VigiPallia : Résultats

COUT SANTE

0 sélectionnée(s) / 52 réponse(s)

(1) 2 3 > »

A systematic intervention to improve serious illness communication in primary care - effect on expenses at the end of life

LAKIN, Joshua R. ; NEAL, Brandon J. ; MALONEY, Francine L. ; PALADINO, Joanna ; VOGELI, Christine ; TUMBLIN, Joey ; VIENNEAU, Maryann ; FROMME, Erik ; CUNNINGHAM, Rebecca ; BLOCK, Susan D. ; BERNACKI, Rachelle E.
Healthcare, 06/2020, vol.8, n°2, Pagination inconnue

Document en ligne

Associations between end-of-life expenditures and hospice stay length vary by clinical condition and expenditure duration

HUNG, Peiyin ; HSU, Sylvia H. ; WANG, Shi-Yi
VALUE IN HEALTH, 06/2020, vol.23, n°6, p. 697-704

Document en ligne

Cost-effectiveness of investment in end-of-life home care to enable death in community settings

ISENBERG, Sarina R. ; TANUSEPUTRO, Peter ; SPRUIN, Sarah ; SEOW, Hsien ; GOLDMAN, Russell ; THAVORN, Kednapa ; HSU, Amy T.
Medical Care, 05/06/2020, Pagination inconnue

Document en ligne

Complementary music therapy for cancer patients in at-home palliative care and their caregivers - protocol for a multicentre randomised controlled trial

VALERO-CANTERO, Inmaculada ; MARTINEZ-VALERO, Francisco Javier ; ESPINAR-TOLEDO, Milagrosa ; CASALS, Cristina ; BARON-LOPEZ, Francisco Javier ; VAZQUEZ-SANCHEZ, Maria Angeles
BMC palliative care, 02/05/2020, vol.19, n°1, p. 1-11

Document en ligne

Goals-of-care consultations are associated with lower costs and less acute care use among propensity-matched cohorts of African Americans and whites with serious illness

STARR, Lauren T. ; ULRICH, Connie M. ; APPEL, Scott M. ; JUNKER, Paul ; O'CONNOR, Nina R. ; MEGHANI, Salimah H.
JOURNAL OF PALLIATIVE MEDICINE, 27/04/2020, Pagination inconnue

Document en ligne

Economic evaluation of a combined screening and stepped-care treatment program targeting psychological distress in patients with metastatic colorectal cancer - a cluster randomized controlled trial

EL ALILI, Mohamed ; SCHUURHUIZEN, Claudia S. E. W. ; BRAAMSE, Annemarie M. J. ; BEEKMAN, Aartjan T. F. ; VAN DER LINDEN, Mecheline H. ; KONINGS, Inge R. ; DEKKER, Joost ; BOSMANS, Judith E.
PALLIATIVE MEDICINE, 29/04/2020, p. 1-12

Document en ligne

Impact of socioeconomic status on end-of-life costs - a systematic review and meta-analysis

YU, Caberry W. ; ALAVINIA, S. Mohammad ; ALTER, David A.
BMC palliative care, 12/2020, vol.19, n°1, p. 1-15

Document en ligne

Thème : Santé. Cote : eD01.01.02

FIN VIE ; COUT SANTE ; REVUE SYSTEMATIQUE ; META-ANALYSE

Background: Socioeconomic inequalities in access to, and utilization of medical care have been shown in many jurisdictions. However, the extent to which they exist at end-of-life (EOL) remains unclear.
Methods: Studies in MEDLINE, EMBASE, CINAHL, ProQuest, Web of Science, Web of Knowledge, and OpenGrey databases were searched through December 2019 with hand-searching of in-text citations. No publication date or language limitations were set. Studies assessing SES (e.g. income) in adults, correlated to EOL costs in last year(s) or month(s) of life were selected. Two independent reviewers performed data abstraction and quality assessment, with inconsistencies resolved by consensus.
Results: A total of twenty articles met eligibility criteria. Two meta-analyses were performed on studies that examined total costs in last year of life – the first examined costs without adjustments for confounders (n = 4), the second examined costs that adjusted for confounders, including comorbidities (n = 2). Among studies which did not adjust for comorbidities, SES was positively correlated with EOL costs (standardized mean difference, 0.13 [95% confidence interval, 0.03 to 0.24]). However, among studies adjusting for comorbidities, SES was inversely correlated with EOL expenditures (regression coefficient, -$150.94 [95% confidence interval, -$177.69 to -$124.19], 2015 United States Dollars (USD)). Higher ambulatory care and drug expenditure were consistently found among higher SES patients irrespective of whether or not comorbidity adjustment was employed.
Conclusion: Overall, an inequality leading to higher end-of-life expenditure for higher SES patients existed to varying extents, even within countries providing universal health care, with greatest differences seen for outpatient and prescription drug costs. The magnitude and directionality of the relationship in part depended on whether comorbidity risk-adjustment methodology was employed.

Origine : DOI.org (Crossref

Palliative care in ruptured aortic aneurysm in the United States - a retrospective analysis of nationwide inpatient sample database

ANDO, Tomo ; ADEGBALA, Oluwole ; UEMURA, Takeshi ; ASHRAF, Said ; AKINTOYE, Emmanuel ; PAHUJA, Mohit ; AFONSO, Luis ; BRIASOULIS, Alexandros ; TAKAGI, Hisato
Angiology, 06/04/2020, Pagination inconnue

Document en ligne

Variability of cost trajectories over the last year of life in patients with advanced breast cancer in the Netherlands

SCHNEIDER, Paul P. ; POUWELS, Xavier G. L. V. ; PASSOS, Valéria Lima ; RAMAEKERS, Bram L. T. ; GEURTS, Sandra M. E. ; IBRAGIMOVA, Khava I. E. ; DE BOER, Maaike ; ERDKAMP, Frans ; VRIENS, Birgit E. P. J. ; VAN DE WOUW, Agnes J. ; DEN BOER, Marien O. ; PEPELS, Manon J. ; TJAN-HEIJNEN, Vivianne C. G. ; JOORE, Manuela A.
Plos one, 09/04/2020, vol.15, n°4, p. 1-14

Document en ligne

Association of declines in end-of-life health care costs with fee-for-service enrollee per capita expenditures

WEEKS, William B. ; CAO, Stacey Y. ; LESTER, Chris M. ; WEINSTEIN, James N.
JAMA network open, 02/03/2020, vol.3, n°3, p. 1-5

Document en ligne

Assessing the impact of early identification of patients appropriate for palliative care on resource use and costs in the final month of life

LOOK HONG, Nicole J. ; LIU, Ning ; WRIGHT, Frances C. ; MACKINNON, Marnie ; SEUNG, Soo Jin ; EARLE, Craig C. ; GRADIN, Sharon ; SATI, Saurabh ; BUCHMAN, Sandy ; MITTMANN, Nicole
JCO oncology practice, 20/03/2020, Pagination inconnue

Document en ligne

Health care costs at end-of-life for patients with idiopathic pulmonary fibrosis - evaluation of a pilot multidisciplinary clinic

KALLURI, Meena ; LU-SONG, Jenny ; YOUNUS, Sarah ; NABIPOOR, Majid ; RICHMAN-EISENSTAT, Janice ; OHINMAA, Arto ; BAKAL, Jeffrey A.
Annals of the American Thoracic Society, 20/03/2020, Pagination inconnue

Document en ligne

Thème : Médecine.

COUT SANTE ; FIN VIE ; MALADIE RESPIRATOIRE ; DEMARCHE PALLIATIVE ; TRAJECTOIRE MALADIE

RATIONALE: Even though Idiopathic pulmonary fibrosis (IPF) is a disease with high morbidity and mortality and no cure, palliative care is rarely implemented, leading to high symptom burden and unmet care needs. In 2012 we implemented a Multidisciplinary Collaborative (MDC) care model linking clinic and community multidisciplinary teams to provide an early-integrated palliative approach, focusing on early symptom management and advanced care planning (ACP).
OBJECTIVES: This study evaluates the differences in resource utilization and associated costs of end-of-life care between early-integrated palliative and conventionally treated IPF patients.
METHODS: Using administrative health data, we identified all patients in Alberta who presented to hospital with an IPF diagnosis between Jan 1, 2012 and Dec 31, 2018 and died within this timeframe. We compared 3 groups of patients: those who received (1) MDC care (our clinic patients), (2) specialist care (SC; respirologist), and (3) non-specialist care (NSC; no contact with a respiratory clinic). The primary outcomes were health care resource utilization and costs in the year before death.
RESULTS: Of 2,768 patients across three groups, MDC patients were over 3 times more likely to have received anti-fibrotic therapies over SC patients (OR=3.0; 95%CI 1.8-5.2), almost twice as likely to receive pulmonary rehab (OR=1.9; 95%CI 1.1-3.4) and 36% more likely to receive opiates (OR=1.4; 95%CI 0.8-2.3) in the last year of life. The median total health care costs in the last 3 months of life were approximately $7,700 CDN lower for MDC patients compared to those receiving specialist care, driven primarily by fewer hospitalizations and ED visits. MDC patients were also less likely to die in hospital (44.9% MDC vs 64.9% SC vs 66.8% NSC, p<0.001) and had the highest rates of no hospitalization in the last year of life.
CONCLUSIONS: An integrated palliative approach in IPF is associated with improvements in the quality of end-of-life care and reduction in costs. Transformation of care models is required to deliver a palliative approach in IPF. Multidisciplinary collaborative teams within such models can address the high burden of unmet needs for symptom management, advance care planning (ACP) and community support in this complex population.

Origine : PubMed

Impact of length of hospice on spending and utilization among medicare beneficiaries with lung cancer

KALIDINDI, Yamini ; JUNG, Jeah ; SEGEL, Joel ; LESLIE, Douglas
The American journal of hospice and palliative care, 03/03/2020, Pagination inconnue

Document en ligne

Palliative care is underutilized and affects healthcare costs in ruptured abdominal aortic aneurysms

LIU, Shirley ; HELLER, Danielle R. ; JEAN, Raymond A. ; CHIU, Alexander S. ; KHAN, Sajid A. ; DARDIK, Alan
Surgery, 02/03/2020, Pagination inconnue

Document en ligne

Till death do us part - the effect of marital status on health care utilization and costs at end-of-life. A register study on all colorectal cancer decedents in Norway between 2009 and 2013

BJORNELV, Gudrun Maria Waaler ; EDWIN, Bjørn ; FRETLAND, Åsmund Avdem ; DEB, Partha ; AAS, Eline
BMC health services research, 13/02/2020, vol.20, n°1, p. 1-13

Document en ligne

Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care - a retrospective study

HUANG, Ya-Ting ; WANG, Ying-Wei ; CHI, Chou-Wen ; HU, Wen-Yu ; LIN, Rung ; SHIAO, Chih-Chung ; TANG, Woung-Ru
Plos one, 2020, vol.15, n°2, p. 1-21

Document en ligne

Intensity of care, expenditure, place and cause of death people with lung cancer in the year before their death - a French population based study

TANGUY-MELAC, Audrey ; DENIS, Pierre ; PESTEL, Laurence ; FAGOT-CAMPAGNA, Anne ; GASTALDI-MENAGER, Christelle ; TUPPIN, Philippe
Bulletin du cancer, 03/2020, vol.107, n°3, p. 308-321

Document en ligne

Analysis of inpatient palliative care consultations for patients with metastatic prostate cancer

MISTRY, Neil A. ; RAZA, Syed Johar ; SIDDIQUI, Sameer A.
The American journal of hospice and palliative care, 02/2020, vol.37, n°2, p. 136-141

Document en ligne

Drivers of care costs and quality in the last 3 months of life among older people receiving palliative care - a multinational mortality follow-back survey across England, Ireland and the United States

YI, Deokhee ; JOHNSTON, Bridget M. ; RYAN, Karen ; DAVESON, Barbara A. ; MEIER, Diane E. ; SMITH, Melinda ; McQUILLAN, Regina ; SELMAN, Lucy ; PANTILAT, Steven Z. ; NORMAND, Charles E. ; MORRISON, R. Sean ; HIGGINSON, Irene J.
PALLIATIVE MEDICINE, 03/02/2020, p. 1-11

Document en ligne

Economics of palliative care for cancer - interpreting current evidence, mapping future priorities for research

MAY, Peter ; NORMAND, Charles E. ; MORRISON, R. Sean
Journal of clinical oncology, 05/02/2020, Pagination inconnue

Document en ligne

(1) 2 3 > »

Actions

##titre_notice##