Impact of home-based palliative care on health care costs and hospital use: A systematic review.
Palliat Support Care
; 19(4): 474-487, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-33295269
ABSTRACT
OBJECTIVE:
To assess the effectiveness of home-based palliative care (HBPC) on reducing hospital visits and whether HBPC lowered health care cost.METHOD:
We searched six bibliographic databases (Embase (Ovid); Cochrane Central Register of Controlled Trials; Medline (Ovid); PubMed; Web of Science Core Collection; and, CINAHL) until February 2019 and performed a narrative synthesis of our findings.RESULTS:
Of the 1,426 identified references, 21 articles based on 19 unique studies met our inclusion criteria, which involved 92,000 participants. In both oncological and non-oncological patients, HBPC consistently reduced the number of hospital visits and their length, as well as hospitalization costs and overall health care costs. Even though home-treated patients consumed more outpatient resources, a higher saving in the hospital costs counterbalanced this. The reduction in overall health care costs was most noticeable for study periods closer to death, with greater reductions in the last 2 months, last month, and last two weeks of life. SIGNIFICANCE OFRESULTS:
Stakeholders should recognize HBPC as an intervention that decreases patient care costs at end of life and therefore health care providers should assess the preferences of patients nearing the end-of-life to identify those who will benefit most from HBPC.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
/
Serviços de Assistência Domiciliar
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Palliat Support Care
Assunto da revista:
TERAPEUTICA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Suíça