Financial impact of palliative care consultation in a public hospital

Journal of Palliative Medicine
Edmond A BendalyGregory P Gramelspacher

Abstract

Palliative care programs assist with prognostication, symptom control, and communication with patient and family. Hospitals often require financial justification for new programs Objective: Study the financial impact of the palliative care consultation (PCc) service in a public hospital. From January to December 2005, 258 deaths occurred on the medicine service. Of those deceased patients, 116 were studied. Inclusion criteria were 50 or more years of age, length of stay (LOS) 3 days or more, admission to an internal medicine service, and death during that hospitalization. Charges, diagnosis-related groups (DRGs), DRG weights, and demographic variables were examined. Of the 116 deceased patients studied, 61 patients received a PCc, while 55 did not. Most patients had Medicare or Medicaid (82.8%). Both groups were similar in terms of demographic characteristics. Average LOS was 14.4 days for patients with a PCc versus 12.2 days for those without (p = 0.57). Median charges for the group without a PCc were $42,731, versus a median of $35,824 for those with a PCc. There was no significant variation of DRG weights within the same DRG. DRG weight was significantly positively correlated with charges. Both PCc and DRG weight were signif...Continue Reading

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Citations

Jan 25, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Johannes BükkiChristoph Ostgathe
Feb 9, 2010·Journal of Palliative Medicine·Ritabelle FernandesEmese Somogyi-Zalud
Jul 6, 2010·Journal of Palliative Medicine·J Brian CasselThomas J Smith
Mar 18, 2011·Journal of Palliative Medicine·Carol W Babcock, Larry E Robinson
May 2, 2013·Journal of Oncology Practice·Gabrielle B RocqueJames F Cleary
May 29, 2012·Journal of the Chinese Medical Association : JCMA·Shih-Chao KangShinn-Jang Hwang
Oct 22, 2013·Palliative & Supportive Care·Marissa ArawGisele Wolf-Klein
Oct 11, 2016·Journal of Pain and Symptom Management·Robert J ZalenskiRobert D Welch
Jul 11, 2013·Palliative Medicine·Samantha SmithCharles Normand
Dec 19, 2012·Nature Reviews. Clinical Oncology·Gabrielle B Rocque, James F Cleary
Mar 21, 2017·The Oncologist·Shalini Dalal, Eduardo Bruera
Dec 20, 2013·Critical Care Medicine·Zachary O BinneyAlyssa A Majesko
May 21, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Yan-Mei DaiChih-Chung Shiao

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