Palliative Care Costs for Oncologic and Non-oncologic Patients Under Different Outpatient Management in Catalunya
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Palliative Care
- Sponsor
- Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
- Enrollment
- 100
- Primary Endpoint
- Determination of economic burden (costs) of palliative care in the outpatient context.
- Last Updated
- 3 years ago
Overview
Brief Summary
Cost-of-illness studies in palliative care (PC) are a growing area of interest in health economics activity. They are, in part, stakeholders' basis for deciding the allocation of the scarce public and private economic resources. There is no standard methodology to capture the formal and informal costs and expenses that health services and patients and their caregivers make during the PC attention period due to non-standard health services, and data capture approaches.
Detailed Description
Methods / Analysis Prospective study on the burden of disease of PC on the outpatient/domiciliary attention. Proposed in three phases: Phase I: Systematic Review of Literature to identify de types of costs and proposed methodologies to identify and determine de economic burden of PC. With collected data, create a questionnaire to register the costs of services covered by the healthcare system and those covered by patients/caregivers (PROSPERO CRD42021250086). Phase II: Questionnaire piloting. Phase III: Transversal study of costs, collecting data from public healthcare billing and patient/caregivers payments to cover PC on selected patients. Final methodologic proposal to study billing/costs of outpatient/domiciliary PC.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Cases with an open legal process.
- •Family/caregivers of patients that can't communicate in fluent Spanish or Catalan.
Outcomes
Primary Outcomes
Determination of economic burden (costs) of palliative care in the outpatient context.
Time Frame: 6 months
Calculation and report the economic burden (i.e., total costs) of outpatient palliative care services, medications and procedures covered and financed by the healthcare system alongside with those covered by the patients and their families/caregivers during the last six (6) months of life (in adult patients with lung, colorectal and breast neoplasms and with terminal cardiac heart failure \[CHF\] and chronic obstructive pulmonary disease \[COPD\]).
Secondary Outcomes
- Type of costs.(6 months)
- Differentiate and compare costs.(6 months -1 year)