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Palliative Care
Home Care
Advanced Illness

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Hazini, A., Pazoki, H., Mohammad Pour, S., Salehabadi, G., Jahanshahi, R., Tajfar, T., & Soleymanzdeh, H. (2020). Reducing Treatment Cost in Cancer Patients with Providing Palliative Care: a Successful Experiment in Golestan Province. Internal Medicine and Medical Investigation Journal, 5(3). https://doi.org/10.24200/imminv.v5i3.255

Reducing Treatment Cost in Cancer Patients with Providing Palliative Care: a Successful Experiment in Golestan Province

Abdolrahim Hazini
Oncologist, Head of Palliative Care Unit, Shariati Hospital, Tehran University of Medical Sciences
Hamraz Pazoki
Medical Doctor, Tehran University of Medical Sciences, Tehran, Iran
Saeed Mohammad Pour
Department of Health Economics, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran
Ghazaleh Salehabadi
Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Reza Jahanshahi
Nursing Student, Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran
Tina Tajfar
Public Relations Officer and Responsible for Home care Unit in the Golestan province palliative center in Gorgan
Hosnieh Soleymanzdeh
M.Sc of Biostatics,Neuromusculoskletal Research center, Iran University of Medical Sciences, Tehran, Iran

Introduction: Palliative care is fundamental to health and patient rights. The aim of palliative care is to improve the quality of life in advanced illness and reducing pain. It is characterized as a holistic approach which includes all aspects such as physical, emotional, social, and spiritual. Our purpose of this study is to report a successful experience of utilizing palliative care in Golestan province.  Materials and Method. This qualitative research was conducted in Golestan province, Iran using the content analysis method. In this study, data was gathered from a 90-minute semi-structured interview with the founder of Golestan’s Mehr club. The interview was recorded and transcribed afterward. Results: Data analysis on the implementation of palliative care showed the themes ‘simplification of treatment, crisis management, cost reduction, home care, and barriers against palliative care’. Some codes were repeated in the interviews such as having a trustee, avoiding confusion and relief. The interview reported that cancer, in addition to physical suffering, causes social, familial, and financial trauma. Conclusion: Our findings demonstrated that palliative care will result in cost reduction in hospital and medical expenses for cancer and terminally ill patients in Golestan province. It is essential for health practitioners to utilize palliative care as localized guideline to improve quality of life in advanced illnesses such as end stage cancers.



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