Improving choices for community palliative care: A prospective 2-year pilot of a live-in support person

David C. Currow, Sally Easterbrook, Rosemary Mattes

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: This prospective pilot evaluates a free-to-client, live-in support person (LISP) for community palliative care. People who needed additional support to be at home rather than in hospital/hospice were included. A LISP from 0900 Monday to 1600 Friday was offered to palliative clients for an initial 2-week placement. Patients and methods: Over 24 months, a sequential cohort was evaluated. Hospital admissions avoided and discharges facilitated, costs and potential uptake rates were gathered. Caregivers provided feedback 3 months after the placement. Results: The LISP had 49 long-term placements with 44 clients saving 409 bed days. Median placement was short (5 days; range, 2-33 days). Only 8 clients used the LISP around-the-clock. Net potential savings (allowing for caregiver costs) were AU$11,379 annually. Qualitatively, caregivers appreciated the re-assurance offered. Discussion: This pilot study supports the need for a randomised controlled trial to evaluate further the role of the free-to-client, LISP for community palliative care. Evaluating new models of service delivery for patients and caregivers is imperative in palliative care. The LISP improves choices for people in a cost-neutral way if existing services can be substituted.

Original languageEnglish
Pages (from-to)257-262
Number of pages6
JournalProgress in Palliative Care
Volume13
Issue number5
DOIs
Publication statusPublished - 2005
Externally publishedYes

Keywords

  • Caregivers
  • Cost effectiveness
  • Home care services models
  • Organisational palliative care
  • Prospective cohort study

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