Comparing the costs of alternative models of end-of-life care

Tom McBride, Alec Morton, Andy Nichols, Christian Van Stolk

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

This study explores the financial consequences of decreased acute care utilization and expanded community-based care for patients at the end of life in England.
A Markov model based on cost and utilization data was used to estimate the costs of care for cancer and organ failure in the last year of life and to simulate reduced acute care utilization.
We estimated at 1.8 pound billion the cost to the taxpayer of care for the 127,000 patients dying from cancer in 2006. The equivalent cost for the 30,000 people dying from organ failure was 553 pound million. Resources of 16 pound to 171 pound million could be released for cancer.
People generally prefer to die outside hospital. Our results suggest that reducing reliance on acute care could release resources and better meet peoples' preferences. Better data on the cost-effectiveness of interventions are required. Similar models would be useful to decision-makers evaluating changes in service provision.
LanguageEnglish
Pages126-126
Number of pages1
JournalJournal of Palliative Care
Volume27
Issue number2
Publication statusPublished - 2011

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Terminal Care
Costs and Cost Analysis
Neoplasms
England
Cost-Benefit Analysis
Patient Care
End of life care
Costs
Alternative models
Cancer

Keywords

  • cost comparison
  • alternative models
  • end of life
  • care

Cite this

McBride, T., Morton, A., Nichols, A., & Van Stolk, C. (2011). Comparing the costs of alternative models of end-of-life care. Journal of Palliative Care, 27(2), 126-126.
McBride, Tom ; Morton, Alec ; Nichols, Andy ; Van Stolk, Christian. / Comparing the costs of alternative models of end-of-life care. In: Journal of Palliative Care. 2011 ; Vol. 27, No. 2. pp. 126-126.
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McBride, T, Morton, A, Nichols, A & Van Stolk, C 2011, 'Comparing the costs of alternative models of end-of-life care' Journal of Palliative Care, vol. 27, no. 2, pp. 126-126.

Comparing the costs of alternative models of end-of-life care. / McBride, Tom; Morton, Alec; Nichols, Andy; Van Stolk, Christian.

In: Journal of Palliative Care, Vol. 27, No. 2, 2011, p. 126-126.

Research output: Contribution to journalArticle

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