Costs associated with resource utilization during the palliative phase of care: a Canadian perspective
Costs associated with resource utilization during the palliative phase of care: a Canadian perspective
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DOI：
10.1177/0269216309346546
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发表时间：
2009-12-01
影响因子：
4.4
通讯作者：
Harel, Francois
中科院分区：
文献类型：
--
作者：
Dumont, Serge;Jacobs, Philip;Harel, Francois
目的：本研究旨在前瞻性地评估加拿大五个地区在姑息治疗阶段的资源利用和相关费用。受试者：一个队列的248例患者登记在姑息治疗计划和他们的主要非正式照顾者连续招募。研究设计：采用前瞻性重复测量研究设计。每隔两周进行一次访谈，直到患者去世或最多6个月。措施：调查问题要求参与者提供关于他们使用的商品和服务的类型和数量以及谁为这些商品和服务付款的信息。结果：研究参与者的最大成本组成部分是住院治疗，其次是家庭护理和非正式的休息时间。在成本分担方面，公共卫生保健系统（PHCS）、家庭和非营利组织（NFPO）分别承担了每例患者平均总成本的71.3%、26.6%和1.6%。结论：这样的结果提供了一个全面的图片有关的姑息治疗在加拿大的成本，通过指定PHCS，家庭和NFPO之间的成本分担。
Objective: This study aimed to evaluate prospectively the resource utilization and related costs during the palliative phase of care in five regions across Canada. Subjects: A cohort of 248 patients registered in a palliative care program and their main informal caregivers were consecutively recruited. Research Design: A prospective research design with repeated measures was adopted. Interviews were conducted at two-week intervals until the patient s passing or up to a maximum of 6 months. Measures: The survey questions prompted participants to provide information on the types and number of goods and services they used, and who paid for these goods and services. Results: The largest cost component for study participants was inpatient hospital care stays, followed by home care and informal caregiving time. In regard to cost sharing, the public health care system (PHCS), the family, and not-for-profit organizations (NFPO) sustained respectively 71.3%, 26.6%, and 1.6% of the mean total cost per patient. Conclusion: Such results provide a comprehensive picture of costs related to palliative care in Canada, by specifying the cost sharing between the PHCS, the family, and NFPO.