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Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents
BACKGROUND: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational s...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350285/ https://www.ncbi.nlm.nih.gov/pubmed/25884470 http://dx.doi.org/10.1186/s13012-014-0148-2 |
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author | Langton, Julia M Srasuebkul, Preeyaporn Reeve, Rebecca Parkinson, Bonny Gu, Yuanyuan Buckley, Nicholas A Haas, Marion Viney, Rosalie Pearson, Sallie-Anne |
author_facet | Langton, Julia M Srasuebkul, Preeyaporn Reeve, Rebecca Parkinson, Bonny Gu, Yuanyuan Buckley, Nicholas A Haas, Marion Viney, Rosalie Pearson, Sallie-Anne |
author_sort | Langton, Julia M |
collection | PubMed |
description | BACKGROUND: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining resource use, costs and quality of end-of-life care in a cohort of elderly cancer decedents using linked, routinely collected data. METHODS/DESIGN: This study forms part of an ongoing cancer health services research program. The cohorts for the end-of-life research program comprise Australian Government Department of Veterans’ Affairs decedents with full health care entitlements, residing in NSW for the last 18 months of life and dying between 2005 and 2009. We used cancer and death registry data to identify our decedent cohorts and their causes of death. The study population includes 9,862 decedents with a cancer history and 15,483 decedents without a cancer history. The median age at death is 86 and 87 years in the cancer and non-cancer cohorts, respectively. We will examine resource use and associated costs in the last 6 months of life using linked claims data to report on health service use, hospitalizations, emergency department visits and medicines use. We will use best practice methods to examine the nature and extent of resource use, costs and quality of care based on previously published indicators. We will also examine factors associated with these outcomes. DISCUSSION: This will be the first Australian research program and among the first internationally to combine routinely collected data from primary care and hospital-based care to examine comprehensively end-of-life care in the elderly. The research program has high translational value, as there is limited evidence about the nature and quality of care in the Australian end-of-life setting. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-014-0148-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4350285 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43502852015-03-06 Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents Langton, Julia M Srasuebkul, Preeyaporn Reeve, Rebecca Parkinson, Bonny Gu, Yuanyuan Buckley, Nicholas A Haas, Marion Viney, Rosalie Pearson, Sallie-Anne Implement Sci Study Protocol BACKGROUND: The last year of life is one of the most resource-intensive periods for people with cancer. Very little population-based research has been conducted on end-of-life cancer care in the Australian health care setting. The objective of this program is to undertake a series of observational studies examining resource use, costs and quality of end-of-life care in a cohort of elderly cancer decedents using linked, routinely collected data. METHODS/DESIGN: This study forms part of an ongoing cancer health services research program. The cohorts for the end-of-life research program comprise Australian Government Department of Veterans’ Affairs decedents with full health care entitlements, residing in NSW for the last 18 months of life and dying between 2005 and 2009. We used cancer and death registry data to identify our decedent cohorts and their causes of death. The study population includes 9,862 decedents with a cancer history and 15,483 decedents without a cancer history. The median age at death is 86 and 87 years in the cancer and non-cancer cohorts, respectively. We will examine resource use and associated costs in the last 6 months of life using linked claims data to report on health service use, hospitalizations, emergency department visits and medicines use. We will use best practice methods to examine the nature and extent of resource use, costs and quality of care based on previously published indicators. We will also examine factors associated with these outcomes. DISCUSSION: This will be the first Australian research program and among the first internationally to combine routinely collected data from primary care and hospital-based care to examine comprehensively end-of-life care in the elderly. The research program has high translational value, as there is limited evidence about the nature and quality of care in the Australian end-of-life setting. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13012-014-0148-2) contains supplementary material, which is available to authorized users. BioMed Central 2015-02-26 /pmc/articles/PMC4350285/ /pubmed/25884470 http://dx.doi.org/10.1186/s13012-014-0148-2 Text en © Langton et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Langton, Julia M Srasuebkul, Preeyaporn Reeve, Rebecca Parkinson, Bonny Gu, Yuanyuan Buckley, Nicholas A Haas, Marion Viney, Rosalie Pearson, Sallie-Anne Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title | Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title_full | Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title_fullStr | Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title_full_unstemmed | Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title_short | Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents |
title_sort | resource use, costs and quality of end-of-life care: observations in a cohort of elderly australian cancer decedents |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4350285/ https://www.ncbi.nlm.nih.gov/pubmed/25884470 http://dx.doi.org/10.1186/s13012-014-0148-2 |
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