BMC Palliative Care | |
Community-based specialist palliative care is associated with reduced hospital costs for people with non-cancer conditions during the last year of life | |
Research Article | |
Katrina Spilsbury1  Lorna Rosenwax2  | |
[1] Centre for Population Health Research, Faculty of Health Sciences, Curtin University, Perth, Australia;School of Occupational Therapy and Social Work, Faculty of Health Sciences, Curtin University, GPO Box U1987, 6845, Perth, Australia; | |
关键词: Palliative care; Heart failure; Renal failure; Liver failure; Chronic obstructive pulmonary disease; Cancer; Alzheimer’s disease; Parkinson’s disease; Hospital costs; | |
DOI : 10.1186/s12904-017-0256-2 | |
received in 2017-08-29, accepted in 2017-11-30, 发布年份 2017 | |
来源: Springer | |
【 摘 要 】
BackgroundCommunity-based palliative care is associated with reduced hospital costs for people dying from cancer. It is unknown if reduced hospital costs are universal across multiple life-limiting conditions amenable to palliative care. The aim of this study was to determine if community-based palliative care provided to people dying from non-cancer conditions was associated with reduced hospital costs in the last year of life and how this compared with people dying from cancer.MethodA retrospective population-based cohort study of all decedents in Western Australia who died January 2009 to December 2010 from a life-limiting condition considered amenable to palliative care. Hospital costs were assigned to each day of the last year of life for each decedent with a zero cost applied to days not in hospital. Day-specific hospital costs averaged over all decedents (cohort averaged) and decedents in hospital only (inpatient averaged) were estimated. Two-part models and generalised linear models were used.ResultsThe cohort comprised 12,764 decedents who, combined, spent 451,236 (9.7%) days of the last year of life in hospital. Overall, periods of time receiving community-based specialist palliative care were associated with a 27% decrease from A$112 (A$110-A$114) per decedent per day to $A82 (A$78-A$85) per decedent per day of CA hospital costs. Community-based specialist palliative care was also associated a reduction of inpatient averaged hospital costs of 9% (7%-10%) to A$1030 per hospitalised decedent per day. Hospital cost reductions were observed for decedents with organ failures, chronic obstructive pulmonary disease, Alzheimer’s disease, Parkinson’s disease and cancer but not for motor neurone disease. Cost reductions associated with community-based specialist palliative care were evident 4 months before death for decedents with cancer and by one to 2 months before death for decedents dying from other conditions.ConclusionCommunity-based specialist palliative care was associated with hospital cost reductions across multiple life-limiting conditions.
【 授权许可】
CC BY
© The Author(s). 2017
【 预 览 】
Files | Size | Format | View |
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RO202311097133879ZK.pdf | 1338KB | download |
【 参考文献 】
- [1]
- [2]
- [3]
- [4]
- [5]
- [6]
- [7]
- [8]
- [9]
- [10]
- [11]
- [12]
- [13]
- [14]
- [15]
- [16]
- [17]
- [18]
- [19]
- [20]
- [21]
- [22]
- [23]
- [24]
- [25]
- [26]
- [27]
- [28]
- [29]
- [30]
- [31]
- [32]
- [33]
- [34]
- [35]