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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Related Experiment Video

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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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The compassionate communities connectors program: effect on healthcare usage.

Samar M Aoun1, Natasha Bear2, Bruce Rumbold3

  • 1School of Medicine, Perron Institute for Neurological and Translational Science, The University of Western Australia, 8 Verdun St, Perth WA 6009, Australia.

Palliative Care and Social Practice
|October 30, 2023
PubMed
Summary

Community volunteers providing palliative care reduced hospitalizations and emergency visits, shifting care towards home-based services. This compassionate community model offers significant healthcare savings and improved patient outcomes.

Keywords:
chronic diseasecompassionate communitiesconnectorscost-effectiveness analysisend-of-life careevaluationhealthcare usagepalliative caresocial and practical needssocial connectednessvolunteers

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Area of Science:

  • Public Health
  • Palliative Care
  • Health Economics

Background:

  • Public health palliative care models aim for integrated services using community assets.
  • Few studies evaluate the cost-benefit of these community-based service models.

Purpose of the Study:

  • To assess the impact of a community-based palliative care program on healthcare utilization.
  • Evaluate the cost-effectiveness of volunteer-delivered practical and social support for advanced illness patients.

Main Methods:

  • Controlled before-and-after study with cost-consequence analysis.
  • 43 patients in the 'Compassionate Communities Connectors' program (2020-2022).
  • 172 randomly selected patients as a comparator group from health service data.

Main Results:

  • Intervention group showed significantly lower hospitalizations (IRR: 0.37), hospital days (IRR: 0.23), and emergency presentations (IRR: 0.56).
  • Outpatient contacts doubled in the intervention group (IRR: 2.07), indicating a shift to community care.
  • Projected net savings of $AUD 518,701 for 100 patients over 6 months.

Conclusions:

  • Community-centered palliative care optimizes services, improving patient outcomes and reducing healthcare costs.
  • The 'Compassionate Communities Connectors' program demonstrates significant health system gains through reduced hospitalizations and readmissions.
  • Investment in this model can decrease health sector expenditure while enhancing care for life-limiting illnesses.