Resource utilization and cost analyses of home-based palliative care service provision: The Niagara West End-of-Life Shared-Care Project

Palliative Medicine

Volumn 27, Issue 2, 2013, Pages 115-122

  Klinger, Christopher A ^a   Howell, Doris ^b   Marshall, Denise ^c   Zakus, David ^d   Brazil, Kevin ^e   Deber, Raisa B ^a  

^a UNIVERSITY OF TORONTO   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c MCMASTER UNIVERSITY   (Canada)

^d UNIVERSITY OF ALBERTA   (Canada)

^e MCMASTER UNIVERSITY   (Canada)

Author keywords

Canada; costs and cost analysis; health services research; home care services; palliative care; program evaluation; shared care

Indexed keywords

AGED; ARTICLE; CANCER DIAGNOSIS; CHRONIC OBSTRUCTIVE LUNG DISEASE; COST BENEFIT ANALYSIS; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEART DISEASE; HOME CARE; HOMEMAKING AND THE FAMILY; HUMAN; MAJOR CLINICAL STUDY; MALE; MOTIVATION; PALLIATIVE THERAPY; TRAFFIC AND TRANSPORT;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HEALTH CARE COSTS; HEALTH RESOURCES; HEALTH SERVICES NEEDS AND DEMAND; HOME CARE SERVICES; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; NEOPLASMS; ONTARIO; PALLIATIVE CARE; RURAL HEALTH SERVICES;

EID: 84873643636     PISSN: 02692163     EISSN: 1477030X     Source Type: Journal    
DOI: 10.1177/0269216311433475     Document Type: Article

References (37)

1. Dumont S, Jacobs P, Fassbender K, et al. Costs associated with resource utilization during the palliative phase of care: a Canadian perspective. Palliat Med. 2009 ; 23: 708-717
2. Wister A Baby boomer health dynamics: How are we aging?. Toronto: University of Toronto Press ; 2005 :
3. Lynn J. Living long in fragile health: the new demographics shape end-of-life care. Hastings Cent Rep. 2005 ; 35: S14 - S18
4. 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. 2005 ; 19: 513-520 (Pubitemid 41645509)
5. Jadad A, Bender J. Using the Internet to improve the study and management of pain: could the health system meet the expectations?. Rev Analg. 2006 ; 9: 21-29 (Pubitemid 46031557)
6. Wilson D, Birch S, Sheps S, et al. Researching a best-practice end-of-life care model for Canada. Can J Aging. 2008 ; 27: 319-330
7. Johnson AP, Abernathy T, Howell D, Brazil K, et al. Resource utilization and costs of palliative cancer care in an interdisciplinary health care model. Palliat Med. 2009 ; 23: 448-459
8. Marshall D, Howell D, Brazil K, et al. Enhancing family physician capacity to deliver quality palliative home care: an end-of-life, shared-care model. Can Fam Physician. 2008 ; 54: 1703e1-7
9. Deber R, Gamble B, Mah C. Canada: variations on a common theme. Ital J Public Health. 2010 ; 7: 336-343
10. Teike Luethi F, Cantin B. The complex role of a palliative care consultant in a tertiary hospital: can a practice model help in this wild world?. J Palliat Med. 2010 ; 13: 1178-1181
11. Ferris F, Balfour HM, Bowen K, et al A model to guide hospice palliative care: based on national principles and norms of practice. Ottawa: Canadian Hospice Palliative Care Association ; 2002 :
12. Drummond M, Sculpher M, Torrance G, et al Methods for the economic evaluation of health care programs. 3 rd ed.New York: Oxford University Press, 2005. New York: Oxford University Press ; 2005 :
13. Siegel J, Weinstein M, Russell L, et al. Recommendations for reporting cost-effectiveness analyses. JAMA. 1996 ; 276: 1339-1341 (Pubitemid 26346934)
14. Agency for Healthcare Research and Quality. 'Medical Expenditure Panel Survey', Emergency Room Services. http://meps.ahrq.gov/mepsweb/ (2007, accessed November 2010).
15. Barbera L, Taylor C, Dudgeon D. Why do patients with cancer visit the emergency department near the end of life?. CMAJ. 2010 ; 182: 563-568
16. Medicare hospice benefits. Baltimore: Centers for Medicare and Medicaid Services ; 2010 :
17. Ideas and opportunities for bending the health care cost curve: advice for the Government of Ontario. Toronto: Ontario Association of Community Care Access Centres, Ontario Federation of Community Mental Health and Addiction Programs and Ontario Hospital Association ; 2010 :
18. Guest JF, Ruiz FJ, Greener MJ, et al. Palliative care treatment patterns and associated costs of health care resource use for specific advanced cancer patients in the UK. Eur J Cancer Care. 2006 ; 15: 65-73 (Pubitemid 43427192)
19. Andersen R Behavioral model of families' use of health care services. Chicago: Center for Health Administration Studies ; 1968 :
20. Wilkins K, Park E. Home care in Canada. Health Rep. 1998 ; 10: 29-38
21. Shugarman LR, Decker SL, Bercovitz A. Demographic and social characteristics and spending at the end of life. J Pain Symptom Manage. 2009 ; 38: 15-26
22. Connor SR Hospice: practice, pitfalls and promise. Washington: Taylor and Francis ; 1998 :
23. Penrod JR, Adam V, St-Pierre Y Évaluation économique d'un continuum de services pour des patients en phase terminale. Paper 5, Project QC-406. Montreal: Government of Canada ; 2001 :
24. Seow H, Barbera L, Howell D, et al. Using more end-of-life home care services is associated with using fewer acute care services: a population-based cohort study. Med Care. 2010 ; 48: 118-124
25. Fact sheet: hospice palliative care in Canada. Ottawa: Canadian Hospice Palliative Care Association ; 2010 :
26. Roth A, Kornblith A, Batel-Copel L, et al. Rapid screening for psychologic distress in men with prostate carcinoma. Cancer. 1998 ; 82: 1904-1908 (Pubitemid 28208646)
27. Bruera E, Kuehn N, Miller MJ, et al. The Edmonton Symptom Assessment System (ESAS): a simple method for the assessment of palliative care patients. J Palliat Care. 1991 ; 7: 6-9
28. Howell D, Marshall D, Brazil K, et al. A shared care model pilot for palliative home care in a rural area: impact on symptoms, distress, and place of death. J Pain Symptom Manage. 2011 ; 42: 60-75
29. NHPCO facts and figures: hospice care in America 2010. Alexandria: National Hospice and Palliative Care Organization ; 2010 :
30. Eagar K, Green J, Gordon R. An Australian casemix classification for palliative care: technical development and results. Palliat Med. 2004 ; 18: 217-226 (Pubitemid 38771661)
31. Report to the Congress. Washington: Medicare Payment Advisory Commission ; 2009 :
32. Hughes-Hallett T, Craft A, Davies C Funding the right care and support for everyone: creating a fair and transparent funding system. London: Palliative Care Funding Review ; 2011 :
33. Murray E. Maximizing palliative care provision in economic downturns. Int J Palliat Nurs. 2011 ; 17: 4-6
34. Shnoor Y, Szlaifer M, Aoberman AS, et al. The cost of home hospice care for terminal patients in Israel. Am J Hosp Palliat Med. 2007 ; 24: 284-290
35. Di Cosimo S, Pistilluci G, Ferretti G, et al. Palliative home care and cost savings: encouraging results from Italy. N Z Med J. 2003 ; 116: 1-4
36. Serra-Prat M, Gallo P, Picaza JM. Home palliative care as a cost-saving alternative: evidence from Catalonia. Palliat Med. 2001 ; 15: 271-278 (Pubitemid 32640545)
37. 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. 2007 ; 55: 993-1000 (Pubitemid 47024627)