End of Life Cost Savings in the Palliative Care Unit Compared to Other Services.
dc.contributor.author | Herrera Abián, María | |
dc.contributor.author | Antón Rodríguez, Cristina | |
dc.contributor.author | Noguera, Antonio | |
dc.date.accessioned | 2023-05-05T09:54:26Z | |
dc.date.available | 2023-05-05T09:54:26Z | |
dc.date.issued | 2022 | |
dc.description.abstract | Context Hospital deaths carry a significant healthcare cost that has been confirmed to be lower when palliative care units (PCUs) are available. Objectives To compare the last admission hospital health care cost of dying in a first-level hospital between the PCU and the rest of the hospital services. Methods A retrospective, comparative, observational study evaluating costs from the payer perspective on treatments and diagnostic-therapeutic tests performed on patients who die in first-level hospital, comparing whether they were treated by the PCU or another unit (Non-PCU). Patients with a mortality risk >2 were included according to the Severity of Illness Index (SOI) and Risk of Mortality (MOR). All cost express in €, median per patient and interquartile range (IQR). Results From 1,833 patients who died, 1,389 were included, 442 (31.1%) treated by PCU and 928 (68.9%) Non-PCU. Statistical differences were found for the last admission total cost (€262.8 (€470.1) for PCU versus €515.3 (€980.48) in Non-PCU), daily total cost (€74.27 (€127.4) vs €115.8 (€142.4) Non-PCU). Savings were maintained when the sample was broken down by diagnosis-related group (DRG) and a multivariate analysis was performed to determine how the different patients baseline characteristics between PCU and Non-PCU patients influenced the results obtained. Conclusions Data from this study show that cost is significantly lower when the patients are treated by a PCU during their last hospital stay when they pass away. | spa |
dc.description.extent | 159 KB | spa |
dc.identifier.doi | 10.1016/j.jpainsymman.2022.06.016 | spa |
dc.identifier.issn | 0885-3924 | spa |
dc.identifier.uri | https://hdl.handle.net/10641/3383 | |
dc.language.iso | eng | spa |
dc.publisher | Journal of Pain and Symptom Management | spa |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S0885392422007941 | spa |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.rights.accessRights | open access | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.subject | Palliative care | spa |
dc.subject | Inpatient | spa |
dc.subject | Hospital | spa |
dc.subject | Death | spa |
dc.title | End of Life Cost Savings in the Palliative Care Unit Compared to Other Services. | spa |
dc.type | journal article | spa |
dc.type.hasVersion | AM | spa |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | e8c1cb50-bc4c-4c06-86bc-f6577b686034 | |
relation.isAuthorOfPublication | 72b2ac96-de6b-4634-aede-647e87a82b46 | |
relation.isAuthorOfPublication.latestForDiscovery | e8c1cb50-bc4c-4c06-86bc-f6577b686034 |
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