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Related Experiment Videos

What does hospice cost?

H G Birnbaum, D Kidder

    American Journal of Public Health
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Hospital-based hospice care is more expensive per day and per patient than home care hospice. Home care hospice offers cost savings over conventional care, while hospital-based hospice savings are limited to shorter lengths of stay.

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    Area of Science:

    • Health Economics
    • Palliative Care Research

    Background:

    • The United States Congress mandated the National Hospice Study (NHS) to analyze hospice care economics.
    • Understanding the financial implications of hospice services within Medicare is crucial.

    Purpose of the Study:

    • To present preliminary economic analyses of hospice care versus conventional terminal care.
    • To compare costs associated with hospital-based (HB) versus home care (HC) hospice services.

    Main Methods:

    • Data collected over 18 months from ~4,000 patients in 25 hospices and 12 conventional care sites.
    • Analysis of daily and per-patient costs for HB and HC hospice, and comparison with conventional care.

    Main Results:

    • Hospital-based hospice costs are 44% higher per day ($95 vs. $66) and 24% higher per patient ($5,890 vs. $4,758) than home care hospice.

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  • Home care hospice is consistently less expensive than conventional care.
  • Hospital-based hospice costs are lower than conventional care only for stays under two months.

    • Conclusions:

    • Significant cost differences exist between hospital-based and home care hospice models.
    • Home care hospice demonstrates clear cost-saving potential compared to conventional care.
    • Further analysis is needed to account for patient predispositions toward healthcare utilization.