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dc.contributor.authorSowa, PM
dc.contributor.authorPurtell, L
dc.contributor.authorHoy, WE
dc.contributor.authorHealy, HG
dc.contributor.authorBonner, A
dc.contributor.authorConnelly, LB
dc.date.accessioned2020-05-05T01:12:08Z
dc.date.available2020-05-05T01:12:08Z
dc.date.issued2020
dc.identifier.issn0825-8597
dc.identifier.doi10.1177/0825859719868174
dc.identifier.urihttp://hdl.handle.net/10072/393579
dc.description.abstractKidney supportive care (KSC) is a patient-centered model of multidisciplinary care designed for patients with advanced chronic kidney disease (CKD) and end-stage kidney disease (ESKD). Our goal was to characterize the types, frequencies, and costs of services accessed by patients enrolled in a KSC program. We analyzed health care utilization data prospectively collected from 102 patients who enrolled in the KSC program during the first 52 weeks of its existence. The data comprised program appointments, emergency department presentations, ambulance service use, outpatient visits, inpatient episodes, and dialysis treatments made within the Brisbane area of Metro North. Costs of resource use were estimated using Queensland Health funding principles and guidelines. Analyses included descriptive statistics, correlations, and multivariate regressions. During the median program participation of 22 weeks, patients had 3975 contacts with health care, with the total value of services amounting to nearly A$3 million. Dialysis treatments accounted for 70% of visits and 49% of costs. Patients receiving dialysis had higher utilization of outpatient services and associated cost, compared to patients who were not dialyzed. The presence of diabetes and the choice of conservative pathway were both predictors of higher frequency and cost of services. Longer program participation was associated with lower weekly utilization and cost. The program attracted patients representing various characteristics, pathways, needs, and outcomes. Exploring these patterns will enable better understanding of the patient population and improved service planning, in KSC and similar programs that aim to comprehensively address the needs of patients with advanced CKD and ESKD.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofjournalJournal of Palliative Care
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1110
dc.titleUtilization and Costs of Health Care in a Kidney Supportive Care Program
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSowa, PM; Purtell, L; Hoy, WE; Healy, HG; Bonner, A; Connelly, LB, Utilization and Costs of Health Care in a Kidney Supportive Care Program, Journal of Palliative Care, 2019
dc.date.updated2020-05-04T22:55:09Z
gro.description.notepublicThis publication was entered as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorBonner, Ann J.


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