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- Title
Early palliative care associated with lower costs for adults with advanced cancer: evidence from Hungary.
- Authors
Zemplényi, Antal Tamás; Csikós, Ágnes; Fadgyas‐Freyler, Petra; Csanádi, Marcell; Kaló, Zoltán; Pozsgai, Éva; Rutten‐van Mölken, Maureen; Pitter, János György
- Abstract
Objective: Palliative Care Consult Service (PCCS) programme was established in Hungary to provide palliative care to hospitalised patients with complex needs and to coordinate integrated care across providers. The aim of this study was to measure the association of PCCS with healthcare costs from payer's perspective. Methods: Study population consisted of patients with metastatic cancer, who were admitted to the Clinical Centre of the University of Pécs between 2014 and 2016. Patients who did not die within 180 days from enrolment were excluded. Patients receiving services from PCCS team (intervention patients) were compared to patients receiving usual care (controls). The two populations were matched using propensity scores. Data were obtained from electronic medical records linked to claims data. Results: For patients who were involved in PCCS at least 60 days before their death, the costs of care outside the acute hospital were higher. However, this was offset by savings in hospital costs so that the total healthcare cost was significantly reduced (p = 0.034). The proportion of patients who died in the hospital was lower in the PCCS group compared to the usual care group (66% vs. 85%, p = 0.022). Conclusion: Timely initiation of palliative care for hospitalised patients is associated with cost savings for the healthcare system.
- Subjects
HUNGARY; SOCIAL support; MEDICAL care costs; METASTASIS; MANN Whitney U Test; TUMOR classification; CANCER patients; DESCRIPTIVE statistics; DECISION making; CHI-squared test; RESEARCH funding; ELECTRONIC health records; STATISTICAL correlation; DATA analysis software; PALLIATIVE treatment
- Publication
European Journal of Cancer Care, 2021, Vol 30, Issue 6, p1
- ISSN
0961-5423
- Publication type
Article
- DOI
10.1111/ecc.13473