Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes

BMC Research Notes

Volumn 9, Issue 1, 2016, Pages

  O'Sullivan, Ronan ^a   Murphy, Aileen ^b   O'Caoimh, Rónán ^a,b,c   Cornally, Nicola ^a,d   Svendrovski, Anton ^e   Daly, Brian ^b   Fizgerald, Carol ^a,b   Twomey, Cillian ^b   McGlade, Ciara ^a   Molloy, D William ^a,b  

^a UNIVERSITY COLLEGE CORK   (Ireland)

^b UNIVERSITY COLLEGE CORK   (Ireland)

^c NATIONAL UNIVERSITY OF IRELAND   (Ireland)

^d UNIVERSITY COLLEGE CORK   (Ireland)

^e UZIK Consulting Inc   (Canada)

Author keywords

Advanced care directives; Advanced care planning; Economic analysis

Indexed keywords

ADVANCE CARE PLANNING; AGED; COST BENEFIT ANALYSIS; ECONOMICS; EDUCATION; HOSPITAL MORTALITY; HOSPITALIZATION; HUMAN; IRELAND; LENGTH OF STAY; LIVING WILL; LONG TERM CARE; NURSING HOME; PALLIATIVE THERAPY; PROBABILITY; PROCEDURES; TERMINAL CARE; TRENDS; VERY ELDERLY;

ADVANCE CARE PLANNING; ADVANCE DIRECTIVES; AGED; AGED, 80 AND OVER; COST-BENEFIT ANALYSIS; HOSPITAL MORTALITY; HOSPITALIZATION; HUMANS; IRELAND; LENGTH OF STAY; LONG-TERM CARE; NURSING HOMES; PALLIATIVE CARE; PALLIATIVE MEDICINE; PROBABILITY; TERMINAL CARE;

EID: 85007504645     PISSN: None     EISSN: 17560500     Source Type: Journal    
DOI: 10.1186/s13104-016-2048-9     Document Type: Article

References (38)

1. http://www.cardi.ie/userfiles/Long%20Term%20Care%20(Web).pdf. Last Accessed 24 Nov 2015.
2. Central Statistics Office. Population and labour force projections 2011-2041. Dublin: Central Statistics Office; 2008.
3. Layte R, editor. Projecting the impact of demographic change on the demand for and delivery of Healthcare in Ireland, ESRI Research Series No. 13. Dublin: Economic and Social Research Institute; 2009.
4. Ahmad S, O'Mahony MS. Where older people die: a retrospective population-based study. QJM. 2005;98(12):865-70.
5. Cartwright A. Changes in life and care in the year before death 1969-1987. J Public Health Med. 1991;13(2):81-7.
6. Hunt R, Maddocks I. Terminal care in South Australia: historical aspects and equity issues. In: Clark D, Hockley J, Ahmedzai S, editors. Facing death - new themes in palliative care. Buckingham: Open University Press; 1997. p. 101-5.
7. Weathers E, Cornally N, Coffey A, Daly E, O'Caoimh R, Mollow DW. Planning for end-of-life: a systematic review of randomised controlled trials conducted in older adults. Maturitas; 2016, under review.
8. Molloy DW, Guyatt GH, Russo R, Goeree R, O'Brien BJ, Bédard M, et al. Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial. JAMA. 2000;283(11):1437-44.
9. Caplan, et al. Advance care planning and hospital in the nursing home. Age Aging. 2006;35(6):581-5.
10. Brinkman-Stoppelenbeurg A, Rietjens JAC, Van Der Heide A. The effects of advance care planning on end-of-life care: a systematic review. Palliat Med. 2014;28(8):1000-25.
11. Houben CHM, Spruit MA, Groenen MTJ, Wouters EFM, Janssen DJA. Efficacy of advance care planning: a systematic review and meta-analysis. J Am Med Dir Assoc. 2014;15(7):477-89.
12. Robinson L, Dickinson C, Rousseau N, Beyer F, Clark A, Hughes J, et al. A systematic review of the effectiveness of advance care planning interventions for people with cognitive impairment and dementia. Age Ageing. 2012;41(2):263-9.
13. Hockley J, Watson J, Oxenham D, Murray SA. The integrated implementation of two end-of-life care tools in nursing care homes in the UK: an in-depth evaluation. Palliat Med. 2010;24(8):828-38.
14. McClelland B, Ashton S, Roe B, Mazhindu D, Gandy R. End of life care: an evaluation of the implementation of the gold standards framework and the liverpool care pathway for people with dementia on five care settings across Greater Manchester. Liverpool: Liverpool John Moores University; 2008.
15. Durbin CR, Fish AF, Bachman JA, Smith KV. Systematic review of educational interventions for improving advance directive completion. J Nurs Scholarsh. 2010;42(3):234-41.
16. Tamayo-Velázquez MI, Simón-Lorda P, Villegas-Portero R, Higueras-Callejón C, García-Gutiérrez JF, Martínez-Pecino F, Barrio-Cantalejo IM. Interventions to promote the use of advance directives: an overview of systematic reviews. Patient Educ Couns. 2010;80(1):10-20.
17. Teo WSK, Raj AG, Tan WS, Ng CWL, Heng BH, Leong IYO. Economic impact analysis of an end-of-life programme for nursing home residents. Palliat Med. 2014;28(5):430-7.
18. Sweeney C, Molloy DW, O'Caoimh R, Bond R, Hynes H, McGlade C, Shorten G. European innovation partnership on active and healthy ageing: Ireland and the COLLAGE experience. Ir J Med Sci. 2013;182(S(6)):278-9.
19. O'Caoimh R, Sweeney C, Hynes H, McGlade C, Cornally N, Daly E, et al. COLLaboration on AGEing-COLLAGE: Ireland's three star reference site for the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). Eur Geriatr Med. 2015;6(5):505-11.
20. Molloy DW, Guyatt G. A comprehensive health care directive in a home for the aged. Can Med Assoc J. 1991;145:307-11.
21. Molloy DW, Urbanyi M, Horsman J, Guyatt GH, Bédard M. Two years' experience with a comprehensive health care directive in a Home for the Aged. Ann RCPSC. 1992;25:433-6.
22. Molloy DW, Guyatt G, Goeree R, Jubelius R, Urbanyi M, Flett N, Bedard M, King D. A comprehensive health-care directive for competent and incompetent residents of a home for the aged. Ann RCPSC. 1997;30:339-45.
23. Zhang B, Wright AA, Huskamp HA, Nilsson ME, Maciejewski ML, Earle CC, et al. Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009;169(5):480-8. doi:10.1001/archinternmed.2008.587.
24. Cornally N, McGlade C, Weathers E, Daly E, Fitzgerald C, O'Caoimh R, et al. Evaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: a user's perspective. BMC Palliat Care. 2015;14:55. doi:10.1186/s12904-015-0051-x.
25. Molloy DW, Silberfeld M, Darzins P, Guyatt GH, Singer PA, Rush B, et al. Measuring capacity to complete an advance directive. J Am Geriatr Soc. 1996;44(6):660-4.
26. Molloy DW, Russo R, Stiller A, O'Donnell MJ. How to implement the "Let Me Decide" advance health and personal care directive program. JCOM. 2000;7(9):41-7.
27. Molloy DW, Alemayehu E, Roberts R. Reliability of a standardized minimental state examination compared with the traditional mini-mental state examination. Am J Psychiatry. 1991;148(1):102-5.
28. Molloy DW, Russo R, Pedlar D, Bédard M. Implementation of advance directives among community-dwelling veterans. The Gerontologist. 2000;40(2):213-7.
29. Cahill S, Diaz-Ponce AM, Coen RF, Walsh C. The underdetection of cognitive impairment in nursing homes in the Dublin area. The need for on-going cognitive assessment. Age Ageing. 2010;39(1):128-31.
30. Drummond M, Sculpher M, Claxton K, Stoddart G, Torrance G. Methods for the economic evaluation of health care programmes. 4th ed. Oxford: Oxford University Press; 2015.
31. National Casemix Programme. Ready Reckoner 2013. Ready Reckoner of Acute Hospital inpatient and daycase activity and costs (summarised by DRG) relating to 2011 costs and activities. HSE; 2013.
32. Gannon B, O'Shea E, Hudson E. Technical report 1. The economic costs of falls and fractures in people aged 65 and over in Ireland. Technical report to NCAOP/HSE/DOHC. Irish Centre for Social Gerontology, National University of Ireland Galway; 2007.
33. BDO. Health's aging crisis: time for action. A future strategy for Ireland's long-term residential care sector. 2014. http://www.bdo.ie/sites/default/files/BDO%20Report%20Health's%20Ageing%20Crisis%20-%20Time%20for%20Action%20February%202014.pdf Last Accessed 25 Nov 2015.
34. Briggs AH, Claxton K, Sculpher MJ. Decision modelling for health economic evaluation. Oxford: Oxford University Press; 2006.
35. Geue C, Lewsey J, Lorgelly P, Govan L, Hart C, Briggs A. Spoilt for choice: implications of using alternative methods of costing hospital episode statistics. Health Econ. 2012;21:1201-16.
36. Finucane P, Wundke R, Whitehead C, Williamson L, Baggoley C. Use of in-patient hospital beds by people living in residential care. Gerontology. 2000;46(3):133-8.
37. Ouslander JG, Lamb G, Perloe M, Givens JH, Kluge L, Rutland T, et al. Potentially avoidable hospitalizations of nursing home residents: frequency, causes, and costs. J Am Geriatr Soc. 2010;58(4):627-35.
38. Gardiner C, Ward S, Gott M, Ingleton C. Economic impact of hospitalisations among patients in the last year of life: an observational study. Palliat Med. 2014;28(5):422-9.