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|Title: ||Health Care Service Provision Over the Palliative Care Trajectory|
|Authors: ||Masucci, Lisa|
|Advisor: ||Coyte, Peter C.|
|Department: ||Health Policy, Management and Evaluation|
|Keywords: ||ambulatory and home-based care|
health services research
|Issue Date: ||31-May-2011|
|Abstract: ||Health system restructuring combined with the preferences of palliative care recipients to be cared for at home has lead to a shift in the delivery of care from the hospital to the home setting.
An analysis was conducted on five main home-based palliative care health service components: home-based nurse visits, home personal support worker visits, home-based physician visits, ambulatory physician visits, and other ambulatory and home-based visits.
First, we assessed the proportion of total cost associated with the main services at different time points over the palliative care trajectory. Second we examined the socio-demographic and clinical factors that predict the propensity and intensity of service use, using a two-part model.
The results suggest that the greatest contributor to the total cost of home-based palliative care was personal support worker visits, followed by nurse visits. The regression analysis revealed that patient age as well as functional status most often predicted health service use.|
|Appears in Collections:||Master|
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