Next Article in Journal
Original Canadian Cancer Costing Research for Cancer Control Sustainability, Quality, and Value
Previous Article in Journal
Population-Based Trends in Systemic Therapy Use and Cost for Cancer Patients in the Last Year of Life
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Current Oncology
Volume 23
Issue s1
10.3747/co.23.2971
curroncol-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Temporal Association between Home Nursing and Hospital Costs at End of Life in Three Provinces

by
H. Seow
1,*,
R. Pataky
2,
B. Lawson
3,
E.M. O’Leary
1,
R. Sutradhar
4,5,
K. Fassbender
6,
K. McGrail
7,
L. Barbera
4,8,
F. Burge
3,
S.J. Peacock
2,9 and
J.S. Hoch
2,4,10,11
1
Department of Oncology, McMaster University, Hamilton, ON, Canada
2
Canadian Centre for Applied Research in Cancer Control, Vancouver, BC, Canada
3
Department of Family Medicine, Dalhousie University, Halifax, NS, Canada
4
Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
5
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
6
Department of Palliative Care Medicine, University of Alberta, Edmonton, AB, Canada
7
Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
8
Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada
9
BC Cancer Agency and University of British Columbia, Vancouver, BC, Canada
10
Toronto Health Economics and Technology Assessment Collaborative, Faculty of Pharmacy, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
11
Pharmacoeconomics Research Unit, Centre for Excellence in Economic Analysis Research, St. Michael’s Hospital, Toronto, ON, Canada
 
add Show full affiliation list
 
remove Hide full affiliation list
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2016, 23(s1), 42-51; https://doi.org/10.3747/co.23.2971
Submission received: 12 November 2015 / Revised: 15 December 2015 / Accepted: 13 January 2016 / Published: 1 February 2016

Abstract

Background: Research has demonstrated that increases in palliative homecare nursing are associated with a reduction in the rate of subsequent hospitalizations. However, little evidence is available about the cost-savings potential of palliative nursing when accounting for both increased nursing costs and potentially reduced hospital costs. Methods: Our retrospective cohort study included cancer decedents from British Columbia, Ontario, and Nova Scotia who received any palliative nursing in the last 6 months of life. A Poisson regression analysis was used to determine the association of increased nursing costs (in 2-week blocks) on the relative average hospital costs in the subsequent 2-week block and on the overall total cost (hospital costs plus nursing costs in the preceding 2-week block). Results: The cohort included 58,022 cancer decedents. Results of the analysis for the last month of life showed an association between increased nursing costs and decreased relative hospital costs in comparisons with a reference group (>0 to 1 hour nursing in the block): the maximum decrease was 55% for Ontario, 31% for British Columbia, and 38% for Nova Scotia. Also, increased nursing costs in the last month were almost always associated with lower total costs in comparison with the reference. For example, cost savings per person-block ranged from $376 (>10 nursing hours) to $1,124 (>4 to 6 nursing hours) in British Columbia. Conclusions: In the last month of life, increased palliative nursing costs (compared with costs for >0 to 1 hour of nursing in the block) were associated with lower relative hospital costs and a lower total cost in a subsequent block. Our research suggests a cost-savings potential associated with increased community-based palliative nursing.
Keywords: Palliative care; homecare; nursing; hospitalization; costing; end of life; Canadian data Palliative care; homecare; nursing; hospitalization; costing; end of life; Canadian data

Share and Cite

MDPI and ACS Style

Seow, H.; Pataky, R.; Lawson, B.; O’Leary, E.M.; Sutradhar, R.; Fassbender, K.; McGrail, K.; Barbera, L.; Burge, F.; Peacock, S.J.; et al. Temporal Association between Home Nursing and Hospital Costs at End of Life in Three Provinces. Curr. Oncol. 2016, 23, 42-51. https://doi.org/10.3747/co.23.2971

AMA Style

Seow H, Pataky R, Lawson B, O’Leary EM, Sutradhar R, Fassbender K, McGrail K, Barbera L, Burge F, Peacock SJ, et al. Temporal Association between Home Nursing and Hospital Costs at End of Life in Three Provinces. Current Oncology. 2016; 23(s1):42-51. https://doi.org/10.3747/co.23.2971

Chicago/Turabian Style

Seow, H., R. Pataky, B. Lawson, E.M. O’Leary, R. Sutradhar, K. Fassbender, K. McGrail, L. Barbera, F. Burge, S.J. Peacock, and et al. 2016. "Temporal Association between Home Nursing and Hospital Costs at End of Life in Three Provinces" Current Oncology 23, no. s1: 42-51. https://doi.org/10.3747/co.23.2971

APA Style

Seow, H., Pataky, R., Lawson, B., O’Leary, E. M., Sutradhar, R., Fassbender, K., McGrail, K., Barbera, L., Burge, F., Peacock, S. J., & Hoch, J. S. (2016). Temporal Association between Home Nursing and Hospital Costs at End of Life in Three Provinces. Current Oncology, 23(s1), 42-51. https://doi.org/10.3747/co.23.2971

Article Metrics

Back to TopTop