[Issues in the implementation of palliative care--need for a redefinition of the outcome of palliative care].
Due to advances in medical technologies and the increasing range of settings for palliative medicine/care, models of palliative care are becoming more diverse. The redefinition of models and the outcomes of palliative medicine/care are now required. Our evaluation of the settings of palliative care indicates that short-term hospital-based palliative medicine/care is more effective in the palliation of symptoms than home care, while home palliative care is more cost-effective than hospital-based palliative care. The outcomes are thus different between hospital-based and home palliative medicine/care. Clinical research using appropriate outcomes should be beneficial in providing quality palliative care effectively and efficiently.
Setoyama
O
O
Institute of Palliative Medicine, Higashi-Sapporo Hospital.
D019317:Evidence-Based Medicine; D006801:Humans; D009369:Neoplasms / Q000191:economics / Q000628:therapy*; D010166:Palliative Care / Q000191:economics / Q000592:standards*; D017060:Patient Satisfaction; D011788:Quality of Life; D012106:Research; D016896:Treatment Outcome