Health economics of a palliative care unit for terminal cancer patients: a retrospective cohort study

Purpose The objective of this study was to evaluate cost-reduction efficacy of a palliative care unit (PCU) by analyzing medical expenses of terminal cancer patients. Methods Hospital bills and medical records of 656 patients who died of cancer from January to December 2007 at one university hospita...

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Bibliographic Details
Published in:Supportive care in cancer 2012-01, Vol.20 (1), p.29-37
Main Authors: Jung, Hyun-myung, Kim, Jinhyun, Heo, Dae Seog, Baek, Sun Kyung
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Cancer
Cancer patients
Care and treatment
Chemotherapy
Cohort Studies
Cost Savings
Do-not-resuscitate orders
Economic aspects
Emergency medical services
Female
Health Care Costs
Health care expenditures
Health economics
Hospitals, University - economics
Humans
Intensive Care Units - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasms - economics
Neoplasms - pathology
Neoplasms - therapy
Nursing
Nursing Research
Oncology
Oncology, Experimental
Original Article
Pain Medicine
Palliative care
Palliative Care - economics
Palliative Care - methods
Palliative treatment
Rehabilitation Medicine
Republic of Korea
Retrospective Studies
Terminal Care - economics
Terminal Care - methods
Terminal illnesses
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Summary:Purpose The objective of this study was to evaluate cost-reduction efficacy of a palliative care unit (PCU) by analyzing medical expenses of terminal cancer patients. Methods Hospital bills and medical records of 656 patients who died of cancer from January to December 2007 at one university hospital in Seoul were analyzed. Results Of the total 656 patients, 126 died in the PCU. Compared to non-PCU patients, PCU patients were more likely to permit do-not-resuscitate (DNR), visit the emergency room (ER), and receive palliative chemotherapy ( P  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-010-1047-y