11 research outputs found
Participation au dépistage (organisé et individuel) du cancer du sein des femmes de 50 à 74 ans en France
ADOP-HAD : un outil d’Aide à la décision d’orientation des patients en hospitalisation à domicile (HAD)
Analyse de l’activité de chimiothérapie anticancéreuse en hospitalisation à domicile (HAD) à partir du PMSI
International audienc
Évaluation médico-économique des stratégies de prise en charge de l’insuffisance rénale chronique terminale en France
International audienc
Organization, quality and cost of oncological home-hospitalization: A systematic review
Background:
Home-hospitalization might be a patient-centred approach facing the increasing burden of cancer on societies. This systematic review assessed how oncological home-hospitalization has been organized and to what extent its quality and costs were evaluated.
Results:
Twenty-four papers describing parenteral cancer drug administration to adult patients in their homes were included. Most papers concluded oncological home-hospitalization had no significant effect on patient-reported quality of life (7/8 = 88%), but large majority of patients were satisfied (12/13, 92%) and preferred home treatment (7/8, 88%). No safety risks were associated with home-hospitalization (10/10, 100%). The cost of home-hospitalization was found beneficial in five trials (5/9, 56%); others reported no financial impact (2/9, 22%) or additional costs (2/9, 22%).
Conclusion:
Despite heterogeneity, majority of reported models for oncological home-hospitalization demonstrated that this is a safe, equivalent and acceptable alternative to ambulatory hospital care. More well-designed trials are needed to evaluate its economic impact