4 research outputs found
Starting from scratch: implementing outcome measurement in clinical practice
- Author
- Publication venue
- Publication date
- 01/01/2018
- Field of study
The impact of the COVID-19 pandemic on processes, resource use and cost in palliative care
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2023
- Field of study
Abstract Background The COVID-19 pandemic impacts on working routines and workload of palliative care (PC) teams but information is lacking how resource use and associated hospital costs for PC changed at patient-level during the pandemic. We aim to describe differences in patient characteristics, care processes and resource use in specialist PC (PC unit and PC advisory team) in a university hospital before and during the first pandemic year. Methods Retrospective, cross-sectional study using routine data of all patients cared for in a PC unit and a PC advisory team during 10–12/2019 and 10–12/2020. Data included patient characteristics (age, sex, cancer/non-cancer, symptom/problem burden using Integrated Palliative Care Outcome Scale (IPOS)), information on care episode, and labour time calculated in care minutes. Cost calculation with combined top-down bottom-up approach with hospital’s cost data from 2019. Descriptive statistics and comparisons between groups using parametric and non-parametric tests. Results Inclusion of 55/76 patient episodes in 2019/2020 from the PC unit and 135/120 episodes from the PC advisory team, respectively. IPOS scores were lower in 2020 (PCU: 2.0 points; PC advisory team: 3.0 points). The number of completed assessments differed considerably between years (PCU: episode beginning 30.9%/54.0% in 2019/2020; PC advisory team: 47.4%/40.0%). Care episodes were by one day shorter in 2020 in the PC advisory team. Only slight non-significant differences were observed regarding total minutes/day and patient (PCU: 150.0/141.1 min., PC advisory team: 54.2/66.9 min.). Staff minutes showed a significant decrease in minutes spent in direct contact with relatives (PCU: 13.9/7.3 min/day in 2019/2020, PC advisory team: 5.0/3.5 min/day). Costs per patient/day decreased significantly in 2020 compared to 2019 on the PCU (1075 Euro/944 Euro for 2019/2020) and increased significantly for the PC advisory team (161 Euro/200 Euro for 2019/2020). Overhead costs accounted for more than two thirds of total costs. Direct patient cost differed only slightly (PCU: 134.7 Euro/131.1 Euro in 2019/2020, PC advisory team: 54.4 Euro/57.3 Euro). Conclusions The pandemic partially impacted on daily work routines, especially on time spent with relatives and palliative care problem assessments. Care processes and quality of care might vary and have different outcomes during a crisis such as the COVID-19 pandemic. Direct costs per patient/day were comparable, regardless of the pandemic
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- Author
- Aertsen Jan A
- Alchina Franch JosØ
- Alfonso el Sabio General Estoria
- American Textbook Council
- Amiama Manuel A
- Ampelius Lucius
- Angenend Arnold
- Anghiera Pietro
- Anglicus Robertus
- Anklam Ewa
- Aquin Summa Theologica
- Arellano Hoffmann
- Arnoldsson Sverker
- Ascoli
- Aufgebauer Peter
- Augustinus Aurelius
- Aurillac
- Autun
- Bacon Roger
- Bakewell Peter
- Ballµn Romeo
- Berelson Bernard
- Bernhard Roland
- Berthold von Regensburg V«
- Betten Francis
- Bieri Hans
- Bishop Louise M
- Bitterli Urs
- Blumesberger Susanne
- Boethius
- Borah
- Breen Timothy Hall
- Broda Johanna
- Bry Theodore De
- Büschges Christian
- Cajani Luigi
- Capella Martianus
- Carbia Rómulo
- Carrasco David
- Caso Alfonso
- Cassiodorus Magnus Aurelius
- Chaunu Pierre
- Chiari Joseph
- Cilleßen Wolfgang
- Clayton Lawrence A
- Clendinnen Inga
- Cole Jeffrey Alan
- Collingwood Robin George
- Comestor Petrus
- Committee on the Study of Teaching Materials on Inter-American Subjects
- Cook
- Cook Noble David
- Cook Sherburne
- Cosgrove Denis Edmund
- Crane Eugene R
- Cro Stelio
- Crosby Alfred W
- Córdova EfrØn
- Danto Arthur
- Davidson Miles
- Davis
- Delgado Mariano
- Denevan William Maxfield
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- Adorno Theodor W
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