Stakeholder engagement as a strategy to enhance palliative care involvement in intensive care units: A theory of change approach

Rao, Seema Rajesh; Salins, Naveen; Remawi, Bader Nael; Rao, Shwetapriya; Shanbaug, Vishal; Arjun, N R; Bhat, Nitin; Rajesh, S; Karanth, Sunil; Gupta, V.; Jahan, Nikahat; Setlur, Rangraj; Simha, Srinagesh; Walshe, Catherine; Preston, Nancy

doi:10.1016/j.jcrc.2022.154244

Cited by 3 publications

(3 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In orthothanasia, the patient is surrounded by their family and loved ones, with their dignity protected and the opportunity to make decisions about the course of their treatment. Their wishes are considered while receiving individualized care (12)(13) .…”

Section: Introductionmentioning

confidence: 99%

“…However, despite the importance and benefits of palliative care, the implementation of this strategy faces barriers in the form of attitudinal obstacles from professionals, organizations, and the healthcare system itself, particularly in countries with lower-income populations (13) . It is estimated that, annually, more than 56.8 million people, including 25.7 million in their last year of life, require palliative care, of which 78% reside in low and middle-income countries.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to all the benefits provided to patients and their families, evidence has shown that palliative care teams effectively reduce the cost of clinical care for patients with advanced diseases without compromising the quality of care provided to them (13,18,19) . Thus, a care model based on palliative care can also be a decisive factor in reducing healthcare resource waste (19)(20)(21)(22)(23) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The suffering is expensive: comparison of therapeutic costs between palliative care and dysthanasia patient

De Freitas Melo,

Vieira da Cunha,

Moreira Costa

et al. 2024

Psicooncología

View full text Add to dashboard Cite

Objectives: Several studies highlight benefits of palliative care for patients with lifethreatening illnesses, especially in terms of pain control and improving life quality. However, there is still research gap, particularly in the Brazilian context, regarding its ability to reduce costs associated with unnecessary invasive tests and procedures often invested in dysthanasia patients, thereby relieving the burden on the healthcare system. Given this scenario, the objective was to determine whether there is a significant difference in healthcare costs between cancer patients receiving palliative care and those in dysthanasia. Method: Documentary research, analyzing 94 medical records of patients who died from cancer in a hospital, divided into two groups: 47 in palliative care and 47 in dysthanasia. The groups had their average costs compared by surveying all tests and procedures recorded in the last 30 days of each patient’s life, with values scored based on the price table of the Unified Health System (Sistema Único de Saúde). Results: Patients receiving curative care in dysthanasia incurred an average cost of 2,316.92 Brazilian Reais (SD = 3,146.60) for tests and procedures in the last 30 days of life. Patients in palliative care had an average cost of 945.40 Brazilian Reais (SD = 2,508.01). There is a statistically significant difference in the invested values between patients in palliative care and those in dysthanasia (U = 620.00; Z = -4.334; p < 0.001). Conclusions: Implementing palliative care can be considered an effective strategy for reducing hospital costs, leading to significant savings within the healthcare system.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%