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Health Care Service Provision Over the Palliative Care Trajectory

Posted on:2012-11-23Degree:M.ScType:Thesis
University:University of Toronto (Canada)Candidate:Masucci, LisaFull Text:PDF
GTID:2454390008997654Subject:Health Sciences
Abstract/Summary:
Health system restructuring combined with the preferences of palliative care recipients to be cared for at home has lead to a shift in the delivery of care from the hospital to the home setting.;First, we assessed the proportion of total cost associated with the main services at different time points over the palliative care trajectory. Second we examined the socio-demographic and clinical factors that predict the propensity and intensity of service use, using a two-part model.;The results suggest that the greatest contributor to the total cost of home-based palliative care was personal support worker visits, followed by nurse visits. The regression analysis revealed that patient age as well as functional status most often predicted health service use.;An analysis was conducted on five main home-based palliative care health service components: home-based nurse visits, home personal support worker visits, home-based physician visits, ambulatory physician visits, and other ambulatory and home-based visits.
Keywords/Search Tags:Palliative care, Health, Visits, Service, Home
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