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The Business Case to Care for Persons With Serious Illness Using Home-Based and Community-Based Palliative Care
1Doctoral Programs Department, School of Nursing, Azusa Pacific University, Azusa, California.
Nursing Administration Quarterly
|September 8, 2022
Summary
Serious illness and healthcare costs are rising. Palliative care, especially home-based models, offers a solution to improve quality of life and reduce expenses.
Area of Science:
- Healthcare Management
- Public Health
- Gerontology
Background:
- Rising prevalence of serious illness and quadrupled healthcare costs in the U.S.
- Chronic conditions negatively impact health, increase emergency visits and hospitalizations, and reduce quality of life.
- Palliative care is an established hospital-based solution to mitigate disease burden and costs.
Purpose of the Study:
- To explore home-based and community-based palliative care models as innovative alternatives to hospital-based care.
- To differentiate palliative care from hospice and long-term services and support.
- To provide a business case, ROI tools, and insights for implementing community-based palliative care, and to define the role of palliative care nurse leaders.
Main Methods:
- Literature review and analysis of existing palliative care models.
- Development of a business case framework for home and community-based palliative care.
- Exploration of competencies for palliative care nurse leadership.
Main Results:
- Home-based and community-based palliative care present viable avenues for care delivery outside traditional hospital settings.
- Clear definitions are needed to distinguish palliative care, hospice, and long-term services and support.
- A strong business case, supported by ROI calculations, can justify investment in these models.
Conclusions:
- Expanding palliative care into home and community settings can improve patient outcomes and reduce healthcare expenditures.
- Strategic implementation and leadership are crucial for successful community-based palliative care programs.
- Further research into palliative care nurse leader competencies will enhance program effectiveness.
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