title: A new concept in cancer care: the supportive care program.
abstract: This article describes the findings of a pilot program designed to enter advanced prostate cancer patients into the hospice benefit while they are still being actively treated, but in situations where treatment is known to be primarily palliative in nature. The supportive care program (SCP) combines the medical model's goal to prolong life with the goal of hospice to palliate symptoms and improve quality of life (QOL). The concept of a SCP was developed to create a team approach where advanced prostate cancer patients who are starting investigational chemotherapy are concurrently enrolled into a hospice program. The objectives were to identify whether SCP improved QOL and continuity of care while remaining cost-effective. Data were collected on patient quality of life, performance status, use of health care resources, and costs for the 36 enrolled patients. A comparison was made to a matched set of 23 control patients. Our findings indicate that the SCP contributes to continuity of care while being cost-effective.
authors.affiliation: Department of Internal Medicine, University of Michigan Comprehensive Cancer Center, Ann Arbor, USA.
authors.forename: P
authors.initials: P
authors.lastname: Esper
authors.forename: J N
authors.initials: JN
authors.lastname: Hampton
authors.forename: J
authors.initials: J
authors.lastname: Finn
authors.forename: D C
authors.initials: DC
authors.lastname: Smith
authors.forename: S
authors.initials: S
authors.lastname: Regiani
authors.forename: K J
authors.initials: KJ
authors.lastname: Pienta
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D017051:Hospice Care / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D010166:Palliative Care / Q000458:organization & administration*; D018579:Patient Selection; D010865:Pilot Projects; D015397:Program Evaluation; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000628:therapy*; D011788:Quality of Life; D012944:Social Support