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Volumn 38, Issue 1, 2009, Pages 32-44

Cost and Non-Clinical Outcomes of Palliative Care

Author keywords

cost avoidance; cost savings; nonclinical outcomes; palliative care consult; Palliative care unit

Indexed keywords

ARTICLE; CONSULTATION; COST CONTROL; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL PATIENT; HUMAN; LENGTH OF STAY; OUTCOME ASSESSMENT; OUTPATIENT CARE; PALLIATIVE THERAPY;

EID: 67650230360     PISSN: 08853924     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpainsymman.2009.05.001     Document Type: Article
Times cited : (102)

References (42)
  • 1
    • 3242662017 scopus 로고    scopus 로고
    • Unlikely way to cut hospital costs: Comfort the dying
    • Naik G. Unlikely way to cut hospital costs: Comfort the dying. Wall Street Journal (March 10, 2004)
    • (2004) Wall Street Journal
    • Naik, G.1
  • 2
    • 33746298389 scopus 로고    scopus 로고
    • Nonclinical outcomes of hospital-based palliative care
    • discussion 273-274
    • White K.R., Stover K.G., Cassel J.B., and Smith T.J. Nonclinical outcomes of hospital-based palliative care. J Healthcare Manag 51 4 (2006) 260-273 discussion 273-274
    • (2006) J Healthcare Manag , vol.51 , Issue.4 , pp. 260-273
    • White, K.R.1    Stover, K.G.2    Cassel, J.B.3    Smith, T.J.4
  • 3
    • 67650241583 scopus 로고    scopus 로고
    • Economics of palliative care
    • Hanks G., Cherny N.I., Christakis N.A., Fallon M., Kaasa S., and Portenoy R.K. (Eds), Oxford University Press, Oxford
    • Smith T.J., and Cassel J.B. Economics of palliative care. In: Hanks G., Cherny N.I., Christakis N.A., Fallon M., Kaasa S., and Portenoy R.K. (Eds). Oxford textbook of palliative medicine. 4th ed. (2009), Oxford University Press, Oxford
    • (2009) Oxford textbook of palliative medicine. 4th ed.
    • Smith, T.J.1    Cassel, J.B.2
  • 4
    • 1542750268 scopus 로고    scopus 로고
    • A high-volume specialist palliative care unit and team may reduce in-hospital end-of-life care costs
    • Smith T.J., Coyne P., Cassel B., et al. A high-volume specialist palliative care unit and team may reduce in-hospital end-of-life care costs. J Palliat Med 6 5 (2003) 699-705
    • (2003) J Palliat Med , vol.6 , Issue.5 , pp. 699-705
    • Smith, T.J.1    Coyne, P.2    Cassel, B.3
  • 5
    • 51649114561 scopus 로고    scopus 로고
    • Palliative Care Leadership Centers' Outcomes Group. Cost savings associated with US hospital palliative care consultation programs
    • Morrison R.S., Penrod J.D., Cassel J.B., et al. Palliative Care Leadership Centers' Outcomes Group. Cost savings associated with US hospital palliative care consultation programs. Arch Intern Med 168 16 (2008) 1783-1790
    • (2008) Arch Intern Med , vol.168 , Issue.16 , pp. 1783-1790
    • Morrison, R.S.1    Penrod, J.D.2    Cassel, J.B.3
  • 6
    • 33846912511 scopus 로고    scopus 로고
    • Improving patient throughput
    • Accessed June 4, 2009
    • Scalise D. Improving patient throughput. Hosp Health Netw 80 11 (2006) 49-54. Available from http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/P ubsNewsArticle/data/2006November/0611HHN_FEA_Gatefold&domain=HHNMAG Accessed June 4, 2009
    • (2006) Hosp Health Netw , vol.80 , Issue.11 , pp. 49-54
    • Scalise, D.1
  • 7
    • 41949142723 scopus 로고    scopus 로고
    • Effectiveness of specialized palliative care: a systematic review
    • Zimmermann C., Riechelmann R., Krzyzanowska M., Rodin G., and Tannock I. Effectiveness of specialized palliative care: a systematic review. JAMA 299 14 (2008) 1698-1709
    • (2008) JAMA , vol.299 , Issue.14 , pp. 1698-1709
    • Zimmermann, C.1    Riechelmann, R.2    Krzyzanowska, M.3    Rodin, G.4    Tannock, I.5
  • 8
    • 0026437313 scopus 로고
    • Randomised controlled trial of effects of coordinating care for terminally ill cancer patients
    • Addington-Hall J.M., MacDonald L.D., Anderson H.R., et al. Randomised controlled trial of effects of coordinating care for terminally ill cancer patients. BMJ 305 6865 (1992) 1317-1322
    • (1992) BMJ , vol.305 , Issue.6865 , pp. 1317-1322
    • Addington-Hall, J.M.1    MacDonald, L.D.2    Anderson, H.R.3
  • 9
    • 0029940524 scopus 로고    scopus 로고
    • A randomized controlled trial of the cost-effectiveness of a district co-ordinating service for terminally ill cancer patients
    • Raftery J.P., Addington-Hall J.M., MacDonald L.D., et al. A randomized controlled trial of the cost-effectiveness of a district co-ordinating service for terminally ill cancer patients. Palliat Med 10 2 (1996) 151-161
    • (1996) Palliat Med , vol.10 , Issue.2 , pp. 151-161
    • Raftery, J.P.1    Addington-Hall, J.M.2    MacDonald, L.D.3
  • 11
    • 40649101266 scopus 로고    scopus 로고
    • Impact of an inpatient palliative care team: a randomized control trial
    • Gade G., Venohr I., Conner D., et al. Impact of an inpatient palliative care team: a randomized control trial. J Palliat Med 11 (2008) 180-190
    • (2008) J Palliat Med , vol.11 , pp. 180-190
    • Gade, G.1    Venohr, I.2    Conner, D.3
  • 12
    • 1542750256 scopus 로고    scopus 로고
    • Effectiveness of a home-based palliative care program for end-of-life
    • Brumley R.D., Enguidanos S., and Cherin D.A. Effectiveness of a home-based palliative care program for end-of-life. J Palliat Med 6 5 (2003) 715-724
    • (2003) J Palliat Med , vol.6 , Issue.5 , pp. 715-724
    • Brumley, R.D.1    Enguidanos, S.2    Cherin, D.A.3
  • 13
    • 34347383556 scopus 로고    scopus 로고
    • Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care
    • Brumley R., Enguidanos S., Jamison P., et al. Increased satisfaction with care and lower costs: results of a randomized trial of in-home palliative care. J Am Geriatr Soc 55 7 (2007) 993-1000
    • (2007) J Am Geriatr Soc , vol.55 , Issue.7 , pp. 993-1000
    • Brumley, R.1    Enguidanos, S.2    Jamison, P.3
  • 14
    • 0034626084 scopus 로고    scopus 로고
    • A palliative-care intervention and death at home: a cluster randomised trial
    • Jordhøy M.S., Fayers P., Saltnes T., et al. A palliative-care intervention and death at home: a cluster randomised trial. Lancet 356 9233 (2000) 888-893
    • (2000) Lancet , vol.356 , Issue.9233 , pp. 888-893
    • Jordhøy, M.S.1    Fayers, P.2    Saltnes, T.3
  • 15
    • 18644384306 scopus 로고    scopus 로고
    • The imPaCT study: a randomised controlled trial to evaluate a hospital palliative care team
    • Hanks G.W., Robbins M., Sharp D., et al. The imPaCT study: a randomised controlled trial to evaluate a hospital palliative care team. Br J Cancer 87 7 (2002) 733-739
    • (2002) Br J Cancer , vol.87 , Issue.7 , pp. 733-739
    • Hanks, G.W.1    Robbins, M.2    Sharp, D.3
  • 16
    • 0037312927 scopus 로고    scopus 로고
    • Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers
    • Higginson I.J., Finlay I.G., Goodwin D.M., et al. Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers. J Pain Symptom Manage 25 2 (2003) 150-168
    • (2003) J Pain Symptom Manage , vol.25 , Issue.2 , pp. 150-168
    • Higginson, I.J.1    Finlay, I.G.2    Goodwin, D.M.3
  • 17
    • 0036181976 scopus 로고    scopus 로고
    • Do hospital-based palliative teams improve care for patients or families at the end of life?
    • Higginson I.J., Finlay I., Goodwin D.M., et al. Do hospital-based palliative teams improve care for patients or families at the end of life?. J Pain Symptom Manage 23 2 (2002) 96-106
    • (2002) J Pain Symptom Manage , vol.23 , Issue.2 , pp. 96-106
    • Higginson, I.J.1    Finlay, I.2    Goodwin, D.M.3
  • 18
    • 3042741114 scopus 로고    scopus 로고
    • Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes
    • Elsayem A., Swint K., Fisch M.J., et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol 22 10 (2004) 2008-2014
    • (2004) J Clin Oncol , vol.22 , Issue.10 , pp. 2008-2014
    • Elsayem, A.1    Swint, K.2    Fisch, M.J.3
  • 19
    • 33846932081 scopus 로고    scopus 로고
    • Palliative care benchmarks from academic medical centers
    • Twaddle M.L., Maxwell T.L., Cassel J.B., et al. Palliative care benchmarks from academic medical centers. J Palliat Med 10 1 (2007) 86-98
    • (2007) J Palliat Med , vol.10 , Issue.1 , pp. 86-98
    • Twaddle, M.L.1    Maxwell, T.L.2    Cassel, J.B.3
  • 20
    • 0034940445 scopus 로고    scopus 로고
    • Home palliative care as a cost-saving alternative: evidence from Catalonia
    • Serra-Prat M., Gallo P., and Picaza J.M. Home palliative care as a cost-saving alternative: evidence from Catalonia. Palliat Med 15 4 (2001) 271-278
    • (2001) Palliat Med , vol.15 , Issue.4 , pp. 271-278
    • Serra-Prat, M.1    Gallo, P.2    Picaza, J.M.3
  • 21
    • 2642543845 scopus 로고    scopus 로고
    • Hospital charges for a community inpatient palliative care program
    • Cowan J.D. Hospital charges for a community inpatient palliative care program. Am J Hosp Palliat Care 21 3 (2004) 177-190
    • (2004) Am J Hosp Palliat Care , vol.21 , Issue.3 , pp. 177-190
    • Cowan, J.D.1
  • 22
    • 35448953009 scopus 로고    scopus 로고
    • Taking care of terminally-ill patients at home-the economic perspective revisited
    • Tamir O., Singer Y., and Shvartzman P. Taking care of terminally-ill patients at home-the economic perspective revisited. Palliat Med 21 6 (2007) 537-541
    • (2007) Palliat Med , vol.21 , Issue.6 , pp. 537-541
    • Tamir, O.1    Singer, Y.2    Shvartzman, P.3
  • 23
    • 27844532021 scopus 로고    scopus 로고
    • Utilization and costs of the introduction of system-wide palliative care in Alberta, 1993-2000
    • Fassbender K., Fainsinger R., Brenneis C., et al. Utilization and costs of the introduction of system-wide palliative care in Alberta, 1993-2000. Palliat Med 19 7 (2005) 513-520
    • (2005) Palliat Med , vol.19 , Issue.7 , pp. 513-520
    • Fassbender, K.1    Fainsinger, R.2    Brenneis, C.3
  • 24
    • 67650244436 scopus 로고    scopus 로고
    • Cost avoidance and other financial outcomes for palliative care programs
    • Bruera E., Higginson I.J., Ripamonti C., and von Gunten C. (Eds), Hodder Arnold, London 238-244
    • Cassel J.B., and Smith T. Cost avoidance and other financial outcomes for palliative care programs. In: Bruera E., Higginson I.J., Ripamonti C., and von Gunten C. (Eds). Textbook of palliative medicine (2006), Hodder Arnold, London 238-244
    • (2006) Textbook of palliative medicine
    • Cassel, J.B.1    Smith, T.2
  • 25
    • 33645969867 scopus 로고    scopus 로고
    • Is there a model for demonstrating a beneficial financial impact of initiating a palliative care program by an existing hospice program?
    • Passik S.D., Ruggles C., Brown G., et al. Is there a model for demonstrating a beneficial financial impact of initiating a palliative care program by an existing hospice program?. Palliat Support Care 2 4 (2004) 419-423
    • (2004) Palliat Support Care , vol.2 , Issue.4 , pp. 419-423
    • Passik, S.D.1    Ruggles, C.2    Brown, G.3
  • 26
    • 23844448818 scopus 로고    scopus 로고
    • The financial benefits of acute inpatient palliative medicine: an inter-institutional comparative analysis by all patient refined-diagnosis related group and case mix index
    • Davis M.P., Walsh D., LeGrand S.B., et al. The financial benefits of acute inpatient palliative medicine: an inter-institutional comparative analysis by all patient refined-diagnosis related group and case mix index. J Support Oncol 3 4 (2005) 313-316
    • (2005) J Support Oncol , vol.3 , Issue.4 , pp. 313-316
    • Davis, M.P.1    Walsh, D.2    LeGrand, S.B.3
  • 27
    • 33748439392 scopus 로고    scopus 로고
    • Measuring the quality of dying and death: methodological considerations and recent findings
    • Engelberg R.A. Measuring the quality of dying and death: methodological considerations and recent findings. Curr Opin Crit Care 12 5 (2006) 381-387
    • (2006) Curr Opin Crit Care , vol.12 , Issue.5 , pp. 381-387
    • Engelberg, R.A.1
  • 28
    • 34249290104 scopus 로고    scopus 로고
    • Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients
    • Norton S.A., Hogan L.A., Holloway R.G., et al. Proactive palliative care in the medical intensive care unit: effects on length of stay for selected high-risk patients. Crit Care Med 35 6 (2007) 1530-1535
    • (2007) Crit Care Med , vol.35 , Issue.6 , pp. 1530-1535
    • Norton, S.A.1    Hogan, L.A.2    Holloway, R.G.3
  • 29
    • 0042884165 scopus 로고    scopus 로고
    • Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial
    • Schneiderman L.J., Gilmer T., Teetzel H.D., et al. Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial. JAMA 290 9 (2003) 1166-1172
    • (2003) JAMA , vol.290 , Issue.9 , pp. 1166-1172
    • Schneiderman, L.J.1    Gilmer, T.2    Teetzel, H.D.3
  • 30
    • 33747873162 scopus 로고    scopus 로고
    • Cost and utilization outcomes of patients receiving hospital-based palliative care consultation
    • Erratum in: J Palliat Med 2006;9(6):1509
    • Penrod J.D., Deb P., Luhrs C., et al. Cost and utilization outcomes of patients receiving hospital-based palliative care consultation. J Palliat Med 9 4 (2006) 855-860 Erratum in: J Palliat Med 2006;9(6):1509
    • (2006) J Palliat Med , vol.9 , Issue.4 , pp. 855-860
    • Penrod, J.D.1    Deb, P.2    Luhrs, C.3
  • 31
    • 0037248729 scopus 로고    scopus 로고
    • Impact of a proactive approach to improve end-of-life care in a medical ICU
    • Campbell M.L., and Guzman J.A. Impact of a proactive approach to improve end-of-life care in a medical ICU. Chest 123 1 (2003) 266-271
    • (2003) Chest , vol.123 , Issue.1 , pp. 266-271
    • Campbell, M.L.1    Guzman, J.A.2
  • 32
    • 4444272626 scopus 로고    scopus 로고
    • A proactive approach to improve end-of-life care in a medical intensive care unit for patients with terminal dementia
    • Campbell M.L., and Guzman J.A. A proactive approach to improve end-of-life care in a medical intensive care unit for patients with terminal dementia. Crit Care Med 32 9 (2004) 1839-1843
    • (2004) Crit Care Med , vol.32 , Issue.9 , pp. 1839-1843
    • Campbell, M.L.1    Guzman, J.A.2
  • 34
    • 33747872048 scopus 로고    scopus 로고
    • Survival, mortality, and location of death for patients seen by a hospital-based palliative care team
    • Fromme E.K., Bascom P.B., Smith M.D., et al. Survival, mortality, and location of death for patients seen by a hospital-based palliative care team. J Palliat Med 9 4 (2006) 903-911
    • (2006) J Palliat Med , vol.9 , Issue.4 , pp. 903-911
    • Fromme, E.K.1    Bascom, P.B.2    Smith, M.D.3
  • 35
    • 27644517310 scopus 로고    scopus 로고
    • The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data
    • O'Mahony S., Blank A.E., Zallman L., and Selwyn P.A. The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data. J Palliat Med 8 5 (2005) 1033-1039
    • (2005) J Palliat Med , vol.8 , Issue.5 , pp. 1033-1039
    • O'Mahony, S.1    Blank, A.E.2    Zallman, L.3    Selwyn, P.A.4
  • 36
    • 2642549649 scopus 로고    scopus 로고
    • The business of palliative medicine-part 4: potential impact of an acute-care palliative medicine inpatient unit in a tertiary care cancer center
    • Walsh D. The business of palliative medicine-part 4: potential impact of an acute-care palliative medicine inpatient unit in a tertiary care cancer center. Am J Hosp Palliat Care 21 (2004) 217-221
    • (2004) Am J Hosp Palliat Care , vol.21 , pp. 217-221
    • Walsh, D.1
  • 37
    • 0036583824 scopus 로고    scopus 로고
    • You need not make the journey alone: overcoming impediments to providing palliative care in a public urban teaching hospital
    • Ryan A., Carter J., Lucas J., and Berger J. You need not make the journey alone: overcoming impediments to providing palliative care in a public urban teaching hospital. Am J Hosp Palliat Care 19 3 (2002) 171-180
    • (2002) Am J Hosp Palliat Care , vol.19 , Issue.3 , pp. 171-180
    • Ryan, A.1    Carter, J.2    Lucas, J.3    Berger, J.4
  • 38
    • 67650239005 scopus 로고    scopus 로고
    • Comprehensive palliative care service, University of Pittsburgh-UPMC
    • Available from
    • Arnold R. Comprehensive palliative care service, University of Pittsburgh-UPMC. Pioneer programs in palliative care: nine case studies (2000). http://www.milbank.org/pppc/0011pppc.html Available from
    • (2000) Pioneer programs in palliative care: nine case studies
    • Arnold, R.1
  • 39
    • 67650220752 scopus 로고    scopus 로고
    • Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroup
    • Available from
    • Forrow L. Palliative Care Program, Beth Israel Deaconess Medical Center/CareGroup. Pioneer programs in palliative care: nine case studies (2000). http://www.milbank.org/pppc/0011pppc.html Available from
    • (2000) Pioneer programs in palliative care: nine case studies
    • Forrow, L.1
  • 40
    • 0028825863 scopus 로고
    • A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT)
    • SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). JAMA 274 20 (1995) 1591-1598
    • (1995) JAMA , vol.274 , Issue.20 , pp. 1591-1598
    • SUPPORT Principal Investigators1
  • 41
    • 0031916635 scopus 로고    scopus 로고
    • A study of proactive ethics consultation for critically and terminally ill patients with extended lengths of stay
    • Erratum in: Crit Care Med 1998;26(11):1923
    • Dowdy M.D., Robertson C., and Bander J.A. A study of proactive ethics consultation for critically and terminally ill patients with extended lengths of stay. Crit Care Med 26 2 (1998) 252-259 Erratum in: Crit Care Med 1998;26(11):1923
    • (1998) Crit Care Med , vol.26 , Issue.2 , pp. 252-259
    • Dowdy, M.D.1    Robertson, C.2    Bander, J.A.3
  • 42
    • 0034667836 scopus 로고    scopus 로고
    • An intensive communication intervention for the critically ill
    • Lilly C.M., De Meo D.L., Sonna L.A., et al. An intensive communication intervention for the critically ill. Am J Med 109 6 (2000) 469-475
    • (2000) Am J Med , vol.109 , Issue.6 , pp. 469-475
    • Lilly, C.M.1    De Meo, D.L.2    Sonna, L.A.3


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