874 (35.1%) used healthcare services in Seoul. About 10% ( n = 834) of patients died during the follow-up period. The HR for death in females (HR: 0.68, 95% CI: 0.58–0.81) was lower than that in males. Additionally, the HR for the death of patients using healthcare services in Seoul (HR: 1.30, 95% CI: 1.11–1.53) was higher than those patients who did not use healthcare services in Seoul. Among patients utilizing services in the province, wealthier patients’ survival probability was significantly higher than that of others. The cause of income differences should be identified, and accessibility to medical use of low-income families should be enhanced to prevent mortality of patients from cancer disparities.

Suggested Citation

  • Jung-kyu Choi & Se-Hyung Kim & Myung-Bae Park, 2021. "Association between Moving to a High-Volume Hospital in the Capital Area and the Mortality among Patients with Cancer: A Large Population-Based Cohort Study," IJERPH, MDPI, vol. 18(7), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3812-:d:530771
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    References listed on IDEAS

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    1. Roetzheim, R.G. & Pal, N. & Gonzalez, E.C. & Ferrante, J.M. & Van Durme, D.J. & Krischer, J.P., 2000. "Effects of health insurance and race on colorectal cancer treatments and outcomes," American Journal of Public Health, American Public Health Association, vol. 90(11), pages 1746-1754.
    2. Min Jiang & Euijune Kim, 2016. "Impact of high-speed railroad on regional income inequalities in China and Korea," International Journal of Urban Sciences, Taylor & Francis Journals, vol. 20(3), pages 393-406, September.
    3. Tullock, Gordon, 1971. "Public Decisions as Public Goods," Journal of Political Economy, University of Chicago Press, vol. 79(4), pages 913-918, July-Aug..
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