Cancer treatment at home or in the hospital: what are the costs for French public health insurance?

Remonnay, Raphaël; Devaux, Yves; Giselle, Chvetzoff; Morelle, Magali; Odile, Carrere Marie

doi:10.1016/j.healthpol.2004.07.001

Cited by 26 publications

(19 citation statements)

References 9 publications

(11 reference statements)

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“…Numerous previous studies have shown that SSI 5,11,13 and nosocomial pneumonia 18,20 are associated with a significant increase in the length of hospital stay. The savings obtained by shortening hospitalisation after initial surgical treatment may be substantial 11,25 .…”

Section: Discussionmentioning

confidence: 97%

Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis

Penel

Lefebvre

Cazin

et al. 2008

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 97%

Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis

Penel

Lefebvre

Cazin

et al. 2008

International Journal of Oral and Maxillofacial Surgery

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“…[52][53][54][55] The fifth found evidence of higher charges for palliative care relative to a national average charge. 56 For example, one of the case studies, based in France, compared the cost of hospital at home services with the estimated cost of treating the same patients in a standard hospital setting.…”

Section: Case Studies Before-and-after Other Studiesmentioning

confidence: 96%

Evidence on the cost and cost-effectiveness of palliative care: A literature review

et al. 2013

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Background: In the context of limited resources, evidence on costs and cost-effectiveness of alternative methods of delivering health-care services is increasingly important to facilitate appropriate resource allocation. Palliative care services have been expanding worldwide with the aim of improving the experience of patients with terminal illness at the end of life through better symptom control, coordination of care and improved communication between professionals and the patient and family. Aim: To present results from a comprehensive literature review of available international evidence on the costs and cost-effectiveness of palliative care interventions in any setting (e.g. hospital-based, home-based and hospice care) over the period 2002-2011. Design: Key bibliographic and review databases were searched. Quality of retrieved papers was assessed against a set of 31 indicators developed for this review. Data Sources: PubMed, EURONHEED, the Applied Social Sciences Index and the Cochrane library of databases. Results: A total of 46 papers met the criteria for inclusion in the review, examining the cost and/or utilisation implications of a palliative care intervention with some form of comparator. The main focus of these studies was on direct costs with little focus on informal care or out-of-pocket costs. The overall quality of the studies is mixed, although a number of cohort studies do undertake multivariate regression analysis. Conclusion: Despite wide variation in study type, characteristic and study quality, there are consistent patterns in the results. Palliative care is most frequently found to be less costly relative to comparator groups, and in most cases, the difference in cost is statistically significant.

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“…28 Community care can also offer significant economic benefits, with economic modelling suggesting that end-of-life care provided in a home setting is a cost-effective method of service delivery. 29 However, community care delivery has become increasingly complex, with more patients receiving comprehensive care in the home setting. As a result, much of the burden of caring is managed in the community, with the greatest burden falling to primary caregivers to provide care that may be complex and time consuming.…”

Section: Contextmentioning

confidence: 99%

The Palliative Care Interdisciplinary Team: Where Is the Community Pharmacist?

O’Connor¹,

Pugh

Jiwa

et al. 2011

Journal of Palliative Medicine

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Cancer treatment at home or in the hospital: what are the costs for French public health insurance?

Cited by 26 publications

References 9 publications

Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis

Additional direct medical costs associated with nosocomial infections after head and neck cancer surgery: a hospital-perspective analysis

Evidence on the cost and cost-effectiveness of palliative care: A literature review

The Palliative Care Interdisciplinary Team: Where Is the Community Pharmacist?

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