The Costs of Waiting: Implications of the Timing of Palliative Care Consultation among a Cohort of Decedents at a Comprehensive Cancer Center
The Costs of Waiting: Implications of the Timing of Palliative Care Consultation among a Cohort of Decedents at a Comprehensive Cancer Center
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DOI：
10.1089/jpm.2015.0119
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发表时间：
2016-01-01
影响因子：
2.8
通讯作者：
Rabow, Michael W.
中科院分区：
文献类型：
--
作者：
Scibetta, Colin;Kerr, Kathleen;Rabow, Michael W.
背景：姑息治疗被推荐沿着对晚期癌症患者的肿瘤治疗。然而，关于姑息治疗的时机如何影响质量和成本的数据有限。目的：比较早期与晚期姑息治疗死亡癌症患者的医疗服务利用与服务质量。设计：癌症登记，行政和计费数据库的分析。背景/受试者：接受专业姑息治疗咨询后死亡的癌症患者。测量值：比较早期（死亡前90天以上）与晚期（死亡前90天以内）姑息治疗，结果指标包括医疗保健利用率和医疗保健费用。结果：在922名死者中，297人（32.2%）接受姑息治疗转诊，其中93人（10.1%）接受早期转诊，204人（22.1%）接受晚期转诊。与接受晚期姑息治疗的患者相比，早期姑息治疗患者的住院率较低（33%对66%，p
Background: Palliative care is recommended along with oncologic care for patients with advanced cancer. However, there are limited data about how the timing of palliative care affects quality and costs. Objective: Comparison of health care utilization and care quality for patients with cancer who died having received early versus late palliative care. Design: Analysis of cancer registry, administrative, and billing databases. Setting/Subjects: Patients with cancer who died having received specialty palliative care consultation. Measurements: Comparing early (more than 90 days prior to death) versus late (less than 90 days prior to death) palliative care, outcome measures included rates of health care utilization and health care costs. Results: Among 922 decedents, 297 (32.2%) had palliative care referrals, with 93 (10.1%) receiving early referrals and 204 (22.1%) late referrals. Compared to patients receiving late palliative care, early palliative care patients had lower rates of inpatient (33% versus 66%, p