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Financial Aspects of Outpatient Palliative Care

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Textbook of Palliative Care

Abstract

Community-based palliative care has become the focus of palliative care’s growth and opportunity. Twelve of the largest randomized control trials on palliative care are community-based and result in equal or greater survival, positive satisfaction from patients and caregivers, and equal or less cost. Surprisingly, sometimes the business case is the easiest to make (Cassel et al. 2015). With health care financing that embraces value-based programs such as serious-illness care models, shared savings, bundled payments, global budget revenues, community-based palliative care shows great promise and may be part of the solution to provide better care for patients at a cost we can afford. Some key obstacles include a shortage of practitioners and the necessity to perform as public health system instead of a revenue-generating center. We provide examples of some successful programs that are reproducible.

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Authors and Affiliations

  1. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

    Sarina R. Isenberg

  2. Temmy Latner Centre for Palliative Care and Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, Canada

    Sarina R. Isenberg

  3. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada

    Sarina R. Isenberg

  4. JHMI, The Johns Hopkins Hospital, Baltimore, MD, USA

    Thomas J. Smith

  5. Outpatient Palliative Medicine, Johns Hopkins Medicine, Assistant Professor of Medicine, Johns Hopkins School of Medicine, Baltimore, USA

    Rab Razzak

  6. General Internal Medicine, University of San Francisco, San Francisco, California, USA

    Mike Rabow

Authors
  1. Sarina R. Isenberg
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  2. Rab Razzak
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  3. Mike Rabow
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  4. Thomas J. Smith
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Corresponding author

Correspondence to Thomas J. Smith .

Editor information

Editors and Affiliations

  1. HammondCare Learning and Research Centre, Greenwich Hospital, Greenwich, New South Wales, Australia

    Roderick Duncan MacLeod

  2. Vrije Universiteit Brussel, VUB-UGent End-of-Life Care Research Grou Vrije Universiteit Brussel, Brussels, Belgium

    Lieve Van den Block

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Isenberg, S.R., Razzak, R., Rabow, M., Smith, T.J. (2018). Financial Aspects of Outpatient Palliative Care. In: MacLeod, R., Van den Block, L. (eds) Textbook of Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-319-31738-0_103-1

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  • DOI: https://doi.org/10.1007/978-3-319-31738-0_103-1

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  • Print ISBN: 978-3-319-31738-0

  • Online ISBN: 978-3-319-31738-0

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