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 A. Brick and Sin{\'e}ad O'Hara and C. 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… Expand
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Effectiveness and cost-effectiveness of out-of-hours palliative care: a systematic review [version 1; peer review: 1 approved]
Background: Out-of-hours palliative care is a priority for patients, caregivers and policymakers. Approximately three quarters of the week occurs outside of typical working hours, and the need forExpand
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References

SHOWING 1-10 OF 61 REFERENCES
Effectiveness of specialized palliative care: a systematic review.
TLDR
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. Expand
The costs of treating terminal patients.
TLDR
There is some evidence pointing to cost advantages of palliative care at home as compared with alternative care models, although this needs to be corroborated by further research. Expand
Clinical and economic impact of palliative care consultation.
TLDR
Palliative care consultation is followed by decisions to forego costly treatment and improved symptom scores, and earlier palliatives care intervention results in greater cost-savings. Expand
Utilization and costs of the introduction of system-wide palliative care in Alberta, 19932000
TLDR
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. Expand
Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers?
TLDR
This is the first study to quantitatively demonstrate benefit from palliative and hospice care teams PCHCTs, and wide variations in the type of service delivered by each team were found. Expand
Resource consumption and costs of palliative care services in Spain: a multicenter prospective study.
TLDR
Compared to the previous resource consumption and expenditure study in 1992, the current PCS policy implies a cost saving of 61%, with greater efficiency and no compromise of patient care. Expand
The economic and clinical impact of an inpatient palliative care consultation service: a multifaceted approach.
TLDR
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. Expand
The benefits of a hospital-based inpatient palliative care consultation service: preliminary outcome data.
TLDR
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. Expand
Optimal approaches to the health economics of palliative care: report of an international think tank.
TLDR
A group of 40 researchers, health economists, policy makers, and advocates exchanged their experiences, concerns, and recommendations in five main areas: shared definitions, strengths and weaknesses of different payment systems, international and country-specific research challenges, appropriate economic evaluation methods, and the varied perspectives to the costs of palliative care. Expand
Impact of an inpatient palliative care team: a randomized control trial.
TLDR
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. Expand
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