Economic impact of hospitalisations among patients in the last year of life: an observational study

Palliative Medicine
Clare GardinerChristine Ingleton

Abstract

Hospital admissions among patients at the end of life have a significant economic impact. Avoiding unnecessary hospitalisations has the potential for significant cost savings and is often in line with patient preference. To determine the extent of potentially avoidable hospital admissions among patients admitted to hospital in the last year of life and to cost these accordingly. An observational retrospective case note review with economic impact assessment. Two large acute hospitals in the North of England, serving contrasting socio-demographic populations. A total of 483 patients who died within 1 year of admission to hospital. Data were collected across a range of clinical, demographic, economic and service use variables and were collected from hospital case notes and routinely collected sources. Palliative medicine consultants identified admissions that were potentially avoidable. Of 483 admissions, 35 were classified as potentially avoidable. Avoiding these admissions and caring for the patients in alternative locations would save the two hospitals £5.9 million per year. Reducing length of stay in all 483 patients by 14% has the potential to save the two hospitals £47.5 million per year; however, this cost would have to be...Continue Reading

References

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Citations

Sep 24, 2015·Journal of Palliative Medicine·Fred BurgeGordon Flowerdew
Nov 21, 2015·Journal of Epidemiology and Community Health·Lara PivodicLieve Van den Block
Dec 3, 2014·European Respiratory Review : an Official Journal of the European Respiratory Society·Luke S HowardSanjay Mehta
Mar 30, 2020·BMJ Supportive & Palliative Care·Tom DentCharles Daniels
Oct 6, 2017·BMC Geriatrics·Jane FlemingUNKNOWN Cambridge City over-75s Cohort (CC75C) study
Nov 30, 2018·Palliative Medicine·Merryn Gott, Jackie Robinson
Jul 16, 2019·British Journal of Nursing : BJN·Susan ProcterGeraldine Moore
Sep 8, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Evie PapavasiliouStephen Barclay

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