Economic impact of informal care of cancer patients at the end of life
Economic analysis of the incorporation of palliative care (PC) programs allows for assessment of the potential financial impact of shifting activity from secondary care to primary, community and social care sectors. Only 14% of patients in need of PC in Argentina have access to PC services, similar...
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AME Publishing Company
2024
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| Acceso en línea: | http://rdi.uncoma.edu.ar/handle/uncomaid/17781 |
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I22-R178-uncomaid-177812024-03-25T17:40:22Z Economic impact of informal care of cancer patients at the end of life Lamfre, Laura Hasdeu, Santiago Coller, María A. G. Tripodoro, Vilma A. Palliative care (PC) cost-effectiveness analysis Caregivers Terminal care Health care cost Ciencias de la Administración y Economía Ciencias Biomédicas Economic analysis of the incorporation of palliative care (PC) programs allows for assessment of the potential financial impact of shifting activity from secondary care to primary, community and social care sectors. Only 14% of patients in need of PC in Argentina have access to PC services, similar to the world average, as estimated by World Health Organization (WHO). The economic impact of family care, which falls mainly on women, needs to be assessed at the public policy and research levels. We aimed to estimate and make visible the economic impact of unpaid care tasks developing a cost-effectiveness analytic model of a home-based PC program for cancer patients at the end of life from a social perspective (SP) in the province of Río Negro, Argentina. Methods: A Markov model was developed from a SP to assess the cost-effectiveness of palliative home care compared to the usual care (UC) of cancer patients. The model compares the provision of PC through a home-based program with the UC that patients receive at the end of life. The average cost per patient, percentage of home deaths, days at home in the last year of life and the economic impact of formal and informal care were estimated using the human capital approach for 2019. Results: palliative home care was cost-saving, leading to a 10.32% increase in home deaths, a decrease of 9 days of hospitalisation and an annual saving for society of USD 750 per patient. From a societal perspective, the largest cost-driver corresponds to informal care provided mainly by families, which accounted for 82% and 88% of the total daily cost of PC and UC strategy, respectively. Conclusions: The incorporation of PC can improve the allocation of resources between the different levels of care. The visualisation of care tasks becomes particularly relevant when considering public policies and outcomes. Incorporating palliative home care strategies could alleviate the enormous costs faced by patients’ families, especially women, in this stage of care. Fil: Lamfre, Laura. Universidad Nacional del Comahue. Facultad de Economía y Administración; Argentina. Fil: Hasdeu, Santiago. Universidad Nacional del Comahue. Facultad de Ciencias Médicas; Argentina. Fil: Coller, María A. G. Ministerio de Salud de Río Negro; Argentina. Fil: Tripodoro, Vilma A. Instituto Pallium Latinoamérica; Argentina. Fil: Tripodoro, Vilma A. Universidad de Buenos Aires; Argentina. Fil: Tripodoro, Vilma A. Universidad de Navarra; España. 2024 2024-03-20T14:23:15Z 2024-03-20T14:23:15Z Articulo article acceptedVersion 22245820 22245839 http://rdi.uncoma.edu.ar/handle/uncomaid/17781 eng https://dx.doi.org/10.21037/apm-23-240 https://apm.amegroups.org/article/view/121073/html Atribución-NoComercial-CompartirIgual 2.5 Argentina https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ application/pdf pp. 73-85 application/pdf AME Publishing Company Annals of Palliative Medicine. 2024; 13(1) |
| institution |
Universidad Nacional del Comahue |
| institution_str |
I-22 |
| repository_str |
R-178 |
| collection |
Repositorio Institucional UNCo |
| language |
Inglés |
| topic |
Palliative care (PC) cost-effectiveness analysis Caregivers Terminal care Health care cost Ciencias de la Administración y Economía Ciencias Biomédicas |
| spellingShingle |
Palliative care (PC) cost-effectiveness analysis Caregivers Terminal care Health care cost Ciencias de la Administración y Economía Ciencias Biomédicas Lamfre, Laura Hasdeu, Santiago Coller, María A. G. Tripodoro, Vilma A. Economic impact of informal care of cancer patients at the end of life |
| topic_facet |
Palliative care (PC) cost-effectiveness analysis Caregivers Terminal care Health care cost Ciencias de la Administración y Economía Ciencias Biomédicas |
| description |
Economic analysis of the incorporation of palliative care (PC) programs allows for
assessment of the potential financial impact of shifting activity from secondary care to primary, community and social care sectors. Only 14% of patients in need of PC in Argentina have access to PC services, similar to the world average, as estimated by World Health Organization (WHO). The economic impact of family
care, which falls mainly on women, needs to be assessed at the public policy and research levels. We aimed to estimate and make visible the economic impact of unpaid care tasks developing a cost-effectiveness analytic model of a home-based PC program for cancer patients at the end of life from a social perspective (SP) in the province of Río Negro, Argentina.
Methods: A Markov model was developed from a SP to assess the cost-effectiveness of palliative home care compared to the usual care (UC) of cancer patients. The model compares the provision of PC through a home-based program with the UC that patients receive at the end of life. The average cost per patient,
percentage of home deaths, days at home in the last year of life and the economic impact of formal and informal care were estimated using the human capital approach for 2019.
Results: palliative home care was cost-saving, leading to a 10.32% increase in home deaths, a decrease of 9 days of hospitalisation and an annual saving for society of USD 750 per patient. From a societal perspective, the largest cost-driver corresponds to informal care provided mainly by families, which accounted for 82% and 88% of the total daily cost of PC and UC strategy, respectively.
Conclusions: The incorporation of PC can improve the allocation of resources between the different levels of care. The visualisation of care tasks becomes particularly relevant when considering public policies and outcomes. Incorporating palliative home care strategies could alleviate the enormous costs faced by patients’ families, especially women, in this stage of care. |
| format |
Articulo article acceptedVersion |
| author |
Lamfre, Laura Hasdeu, Santiago Coller, María A. G. Tripodoro, Vilma A. |
| author_facet |
Lamfre, Laura Hasdeu, Santiago Coller, María A. G. Tripodoro, Vilma A. |
| author_sort |
Lamfre, Laura |
| title |
Economic impact of informal care of cancer patients at the end of life |
| title_short |
Economic impact of informal care of cancer patients at the end of life |
| title_full |
Economic impact of informal care of cancer patients at the end of life |
| title_fullStr |
Economic impact of informal care of cancer patients at the end of life |
| title_full_unstemmed |
Economic impact of informal care of cancer patients at the end of life |
| title_sort |
economic impact of informal care of cancer patients at the end of life |
| publisher |
AME Publishing Company |
| publishDate |
2024 |
| url |
http://rdi.uncoma.edu.ar/handle/uncomaid/17781 |
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AT lamfrelaura economicimpactofinformalcareofcancerpatientsattheendoflife AT hasdeusantiago economicimpactofinformalcareofcancerpatientsattheendoflife AT collermariaag economicimpactofinformalcareofcancerpatientsattheendoflife AT tripodorovilmaa economicimpactofinformalcareofcancerpatientsattheendoflife |
| _version_ |
1807224722597871616 |