PMID: 16613405Apr 15, 2006Paper

Determinants of resource utilization in four palliative care units

Palliative Medicine
Yaël Tibi-LévyGérard de Pouvourville

Abstract

To assess resources mobilized per day and per patient receiving palliative care (PC) and to explain the observed cost variability. We conducted a prospective study in four French PC units. For each patient, socio-demographic and medical data were collected (using a case-report form developed specifically for this purpose) and a daily cost for the provision of care was estimated. Three methods were used to analyse causal relationships. The first method was to ask the PC staff, individually and in group meetings, their own perception of the relationship between daily costs and the other variables; the remaining two methods used the data collected in the prospective study: correlational analysis and segmentation. The database contained 140 hospitalization sequences. The daily cost per patient was, on average, Euro 434 (standard deviation: Euro 73) and ranged from Euro 301 to Euro 667. Beyond differences in resources between PC units in this study, six variables were predictive of higher costs: degree of anxiety of patients and/or their families; proximity of death; extreme dependence; ENT cancer; relatively young age of the patient; and provision of certain procedures (drip, syringe driver, aspiration, oxygen therapy). These eleme...Continue Reading

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Citations

Nov 3, 2010·Journal of Palliative Medicine·Steven SimoensJohan Menten
Jun 29, 2010·Journal of Pain and Symptom Management·Steven SimoensJohan Menten
May 20, 2011·Cancer·Sheila PritchardRonald Barr
Jul 11, 2013·Palliative Medicine·Samantha SmithCharles Normand
Mar 4, 2021·Journal of Palliative Medicine·Luciana Martins RozmanPatrícia Coelho de Soárez

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