Taking care of terminally-ill patients at home - The economic perspective revisited

Oren Tamir, Yoram Singer, Pesach Shvartzman

    Research output: Contribution to journalArticlepeer-review

    33 Scopus citations


    End-of-life care can be delivered in a variety of settings, whereby the majority of terminally-ill cancer patients prefer to die at home. The aim of our study is to evaluate health services utilisation during the last year of life, and to compare terminally ill patients who have received home-specialised palliative care services (HSPCS) with patients who died receiving home non-specialised palliative care services. The study included 120 and 515 patients, respectively, who died between 1999-2000. Age and gender distribution were similar in both groups. During the last year of life, mean health services cost per person among the HSPCS group was lower by more then 30% (P < 0.005). The median cost per patient was as low as one-fifth in the last month. Men and the older age group of 65 and above, cost significantly less compared with women and younger patients, respectively, regardless of provider setting. The main differences in health services utilisation were in hospitalisations and oncology treatments (P < 0.01 and P < 0.05, respectively).

    Original languageEnglish
    Pages (from-to)537-541
    Number of pages5
    JournalPalliative Medicine
    Issue number6
    StatePublished - 29 Oct 2007


    • Homecare
    • Hospice
    • Palliative care
    • Terminal patients
    • Utilisation

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine


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