Cost considerations for implementing dignity therapy in palliative care: Insights and implications.

Autor:	Al Yacoub R; Department of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA., Rangel AP; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA., Shum-Jimenez A; Department of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA., Greenlee A; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA., Yao Y; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA., Schoppee TM; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.; Community Hospice & Palliative Care, Jacksonville, FLUSA., Fitchett G; Department of Religion, Health and Human Values, College of Health Sciences, Rush University Medical Center, Chicago, ILUSA., Handzo G; HealthCare Chaplaincy Network, New York, NYUSA., Chochinov HM; Department of Psychiatry and Cancer Care Manitoba Research Institute, University of Manitoba, Winnipeg, MB, Canada., Emanuel LL; Mongan Institute, Harvard University, Boston, MAUSA., Kittelson S; Department of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA., Wilkie DJ; Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.
Jazyk:	angličtina
Zdroj:	Palliative & supportive care [Palliat Support Care] 2023 Aug 11, pp. 1-5. Date of Electronic Publication: 2023 Aug 11.
DOI:	10.1017/S1478951523001177
Abstrakt:	Objectives: Despite the clinical use of dignity therapy (DT) to enhance end-of-life experiences and promote an increased sense of meaning and purpose, little is known about the cost in practice settings. The aim is to examine the costs of implementing DT, including transcriptions, editing of legacy document, and dignity-therapists' time for interviews/patient's validation. Methods: Analysis of a prior six-site, randomized controlled trial with a stepped-wedge design and chaplains or nurses delivering the DT. Results: The mean cost per transcript was $84.30 (SD = 24.0), and the mean time required for transcription was 52.3 minutes (SD = 14.7). Chaplain interviews were more expensive and longer than nurse interviews. The mean cost and time required for transcription varied across the study sites. The typical total cost for each DT protocol was $331-$356. Significance of Results: DT implementation costs varied by provider type and study site. The study's findings will be useful for translating DT in clinical practice and future research.
Databáze:	MEDLINE
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