Community-based pediatric palliative care for health related quality of life, hospital utilization and costs lessons learned from a pilot studyReportar como inadecuado




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BMC Palliative Care

, 15:73

First Online: 03 August 2016Received: 07 March 2016Accepted: 22 July 2016

Abstract

BackgroundChildren with chronic complex-medical conditions comprise a small minority of children who require substantial healthcare with major implications for hospital utilization and costs in pediatrics. Community-Based Pediatric Palliative Care CBPPC provides a holistic approach to patient care that can improve their quality of life and lead to reduced costs of hospital care. This study-s purpose was to analyze and report unpublished evaluation study results from 2007 that demonstrate the potential for CBPPC on Health Related Quality of Life HRQoL and hospital utilization and costs in light of the increasing national focus on the care of children with complex-medical conditions, including the Affordable Care Act-s emphasis on patient-centered outcomes.

MethodsA multi-method research design used primary data collected from caregivers to determine the Program-s potential impact on HRQoL, and administrative data to assess the Program-s potential impact on hospital utilization and costs. Caregivers n=53 of children enrolled in the Northeast Florida CBPPC program Community PedsCare through the years 2002-2007 were recruited for the Health Related Quality of Life HRQoL study. Children n=48 enrolled in the Program through years 2000-2006 were included in the utilization and cost study.

ResultsHRQoL was generally high, and hospital charges per child declined by $1203 for total hospital services p=.34 and $1047 for diagnostic charges per quarter p=0.13. Hospital length of stay decreased from 2.92 days per quarter to 1.22 days per quarter p<.05.

ConclusionThe decrease in hospital utilization and costs and the high HRQoL results indicate that CBPPC has the potential to influence important outcomes for the quality of care available for children with complex-medical conditions and their caregivers.

KeywordsPediatric palliative care Chronic disease Cost-effectiveness Hospital utilization Health related quality of life Pilot study Electronic supplementary materialThe online version of this article doi:10.1186-s12904-016-0138-z contains supplementary material, which is available to authorized users.

An erratum to this article can be found at http:-dx.doi.org-10.1186-s12904-016-0154-z.

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Autor: Jeffrey Goldhagen - Mark Fafard - Kelly Komatz - Terry Eason - William C. Livingood

Fuente: https://link.springer.com/







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