title: The costs of a pediatric hospice program.
abstract: The recent literature on economic issues of hospice care leaves several questions unanswered. The most important issue concerns how this type of care can be made financially attractive to patients and families for whom it is a medical option. A major study of a home-based pediatric hospice program permitted a more careful analysis than was previously feasible of the charges for hospice care and how those charges are paid. Data on provider utilization and duration in the program were obtained retrospectively on 177 patients. Costs of incidental expenditures and indirect costs were obtained prospectively from the families of 27 patients. A cost model was developed which is general enough to be used by other hospitals that might contemplate establishing a similar hospice program. Our findings are that insurance coverage, especially for publicly funded patients, is likely to be a major impediment for families deciding whether or not to use a hospice program at home.
authors.affiliation: Department of Health Services, School of Public Health, University of California, Los Angeles 90024.
authors.forename: S O
authors.initials: SO
authors.lastname: Schweitzer
authors.forename: B
authors.initials: B
authors.lastname: Mitchell
authors.forename: J
authors.initials: J
authors.lastname: Landsverk
authors.forename: L
authors.initials: L
authors.lastname: Laparan
mesh_terms: D002648:Child; D003365:Costs and Cost Analysis; D017048:Health Care Costs; D006699:Home Care Services / Q000191:economics*; D006738:Hospices / Q000191:economics*; D006744:Hospital Bed Capacity, 100 to 299; D006776:Hospitals, Pediatric / Q000191:economics* / Q000458:organization & administration; D006801:Humans; D015141:Los Angeles; D015397:Program Evaluation; D011446:Prospective Studies; D012189:Retrospective Studies