Josep M. Picaza

Institut Català de la Salut

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Mateu Serra‐Prat

Hospital de Mataró

Pedro Gallo

Universitat de Barcelona

Víctor Sanz Santacruz

Clinica Universidad de Navarra

Jordi Trelis

Institut Català d'Oncologia

María Nabal

Hospital Universitari Arnau de Vilanova

MÀ

Miquel Àngel Mas

Institut Català de la Salut

Laura Nadal

Institut Català de la Salut

Mireia Torres Asensio

Institut Català de la Salut

Guillem Hernández

Control Systems Research (United States)

Núria Prat

Institut Català de la Salut

Cooperative Institutions

Institut Català de la Salut

Hospital Universitari Germans Trias i Pujol

Consorci d’Atenció Primària de Salut Barcelona Esquerra

Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol

Universitat Autònoma de Barcelona

Centre de Recerca en Economia Internacional

Universitat de Vic - Universitat Central de Catalunya

Universitat de Barcelona

Badalona Serveis Assistencials

Pompeu Fabra University

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Equipos de soporte domiciliario de cuidados paliativos en España

Medicina Clínica (2010)

José Espinosa Xavier Gómez-Batiste Josep M. Picaza Esther Limón Ramírez

10.1016/j.medcli.2010.06.004

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Citations (23)

El consum de recursos dels malalts oncològics durant l'últim mes de vida: el paper dels PADES

Annals de medicina (2001)

Josep M. Picaza Mateu Serra‐Prat Pedro Gallo

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Traducción, adaptación y validación de la Palliative Care Outcome Scale al español

Medicina Clínica (2004)

Mateu Serra‐Prat María Nabal Víctor Sanz Santacruz Josep M. Picaza Jordi Trelis

10.1157/13066575

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Home palliative care as a cost-saving alternative: evidence from Catalonia

Palliative Medicine (2001)

Mateu Serra‐Prat Pedro Gallo Josep M. Picaza

The aim of this study was to provide a comparative assessment of the health care resources consumed during the final month of life of patients undergoing palliative treatment and who died from cancer in the town of Mataró, Spain, in 1998, with respect to whether they benefited from home care teams or not. Relevant differences in the use of health care resources were found between the groups. Patients in the standard care group presented more hospital care admissions and longer length of stay, higher use of emergency and outpatient visits, and greater use of palliative care units within nursing homes than patients in the home care group. The monetary quantification of the use of the above-mentioned resources showed a 71% increase in the cost per patient in the standard care when compared to home care. According to the results of this study, home care teams for terminal cancer patients allow for savings to the health care system. A series of policy making and health services research implications are discussed.

Curative care

10.1191/026921601678320250

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Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme

International Journal of Integrated Care (2023)

Miquel Àngel Mas Ramón Miralles Basseda María Ulldemolins Ria Garcia Sonia Gràcia

The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain.We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months pre-post impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay.264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05).Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (-37.2%) and hospital stays (-38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of -46.3%.

Attendance

10.5334/ijic.7585

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Citations (4)

Traducción, adaptación y validación de la Palliative Care Outcome Scale al español

Medicina Clínica (2004)

Mateu Serra‐Prat María Nabal Víctor Sanz Santacruz Josep M. Picaza Jordi Trelis

10.1016/s0025-7753(04)74535-2

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Citations (34)