Chapter

Costs and benefits

Nick Bosanquet and Chris Salisbury

in Providing a palliative care service: towards an evidence base

Published in print March 1999 | ISBN: 9780192629913
Published online November 2011 | e-ISBN: 9780191730153 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192629913.003.0009
Costs and benefits

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This chapter presents the evidence available on the costs and benefits of various models of palliative care. The emphasis of this book is on the costs and benefits of palliative care practices in North America, the United Kingdom, and other countries such as Australia and Canada. In this chapter, it is shown that the patterns of development of palliative care in these countries were different. In several aspects, the US has taken the lead in addressing the costs and benefits of palliative care, while the UK has confined itself to improving patient care within the sectors and units of palliative care. Little evidence is derived on the comparative costs and comparative effectiveness of different methods of care in the UK. Overall, there is international evidence showing the effectiveness of low-cost, home-based interventions. While randomised controlled trials may continually be impossible, this chapter gives clarification and definitive decisions on the service organisation and communication with patients and carers.

Keywords: costs; benefits; models; palliative care; low-cost interventions; home-based interventions; service organization

Chapter.  3676 words. 

Subjects: Palliative Medicine

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