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Clinical interventions, economic impact, and palliative care 

Clinical interventions, economic impact, and palliative care
Chapter:
Clinical interventions, economic impact, and palliative care
Author(s):

Patrick J. Coyne

, Thomas J. Smith

, and Laurel J. Lyckholm

DOI:
10.1093/med/9780199332342.003.0070
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date: 12 November 2018

Economic outcomes are increasingly important for all types of healthcare, including palliative care. There are substantial opportunities for improvement by using disease management strategies and care pathways. Directed, ethically motivated interventions about futile care appear to produce significant cost savings. The use of advance directives or hospice care may be good medical care, but have not been shown to produce major economic benefit. Integrated palliative care teams have been shown to reduce hospital and end-of-life care costs for seriously ill patients. For treatment to be justified, there must be some demonstrable improvement in disease-free or overall survival, toxicity, quality of life, or cost effectiveness.

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