Feasibility and economic benefits of community-based palliative care in regional Australia : a case study with cost analysis

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MEROLLINI, Katharina M. D. | NABUKALU, Doreen | FLYNN, Trudi | LINN, Josie | DAVIS, Cindy | ROSENBERG, John

There is an increasing demand for community-based palliative care services in regional Australia, but feasibility and economic benefits are unclear. This study describes the financial components of service delivery, economic viability from a provider perspective, and potential cost-savings from a health service perspective. We used case study methodology and obtained data from the service provider performance measurement data, annual reports, and internal records. Economic viability included an appraisal of all financial activity, cash on hand, total assets, and liabilities from July 2019 to June 2022. Direct service provision data determined the value for money given total costs and outcomes. Annual cost savings due to decreased utilisation of other healthcare services were estimated using case study data and cost estimates from the literature. The service is largely funded by the government (61%) and community donations & fundraising (34%). Applying a conservative cost estimate based on a reduction of healthcare use (hospitalisations and emergency admissions), cost savings are estimated to range from AU\730 000 to AU\980 000 per year for the cohort of n = 160 clients in the last year of life alone. Average costs per person per year of providing palliative care services were much lower for these clients (AU\6194) compared to the national average for in-home (AU\8000) or hospital-based palliative care services (AU$15 373). The case study site is a viable community-based service but is highly dependent on government funding. It provides excellent value for money from a health service perspective and provides cost saving. Future studies should investigate the generalizability of results.

https://doi.org/10.1080/09699260.2024.2374604

Voir la revue «PROGRESS IN PALLIATIVE CARE, 32»

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