Análisis de Costos de cuidados en salud para pacientes con cáncer al final de la vida: Hospital versus domicilio con cuidados paliativos, en el tercer nivel de atención

José Amado-Tineo, Elizabeth Che-Hidalgo, Moisés Apolaya-Segura, Diana Castillo-Caceres, Rolando Vásquez-Alva, Roberto Huari-Pastrana, Waldo Taype-Huamaní, Teodoro Oscanoa-Espinoza

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Background: The final stage of cancer patients generates high costs, especially in hospitals. Objectives: To determine the difference in care costs at the end of life for cancer patients in the hospital versus at home. Material and methods: Retrospective cost analysis study in patients who died of clinical stage IV cancer in a tertiary social security hospital, March 2018. A home group (Home) of a palliative program was compared with a hospital group (Hospital) admitted from the emergency department. Direct costs of professional services, hospitalization, procedures, auxiliary exams, and medications were estimated. Chi square and Student's T were used for statistical analysis, considering a value of p<0.05 and using SPSS 24.0. Results: 81 patients in Home and 22 in Hospital were included, aged between 36 and 96 years, with a median of 72 years in Home and 77 in Hospital (p=0.97), female sex 59 and 73% respectively (p= 0.25), predominantly cancer of digestive and genitourinary origin. The average cost per patient in Home was 497 US dollars and in Hospital 1908 (p<0.01), with a daily average per patient of 17 vs 447 respectively. In the Hospital, the costs of hospitalization, auxiliary tests (tomography, resonance, arterial gas analysis, C-reactive protein) and antibiotics (ertapenem and colistin) predominated, while in the Home the highest cost was in medical services and medications. Conclusion: The medical costs in the final stage of life of patients with advanced cancer are 3.8 times higher when they die in the hospital than at home.

Título traducido de la contribuciónAnalysis of health care costs for patients with cancer at the end of life: Hospital versus home with palliative care, at the third level of care
Idioma originalEspañol
Páginas (desde-hasta)174-179
Número de páginas6
PublicaciónRevista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
Volumen15
N.º2
DOI
EstadoPublicada - abr. 2022
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2022 Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo. All rights reserved.

Palabras clave

  • Costs and cost analysis
  • medical care
  • terminal stage of illness: death. (Source: DeCS-BIREME)

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