Evidence on the cost and cost-effectiveness of palliative care: A literature review

@article{Smith2014EvidenceOT,
  title={Evidence on the cost and cost-effectiveness of palliative care: A literature review},
  author={Samantha Smith and Aoife Brick and Sin{\'e}ad O'Hara and Charles Normand},
  journal={Palliative Medicine},
  year={2014},
  volume={28},
  pages={130 - 150}
}
Background: In the context of limited resources, evidence on costs and cost-effectiveness of alternative methods of delivering health-care services is increasingly important to facilitate appropriate resource allocation. Palliative care services have been expanding worldwide with the aim of improving the experience of patients with terminal illness at the end of life through better symptom control, coordination of care and improved communication between professionals and the patient and family… 

Figures from this paper

Evidence on the economic value of end-of-life and palliative care interventions: a narrative review of reviews

Overall, most evidence on cost-effectiveness relates to home-based palliative care interventions and suggests that they offer substantial savings to the health system, including a decrease in total healthcare costs, resource use and improvement in patient and caregivers’ outcomes.

Effectiveness and cost-effectiveness of out-of-hours palliative care: a systematic review

The importance of integrated, 24-hour care for people in line with a palliative care approach is not reflected in the literature, which lacks evidence on the effects of interventions provided outside typical working hours.

Effectiveness and cost-effectiveness of out-of-hours palliative

With a palliative care approach, the importance of integrated, 24-hour care for people in line is not reflected in the literature, which lacks evidence on the effects of interventions provided outside typical working hours.

Economic Evaluation of Palliative Care Interventions: A Review of the Evolution of Methods From 2011 to 2019

Economic evaluations that measure the incremental cost per quality adjusted life years (QALY) are warranted to inform cost-effectiveness of the intervention relative to a comparator and permit evaluation of investment against other therapeutic interventions.

The health care cost of palliative care for cancer patients: a systematic review

Re receiving palliative care after a cancer diagnosis was associated with lower costs for cancer patients, and remarkable differences exist in cost saving across different palliatives care models.

What cost components are relevant for economic evaluations of palliative care, and what approaches are used to measure these costs? A systematic review

A systematic review of the health and social care literature to determine the range of financial costs related to a palliative care approach and explore approaches used to measure these costs.

The costs, resource use and cost-effectiveness of Clinical Nurse Specialist–led interventions for patients with palliative care needs: A systematic review of international evidence

Clinical Nurse Specialist interventions may be effective in reducing specific resource use such as hospitalizations/re-hospitalizations/admissions, length of stay and health care costs, and there is mixed evidence regarding their cost-effectiveness.

Economic impact of hospital inpatient palliative care consultation: review of current evidence and directions for future research.

Inpatient palliative care consultation programs have been shown to save hospitals money and to provide improved care to patients with serious illness, and it is timely to begin expanding the scope of economic evaluation in this field.

Economic evaluations of palliative care models: A systematic review

Economic evaluations of palliative care models are described and critically appraise to identify cost-effective models in improving patient-centered outcomes and applicability and generalizability of evidence is uncertain due to small sample sizes, short duration, and limited modeling of costs and effects.

Economic Impact of Hospital Inpatient Palliative Care Consultation: Review of Current Evidence and Directions for Future Research

To review systematically the economic evidence on specialist palliative care consultation teams in the hospital setting, to appraise this evidence critically, and to identify areas for future research in this field.
...

References

SHOWING 1-10 OF 61 REFERENCES

Effectiveness of specialized palliative care: a systematic review.

The evidence for benefit from specialized palliative care is sparse and limited by methodological shortcomings, and carefully planned trials, using a standardized palliatives care intervention and measures constructed specifically for this population, are needed.

The costs of treating terminal patients.

Clinical and economic impact of palliative care consultation.

Utilization and costs of the introduction of system-wide palliative care in Alberta, 19932000

These results demonstrate that the introduction of comprehensive and community-based palliative care services resulted in increased palliatives care service delivery and cost neutrality, primarily achieved through a decreased use of acute care beds.

The economic and clinical impact of an inpatient palliative care consultation service: a multifaceted approach.

The results extend the evidence base of financial and clinical benefits associated with inpatient PC programs and recommend additional study of best practices for identifying patients and providing consultation services, in addition to progressive management support and reimbursement policy.

The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data.

Empirical evidence is suggested that efficacy of the palliative care service in terms of patient outcomes, provider satisfaction, caregiver satisfaction, and cost savings is suggested.

Impact of an inpatient palliative care team: a randomized control trial.

IPCS patients reported greater satisfaction with their care experience and providers' communication, had fewer ICU admissions on readmission, and lower total health care costs following hospital discharge, compared with other palliative care services.
...