The Impact of Community-Based Palliative Care on Utilization and Cost of Acute Care Hospital Services in the Last Year of Life

Journal of Palliative Medicine

Volumn 20, Issue 7, 2017, Pages 736-744

  Youens, David ^a   Moorin, Rachael ^a,b  

^a CURTIN UNIVERSITY   (Australia)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

Author keywords

community based care; hospital use; linked administrative data; palliative care

Indexed keywords

CANCER REGISTRY; COHORT ANALYSIS; DATA BASE; DEATH; EMERGENCY CARE; EMERGENCY WARD; EXPOSURE; FEMALE; FUNDING; HOSPITAL ADMISSION; HOSPITAL SERVICE; HOSPITALIZATION; HUMAN; INCIDENCE; INFORMATION PROCESSING; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; ODDS RATIO; PALLIATIVE THERAPY; POPULATION RESEARCH; PROPENSITY SCORE; STATISTICAL MODEL; ADULT; AGED; AUSTRALIA; COMPARATIVE STUDY; ECONOMICS; HEALTH CENTER; INTENSIVE CARE; MIDDLE AGED; NEOPLASM; ORGANIZATION AND MANAGEMENT; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; AUSTRALIA; COHORT STUDIES; COMMUNITY HEALTH CENTERS; CRITICAL CARE; FEMALE; HOSPITALIZATION; HUMANS; MALE; MIDDLE AGED; NEOPLASMS; PALLIATIVE CARE; RETROSPECTIVE STUDIES;

EID: 85022174595     PISSN: 10966218     EISSN: 15577740     Source Type: Journal    
DOI: 10.1089/jpm.2016.0417     Document Type: Article

References (34)

1. Felder S, Meier M, Schmitt H: Health care expenditure in the last months of life. J Health Econ 2000;19:679-695
2. Riley G, Lubitz J: Long-term trends in medicare payments in the last year of life. Health Serv Res 2010;45:565-576
3. Jakobsson E, Bergh I, Ohlen J, et al.:Utilization of health-care services at the end-of-life. Health Policy 2007;82:276-287
4. Langton JM, Blanch B, Drew AK, et al.: Retrospective studies of end-of-life resource utilization and costs in cancer care using health administrative data: A systematic review. Palliat Med 2014;28:1167-1196
5. Emanuel EJ, Ash A, Yu W, et al.: Managed care, hospice use, site of death, and medical expenditures in the last year of life. Arch Intern Med 2002;162:1722-1728
6. Foreman L, Hunt R, Luke C, et al.: Factors predictive of preferred place of death in the general population of South Australia. Palliat Med 2006;20:447-453
7. Holdsworth L, Fisher S: A retrospective analysis of preferred and actual place of death for hospice patients. Int J Palliat Nurs 2010;16:424-430
8. Tang S: When death is imminent: Where terminally ill patients with cancer prefer to die and why. Cancer Nurs 2006; 26:245-250
9. Townsend J, Frank A, Fermont D, et al.: Terminal cancer care and patients' preference for place of death: A prospective study. Br Med J 1990;301:415-417
10. Palliative Care Australia: Standards for Providing Quality Palliative Care for all Australians. Australian Capital Territory: Palliative Care Australia, 2005
11. Zimmerman C, Riechelmann R, Krzyzanowska M, et al.: Effectiveness of specialized palliative care: A systematic review. J Am Med Assoc 2008;299:1698-1709
12. Grande G, Todd C: Why are trials in palliative care so difficult? Palliat Med 2000;14:69-74
13. May P, Normand C, Morrison S: Economic impact of hospital inpatient palliative care consultation: Review of current evidence and directions for future research. J Palliat Med 2014;17:1054-1063
14. Gomes B, Calanzani C, Curiale V, et al.: Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database of Syst Rev 2013;6:CD007760
15. Rabow M, Kvale E, Barbour L, et al.: Moving upstream: A review of the evidence of the impact of outpatient palliative care. J Palliat Med 2013;16:1540-1549
16. McNamara B, Rosenwax L, Murray K, Currow D: Early admission to community-based palliative care reduces use of emergency departments in the ninety days before death. J Palliat Med 2013;16:774-779
17. Rosenwax L, Spilsbury K, Arendts G, et al.: Community-based palliative care is associated with reduced emergency department use by people with dementia in their last year of life: A retrospective cohort study. Palliat Med 2015;29:727-736
18. McNamara B, Rosenwax L: Factors affecting place of death in Western Australia. Health Place 2007;13:356-367
19. Holman CDAJ, Bass AJ, Rouse IL, et al.: Population-based linkage of health records in Western Australia: Development of a health services research linked database. Aust N Z J Public Health 1999;23:453-459
20. Australian Bureau of Statistics: Census of Population and Housing: Socio-Economic Indexes for Areas. Canberra: Australian Bureau of Statistics, 2001, 2006, 2011
21. Christensen D, Davis G, Draper G, et al.: Evidence for the use of an algorithm in resolving inconsistent and missing Indigenous status in administrative data collections. Aust J Soc Issues 2014;49:423-443
22. Holman CDAJ, Preen DB, Baynham NJ, et al.: A multipurpose comorbidity scoring system performed better than the Charlson index. J Clin Epidemiol 2005;58:1006-1014
23. Commonwealth Department of Health and Ageing: National Hospital Cost Data Collection Hospital Reference Manual: Western Australia. 2001-2011. Canberra: Commonwealth Department of Health and Ageing
24. Independent Hospital Pricing Authority: National Hospital Cost Data Collection Cost Report 2011-2012, Round
25. Canberra: Independent Hospital Pricing Authority, Commonwealth of Australia, 2014
26. Australian Institute of Health and Welfare: Health expenditure Australia 2010-2011. Health and Welfare Expenditure Series. Canberra: AIHW, 2012
27. Guo S, Fraser M: Propensity Score Analysis. USA: Sage Publications, 2015
28. Rosenbaum PR, Rubin DB: The central role of the propensity score in observational studies for causal effects. Biometrika 1983;70:41-55
29. Garrido M: Propensity scores: A practical method for assessing treatment effects in pain and symptom management research. J Pain Symptom Manage 2014;48:711-718
30. Yun YH, Lee MK, Kim SY, et al.: Impact of awareness of terminal illness and use of palliative care or intensive care unit on the survival of terminally ill patients with cancer: Prospective cohort study. J Clin Oncol 2011;29:2474-2480
31. Barathi B, Chandra PS: Palliative sedation in advanced cancer patients: Does it shorten survival time? A systematic review. Indian J Palliat Care 2013;19:40-47
32. Temel JS, Greer JA, Muzikansky A, et al.: Early palliative care for patients with metastatic non-small-cell lung cancer. N Engl J Med 2010;363:733-742
33. Bach PB, Schrag DS, Begg CD: Resurrecting treatment histories of dead patients: A study design that should be laid to rest. J Am Med Assoc 2004;292:2765-2770
34. Johnston BM, Normand C, May P: Economics of palliative care: Measuring the full value of and intervention. J Palliat Med 2017;20:1-3