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Costs of terminal patients who receive palliative care or usual care in different hospital wards

Steven Simoens, Betty Kutten, Emmanuel Keirse, Paul Vanden Berghe, Claire Beguin, Marianne Desmedt, Myriam Deveugele UGent, Christian Leonard, Dominique Paulus and Johan Menten (2010) JOURNAL OF PALLIATIVE MEDICINE. 13(11). p.1365-1369
abstract
Background: In addition to the effectiveness of hospital care models for terminal patients, policy makers and health care payers are concerned about their costs. This study aims to measure the hospital costs of treating terminal patients in Belgium from the health care payer perspective. Also, this study compares the costs of palliative and usual care in different types of hospital wards. Methods: A multicenter, retrospective cohort study compared costs of palliative care with usual care in acute hospital wards and with care in palliative care units. The study enrolled terminal patients from a representative sample of hospitals. Health care costs included fixed hospital costs and charges relating to medical fees, pharmacy and other charges. Data sources consisted of hospital accountancy data and invoice data. Results: Six hospitals participated in the study, generating a total of 146 patients. The findings showed that palliative care in a palliative care unit was more expensive than palliative care in an acute ward due to higher staffing levels in palliative care units. Palliative care in an acute ward is cheaper than usual care in an acute ward. Conclusions: This study suggests that palliative care models in acute wards need to be supported because such care models appear to be less expensive than usual care and because such care models are likely to better reflect the needs of terminal patients. This finding emphasizes the importance of the timely recognition of the need for palliative care in terminal patients treated in acute wards.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
JOURNAL OF PALLIATIVE MEDICINE
J. Palliat. Med.
volume
13
issue
11
pages
1365 - 1369
Web of Science type
Article
Web of Science id
000284397000012
JCR category
HEALTH CARE SCIENCES & SERVICES
JCR impact factor
2.245 (2010)
JCR rank
19/71 (2010)
JCR quartile
2 (2010)
ISSN
1096-6218
DOI
10.1089/jpm.2010.0212
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1097579
handle
http://hdl.handle.net/1854/LU-1097579
date created
2011-01-11 15:15:29
date last changed
2016-12-19 15:46:18
@article{1097579,
  abstract     = {Background: In addition to the effectiveness of hospital care models for terminal patients, policy makers and health care payers are concerned about their costs. This study aims to measure the hospital costs of treating terminal patients in Belgium from the health care payer perspective. Also, this study compares the costs of palliative and usual care in different types of hospital wards.
Methods: A multicenter, retrospective cohort study compared costs of palliative care with usual care in acute hospital wards and with care in palliative care units. The study enrolled terminal patients from a representative sample of hospitals. Health care costs included fixed hospital costs and charges relating to medical fees, pharmacy and other charges. Data sources consisted of hospital accountancy data and invoice data.
Results: Six hospitals participated in the study, generating a total of 146 patients. The findings showed that palliative care in a palliative care unit was more expensive than palliative care in an acute ward due to higher staffing levels in palliative care units. Palliative care in an acute ward is cheaper than usual care in an acute ward.
Conclusions: This study suggests that palliative care models in acute wards need to be supported because such care models appear to be less expensive than usual care and because such care models are likely to better reflect the needs of terminal patients. This finding emphasizes the importance of the timely recognition of the need for palliative care in terminal patients treated in acute wards.},
  author       = {Simoens, Steven  and Kutten, Betty and Keirse, Emmanuel and Vanden Berghe, Paul and Beguin, Claire and Desmedt, Marianne and Deveugele, Myriam and Leonard, Christian and Paulus, Dominique and Menten, Johan },
  issn         = {1096-6218},
  journal      = {JOURNAL OF PALLIATIVE MEDICINE},
  language     = {eng},
  number       = {11},
  pages        = {1365--1369},
  title        = {Costs of terminal patients who receive palliative care or usual care in different hospital wards},
  url          = {http://dx.doi.org/10.1089/jpm.2010.0212},
  volume       = {13},
  year         = {2010},
}

Chicago
Simoens, Steven , Betty Kutten, Emmanuel Keirse, Paul Vanden Berghe, Claire Beguin, Marianne Desmedt, Myriam Deveugele, Christian Leonard, Dominique Paulus, and Johan Menten. 2010. “Costs of Terminal Patients Who Receive Palliative Care or Usual Care in Different Hospital Wards.” Journal of Palliative Medicine 13 (11): 1365–1369.
APA
Simoens, S., Kutten, B., Keirse, E., Vanden Berghe, P., Beguin, C., Desmedt, M., Deveugele, M., et al. (2010). Costs of terminal patients who receive palliative care or usual care in different hospital wards. JOURNAL OF PALLIATIVE MEDICINE, 13(11), 1365–1369.
Vancouver
1.
Simoens S, Kutten B, Keirse E, Vanden Berghe P, Beguin C, Desmedt M, et al. Costs of terminal patients who receive palliative care or usual care in different hospital wards. JOURNAL OF PALLIATIVE MEDICINE. 2010;13(11):1365–9.
MLA
Simoens, Steven , Betty Kutten, Emmanuel Keirse, et al. “Costs of Terminal Patients Who Receive Palliative Care or Usual Care in Different Hospital Wards.” JOURNAL OF PALLIATIVE MEDICINE 13.11 (2010): 1365–1369. Print.