Perea-Bello Ana Helena, Trapero-Bertran Marta, Dürsteler Christian
Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08036 Barcelona, Spain.
Department of Economics and Business, Faculty of Law, Economics and Tourism, Universitat de Lleida, 25001 Lleida, Spain.
Diseases. 2024 Oct 5;12(10):243. doi: 10.3390/diseases12100243.
Ambulatory-based palliative care is vital to managing oncological and non-oncological patients. Its economic impact on the healthcare and social system has recently begun to be considered significant. It is essential to agree on the cost types, the methodology for approaching and analyzing these costs, and how to determine the burden imposed by this attention on the healthcare and social system. This study aims to design a study on the economic burden of palliative care (PC) in oncological and non-oncological pathologies in the context of outpatient care (ambulatory-based and home support teams). A prospective cross-sectional study on the economic burden of ambulatory-based palliative care (ABPC) in three phases is conducted. A systematic literature review (SLR) first defines the methodology and data to acquire for costing (results already published). The next phase is the piloting of the registration questionnaires for costs/expenses (results already analyzed and presented). A cross-sectional study is being conducted to collect data on the direct and indirect costs of ABPC assumed by the healthcare system and patients/caregivers to estimate its economic and social burden (in progress). In this study, we create and propose a methodology and extend the approach to the funding of PC in an ambulatory-based context to determine its social cost and provide stakeholders with more information to assign resources more efficiently.
以门诊为基础的姑息治疗对于管理肿瘤患者和非肿瘤患者至关重要。其对医疗保健和社会系统的经济影响最近已开始被认为意义重大。就成本类型、处理和分析这些成本的方法以及如何确定这种关注给医疗保健和社会系统带来的负担达成共识至关重要。本研究旨在设计一项关于门诊护理（基于门诊和家庭支持团队）背景下肿瘤和非肿瘤疾病中姑息治疗（PC）经济负担的研究。对基于门诊的姑息治疗（ABPC）的经济负担进行了一个分为三个阶段的前瞻性横断面研究。首先进行系统文献综述（SLR）以定义成本核算所需的方法和数据（结果已发表）。下一阶段是对成本/费用登记问卷进行试点（结果已分析并呈现）。正在进行一项横断面研究，以收集医疗保健系统以及患者/护理人员承担的ABPC直接和间接成本的数据，以估计其经济和社会负担（正在进行中）。在本研究中，我们创建并提出一种方法，并将该方法扩展到基于门诊的背景下PC的资金投入，以确定其社会成本，并为利益相关者提供更多信息，以便更有效地分配资源。
