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Keywords

Palliative Care
Cancer
Home Care
Iran
Advanced Illness

How to Cite

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.

https://doi.org/10.24200/imminv.v5i3.255
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References

Naghavi M, Abolhassani F, Pourmalek F, Lake M, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Population health metrics. 2009;7:9.

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal

A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2018;68(6):394-424.

World Health Organization. Cancer in 2018.Retrieved from: https://www.who.int/cancer/en. (accessed Oct 2018).

Rasaf MR, Ramezani R, Mehrazma M, Rasaf MR, Asadi-Lari

M. Inequalities in cancer distribution in tehran; a disaggregated estimation of 2007 incidencea by 22 districts. International journal of preventive medicine. 2012;3(7):483-92.

YabroffKR, Lund J, Kepka D, Mariotto A. Economic burden of cancer in the United States: estimates, projections, and future research. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2011;20(10):2006-14.

Reid EA, Kovalerchik O, Jubanyik K, Brown S, Hersey D, Grant

L. Is palliative care cost-effective in low-income and middle-income countries? A mixed-methods systematic review. BMJ Supportive & Palliative Care. 2019;9(2):120-9.

May P, Normand C, Cassel JB, Del Fabbro E, Fine RL, Menz R, et al. Economics of palliative care for hospitalized adults with serious illness: a meta-analysis. JAMA internal medicine. 2018;178(6):820-9.

May P, Normand C, Morrison RS. Economics of palliative care for cancer: Interpreting current evidence, mapping future priorities for research. Journal of Clinical Oncology. 2020;38(9):980-6.

Look Hong NJ, Liu N, Wright FC, MacKinnon M, Seung SJ, Earle CC, et al. Assessing the Impact of Early Identification of Patients Appropriate for Palliative Care on Resource Use and Costs in the Final Month of Life. JCO Oncology Practice. 2020:JOP.

00397.

Li Z, Pan Z, Zhang L, He R, Jiang S, Xu C, et al. End-of-life cost and its determinants for cancer patients in urban China: a population-based retrospective study. BMJ open. 2019;9(3):e026309.

Kyeremanteng K, Ismail A, Wan C, Thavorn K, D’Egidio G. Outcomes and Cost of Patients With Terminal Cancer Admitted to Acute Care in the Final 2 Weeks of Life: A Retrospective Chart Review. American Journal of Hospice and Palliative Medicine®. 2019;36(11):1020-5.

Heydari H, Hojjat-Assari S, Almasian M, Pirjani P. Exploring health care providers’ perceptions about home-based palliative care in terminally ill cancer patients. BMC Palliative care. 2019;18(1):66.

Yadav S, Heller IW, Schaefer N, Salloum RG, Kittelson SM, Wilkie DJ, et al. The health care cost of palliative care for cancer patients: a systematic review. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. 2020.

Saygili M, Çelik Y. An evaluation of the cost‐effectiveness of the different palliative care models available to cancer patients in Turkey. European journal of cancer care. 2019;28(5):e13110.

Seow H, Bainbridge D. The development of specialized palliative care in the community: a qualitative study of the evolution of 15 teams. Palliative medicine. 2018;32(7):1255-66.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12.

Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA, et al. Evidence for improving palliative care at the end of life: a systematic review. Annals of internal medicine. 2008;148(2):147-59.

Masel EK, Kitta A, Huber P, Rumpold T, Unseld M, Schur S, et al. What Makes a Good Palliative Care Physician? A Qualitative

Study about the Patient’s Expectations and Needs when Being Admitted to a Palliative Care Unit. PloS one. 2016;11(7):e0158830.

Pham B, Krahn M. End-of-Life Care Interventions: An Economic Analysis. Ontario health technology assessment series. 2014;14(18):1-70.

Shao YY, Hsiue EH, Hsu CH, Yao CA, Chen HM, Lai MS, et al. National Policies Fostering Hospice Care Increased Hospice Utilization and Reduced the Invasiveness of End-of-Life Care forCancer Patients. The oncologist. 2017;22(7):843-9.

De Palma R, Fortuna D, Hegarty SE, Louis DZ, Melotti RM, Moro ML. Effectiveness of palliative care services: A population-based study of end-of-life care for cancer patients. Palliative medicine. 2018;32(8):1344-52.

Singer AE, Goebel JR, Kim YS, Dy SM, Ahluwalia SC, Clif-ford M, et al. Populations and Interventions for Palliative and End-of-Life Care: A Systematic Review. Journal of palliative medicine. 2016;19(9):995-1008.

Adelson K, Lee DKK, Velji S, Ma J, Lipka SK, Rimar J, et al. Development of Imminent Mortality Predictor for Advanced Cancer (IMPAC), a Tool to Predict Short-Term Mortality in Hospitalized Patients With Advanced Cancer. Journal of oncology practice. 2018;14(3):e168-e75.

Johnston EE, Alvarez E, Saynina O, Sanders LM, Bhatia S, Chamberlain LJ. Inpatient utilization and disparities: The last year of life of adolescent and young adult oncology patients in Califor-nia. Cancer. 2018;124(8):1819-27.

Pandor A, Thokala P, Gomersall T, Baalbaki H, Stevens JW, Wang J, et al. Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health technology assessment (Winchester, England). 2013;17(32):1-207, v-vi.

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