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

Abstract

BackgroundResearch has demonstrated that increases in palliative homecare nursing are associated with a

Trends in site of death and health care utilization at the end of life: a population-based cohort study

“…Having greater options for end-of-life and palliative care in the community setting or in hospice may increase quality-adjusted life-days, and may reduce both hospitalization rates and overall costs. 22,[35][36][37] This is particularly relevant for individuals dying with non-cancer conditions, for whom options for palliative care within the Canadian setting are limited. 38 ‡ORs reflect per 10-year unit change.…”

The Impact of Measuring Patient-Reported Outcome Measures on Quality of and Access to Palliative Care

“…42 Currently, most provinces and territories are developing palliative care indicators to help monitor service delivery. Administrative data have been used to examine process and outcome components of quality at a provincial level, including: service utilization patterns [43][44][45] ; the association between home palliative care services and end-of-life care indicators 44 and costs 46 ; and to make comparisons of health service quality indicators between three 46 or four provinces 37 At a national level, in 2013, the Canadian Institute for Health Information (CIHI) highlighted the variation in service use across provinces. It examined the utilization of hospital services in the last 28 days of life by cancer patients who died in acute care hospitals.…”

The impact of specialist community palliative care teams on acute hospital admission rates in adult patients requiring end of life care: A systematic review

“…Following this, a further 264 were excluded. The full texts of the remaining 23 papers were reviewed in full leading to the exclusion of a further 15 papers due to the following reasons: non-eligible study outcome, seven papers (Ferroni et al, 2016;Kerr et al, 2014;McNamara et al, 2013;Seow et al, 2010Seow et al, , 2016bWright et al, 2018) and eight papers with non-eligible inclusion criteria (Costantini et al, 2003;Hoare et al, 2019;Miccinesi et al, 2003;Qureshi et al, 2019;Riolfi et al, 2014;Seow et al, 2016aSeow et al, , 2016cWebber et al, 2020). The expanded exclusion rationale for these studies is presented in Table 1.…”