Economic impact of informal care of cancer patients at the end of life

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dc.creator Lamfre, Laura
dc.creator Hasdeu, Santiago
dc.creator Coller, María A. G.
dc.creator Tripodoro, Vilma A.
dc.date 2024
dc.date.accessioned 2024-03-20T14:23:15Z
dc.date.available 2024-03-20T14:23:15Z
dc.identifier.issn 22245820 es_ES
dc.identifier.issn 22245839 es_ES
dc.identifier.uri http://rdi.uncoma.edu.ar/handle/uncomaid/17781
dc.description.abstract Economic analysis of the incorporation of palliative care (PC) programs allows for assessment of the potential financial impact of shifting activity from secondary care to primary, community and social care sectors. Only 14% of patients in need of PC in Argentina have access to PC services, similar to the world average, as estimated by World Health Organization (WHO). The economic impact of family care, which falls mainly on women, needs to be assessed at the public policy and research levels. We aimed to estimate and make visible the economic impact of unpaid care tasks developing a cost-effectiveness analytic model of a home-based PC program for cancer patients at the end of life from a social perspective (SP) in the province of Río Negro, Argentina. Methods: A Markov model was developed from a SP to assess the cost-effectiveness of palliative home care compared to the usual care (UC) of cancer patients. The model compares the provision of PC through a home-based program with the UC that patients receive at the end of life. The average cost per patient, percentage of home deaths, days at home in the last year of life and the economic impact of formal and informal care were estimated using the human capital approach for 2019. Results: palliative home care was cost-saving, leading to a 10.32% increase in home deaths, a decrease of 9 days of hospitalisation and an annual saving for society of USD 750 per patient. From a societal perspective, the largest cost-driver corresponds to informal care provided mainly by families, which accounted for 82% and 88% of the total daily cost of PC and UC strategy, respectively. Conclusions: The incorporation of PC can improve the allocation of resources between the different levels of care. The visualisation of care tasks becomes particularly relevant when considering public policies and outcomes. Incorporating palliative home care strategies could alleviate the enormous costs faced by patients’ families, especially women, in this stage of care. es_ES
dc.format application/pdf es_ES
dc.format.extent pp. 73-85 es_ES
dc.language eng es_ES
dc.publisher AME Publishing Company es_ES
dc.relation.uri https://dx.doi.org/10.21037/apm-23-240 es_ES
dc.relation.uri https://apm.amegroups.org/article/view/121073/html es_ES
dc.rights Atribución-NoComercial-CompartirIgual 2.5 Argentina es_ES
dc.rights.uri https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ es_ES
dc.source Annals of Palliative Medicine. 2024; 13(1) es_ES
dc.subject Palliative care (PC) es_ES
dc.subject cost-effectiveness analysis es_ES
dc.subject Caregivers es_ES
dc.subject Terminal care es_ES
dc.subject Health care cost es_ES
dc.subject.other Ciencias de la Administración y Economía es_ES
dc.subject.other Ciencias Biomédicas es_ES
dc.title Economic impact of informal care of cancer patients at the end of life es_ES
dc.type Articulo es
dc.type article eu
dc.type acceptedVersion eu
dc.description.fil Fil: Lamfre, Laura. Universidad Nacional del Comahue. Facultad de Economía y Administración; Argentina. es_ES
dc.description.fil Fil: Hasdeu, Santiago. Universidad Nacional del Comahue. Facultad de Ciencias Médicas; Argentina. es_ES
dc.description.fil Fil: Coller, María A. G. Ministerio de Salud de Río Negro; Argentina. es_ES
dc.description.fil Fil: Tripodoro, Vilma A. Instituto Pallium Latinoamérica; Argentina. es_ES
dc.description.fil Fil: Tripodoro, Vilma A. Universidad de Buenos Aires; Argentina. es_ES
dc.description.fil Fil: Tripodoro, Vilma A. Universidad de Navarra; España. es_ES
dc.cole Artículos es_ES


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