Supporting choice: an innovative model of integrated palliative care funded by a private health insurer.

Cross, J; Fischer, A; Shotton, D; Pollicino, C; May, A; Vora, R; Dubrowin, NB; Good, P

Supporting choice: an innovative model of integrated palliative care funded by a private health insurer.

Cross, J Fischer, A Shotton, D Pollicino, C May, A Vora, R Dubrowin, NB Good, P

Permalink

Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Internal medicine journal, 2019, 50, (8), pp. 931-937
Issue Date:: 2019-08-19

Closed Access

	Filename	Description	Size
	imj.14615.pdf	Published version	766.88 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Cross, J
dc.contributor.author	Fischer, A
dc.contributor.author	Shotton, D
dc.contributor.author	Pollicino, C
dc.contributor.author	May, A
dc.contributor.author	Vora, R
dc.contributor.author	Dubrowin, NB
dc.contributor.author	Good, P https://orcid.org/0000-0002-8198-0375
dc.date.accessioned	2020-09-22T06:05:54Z
dc.date.available	2019-08-13
dc.date.available	2020-09-22T06:05:54Z
dc.date.issued	2019-08-19
dc.identifier.citation	Internal medicine journal, 2019, 50, (8), pp. 931-937
dc.identifier.issn	1444-0903
dc.identifier.issn	1445-5994
dc.identifier.uri	http://hdl.handle.net/10453/142800
dc.description.abstract	SETTING:The number of Australians dying each year is predicted to double in the next 25 years and there is an urgent need to establish sustainable models for providing high quality end-of-life care. An innovative community care model (Bupa Palliative Care Choices Program or BPCCP) was developed and piloted with the purpose of supporting patients in achieving their choices surrounding end-of-life care. OBJECTIVES:This study evaluates whether BPCCP patients were more likely to die in their place of choice compared with patients receiving standard care. Additional aims were evaluating patient and carer satisfaction and insurer cost. DESIGN:This prospective, comparative cohort study comprises a clinical chart audit and survey of patient and carer experience. RESULTS:More BPCCP participants preferred to die at home (53% vs 31%). A lower proportion of BPCCP patients died in acute hospitals (10% vs 19%) and more of this cohort died at home (46% vs 26%). In both cohorts, nearly 90% of patients were able to die in their preferred location. Patient and carer satisfaction with the program was very high in the small cohort who responded to the survey. There was a decrease in average claims spend per patient enrolled in the program during the first 12-month period of implementation compared to historical claims spend for inpatients only. CONCLUSIONS:This evaluation of an innovative community palliative care intervention indicates that the extra services available to patients supports the choice of dying at home and the ability to do so while generating claims cost efficiencies. This article is protected by copyright. All rights reserved.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Internal medicine journal
dc.relation.isbasedon	10.1111/imj.14615
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1102 Cardiorespiratory Medicine and Haematology, 1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	General & Internal Medicine
dc.title	Supporting choice: an innovative model of integrated palliative care funded by a private health insurer.
dc.type	Journal Article
utslib.citation.volume	50
utslib.location.activity	Australia
utslib.for	1102 Cardiorespiratory Medicine and Haematology
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-22T06:05:45Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	50
utslib.citation.issue	8

Abstract:

SETTING:The number of Australians dying each year is predicted to double in the next 25 years and there is an urgent need to establish sustainable models for providing high quality end-of-life care. An innovative community care model (Bupa Palliative Care Choices Program or BPCCP) was developed and piloted with the purpose of supporting patients in achieving their choices surrounding end-of-life care. OBJECTIVES:This study evaluates whether BPCCP patients were more likely to die in their place of choice compared with patients receiving standard care. Additional aims were evaluating patient and carer satisfaction and insurer cost. DESIGN:This prospective, comparative cohort study comprises a clinical chart audit and survey of patient and carer experience. RESULTS:More BPCCP participants preferred to die at home (53% vs 31%). A lower proportion of BPCCP patients died in acute hospitals (10% vs 19%) and more of this cohort died at home (46% vs 26%). In both cohorts, nearly 90% of patients were able to die in their preferred location. Patient and carer satisfaction with the program was very high in the small cohort who responded to the survey. There was a decrease in average claims spend per patient enrolled in the program during the first 12-month period of implementation compared to historical claims spend for inpatients only. CONCLUSIONS:This evaluation of an innovative community palliative care intervention indicates that the extra services available to patients supports the choice of dying at home and the ability to do so while generating claims cost efficiencies. This article is protected by copyright. All rights reserved.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/142800