Cost of home palliative care compared with conventional hospital care for patients with haematological cancers in Greece.
This study compared the costs of home palliative with conventional hospital care for cancer haematological patients in Greece. The study was a retrospective cost-minimisation analysis using data from the finance department and from patient notes for the period from January to June 2002. A non-parametric bootstrap method was used to estimate the incremental cost between home and conventional care. A sensitivity analysis was also used. The estimated incremental cost was euro 522 (95% confidence interval: euro 516-528). This was not substantially affected by varying the unit costs within reasonable limits and remained statistically significant under all scenarios tested in the sensitivity analysis. Our findings show that home palliative care is more expensive than conventional hospital care. Further studies should be carried out to examine the cost-effectiveness of the particular scheme as well as the preferences of patients and carers.
Fourth Hurdle Consulting Limited, London, UK. SophiaTzala@FourthHurdle.com
Sofia
S
Tzala
Joanne
J
Lord
Nikolaos
N
Ziras
Panayotis
P
Repousis
Anna
A
Potamianou
Evangelia
E
Tzala
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003365:Costs and Cost Analysis / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006115:Greece; D019337:Hematologic Neoplasms / Q000191:economics*; D006699:Home Care Services / Q000191:economics*; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000191:economics*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D055815:Young Adult