Associations between Reason for Inpatient Palliative Care Consultation, Timing, and Cost Savings
| Autor: | Johanna E. Bellon, Robert M. Arnold, Andrew Bilderback, Natalie C. Ernecoff, Dio Kavalieratos, Michael L. Boninger |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
animal structures Palliative care Specialty Cost Savings medicine Humans Referral and Consultation health care economics and organizations General Nursing Inpatients business.industry Symptom management fungi Palliative Care General Medicine Original Articles Pain management Length of Stay Psychosocial support Cost savings Hospitalization Anesthesiology and Pain Medicine Family medicine Propensity score matching business |
| Zdroj: | J Palliat Med |
| Popis: | Background: Specialty palliative care (SPC) provides patient-centered care to people with serious illness and may reduce costs. Specific cost-saving functions of SPC remain unclear. Objectives: (1) To assess the effect of SPC on inpatient costs and length of stay (LOS) and (2) to evaluate differences in costs by indication and timing of SPC. Design: Case–control with in patients who received an SPC consultation and propensity matched controls. Setting: One large U.S. integrated delivery finance system. Measurements: Using administrative data, we assessed costs associated with inpatient stays, a subset of whom received an SPC consultation. Consultations were stratified by reasons based on physician discretion: goals of care, pain management, hospice evaluation, nonpain symptom management, or support. The primary outcome was total operating costs and the secondary outcome was hospital LOS. Results: In total, 1404 patients with SPC consultations associated with unique hospital encounters were matched with 2806 controls. Total operating costs were lower for patients who received an SPC consultation when the consultation was within 0 to 1 days of admission ($6,924 vs. $7,635, p = 0.002). Likewise, LOS was shorter (4.3 vs. 4.7 days, p |
| Databáze: | OpenAIRE |
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