Evaluation of the cost of home care for terminally ill cancer patients

Marco Maltoni, Claudio Travaglini, Matteo Santi, Oriana Nanni, Emanuela Scarpi, Simonetta Benvenuti, Livia Albertazzi, Laura Amaducci, Stefania Derni, Laura Fabbri, Angelo Masi, Luigi Montanari, Giuseppe Pasini, Antonio Polselli, Umberto Tonelli, Paola Turci, Dino Amadori

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this work was to carry out a cost evaluation of the home care programme for terminally ill cancer patients run by the Istituto Oncologico Romagnolo (I.O.R.) in the areas of Forli, Cesena, Ravenna and Rimini (Romagna, Italy). To determine effective home care direct costs, we first selected 1 week of care as an observation unit. We then proceeded to assess the medical and nursing care units together with the clinical protocols administered for each patient. The Karnofsky Performance Status (KPS) was also assessed weekly. In this way, we calculated care costs for each patient and for each week as the sum of medical costs, nursing costs, treatment costs and other costs. A consecutive series of 574 patients were involved in the study from 1 April 1994 to 31 March 1995. A total of 5164 patient-weeks of care was provided, with an average cost per week of 177.6 Ecu. This weekly cost increased in the last 100 days of life (week -15 = 179.5 Ecu; week -8 = 188.3 Ecu; week -2 = 221.0 Ecu; P

Original languageEnglish
Pages (from-to)396-401
Number of pages6
JournalSupportive Care in Cancer
Volume5
Issue number5
DOIs
Publication statusPublished - Sep 1997

Keywords

  • Cost evaluation
  • Home care hospice

ASJC Scopus subject areas

  • Oncology
  • Nursing(all)

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