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Providing a palliative care service: towards an evidence base$
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Nick Bosanquet and Chris Salisbury

Print publication date: 1999

Print ISBN-13: 9780192629913

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192629913.001.0001

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Costs and benefits

Costs and benefits

(p.69) Question 4 Costs and benefits
Providing a palliative care service: towards an evidence base

Nick Bosanquet

Chris Salisbury

Oxford University Press

This chapter presents the evidence available on the costs and benefits of various models of palliative care. The emphasis of this book is on the costs and benefits of palliative care practices in North America, the United Kingdom, and other countries such as Australia and Canada. In this chapter, it is shown that the patterns of development of palliative care in these countries were different. In several aspects, the US has taken the lead in addressing the costs and benefits of palliative care, while the UK has confined itself to improving patient care within the sectors and units of palliative care. Little evidence is derived on the comparative costs and comparative effectiveness of different methods of care in the UK. Overall, there is international evidence showing the effectiveness of low-cost, home-based interventions. While randomised controlled trials may continually be impossible, this chapter gives clarification and definitive decisions on the service organisation and communication with patients and carers.

Keywords:   costs, benefits, models, palliative care, low-cost interventions, home-based interventions, service organization

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