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Cost-Effectiveness Analysis of Hospice-Palliative Care for Adults with Terminal Cancer in South Korea

Other Titles
 말기 암환자에서의 호스피스 완화의료 비용효과분석: 병원기반 호스피스 완화의료 치료와 일반병동 치료의 비교. 
Authors
 주영준  ;  김우림  ;  최윤수  ;  이주은  ;  이상아  ;  장지은  ;  박은철 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.94(3) : 273-280, 2019 
Journal Title
 Korean Journal of Medicine (대한내과학회지) 
ISSN
 1226-329X 
Issue Date
2019
Keywords
Cost-benefit analysis ; Hospice care ; Korea
Abstract
Background/Aims: Although there is growing interest in hospice-palliative care, little information is available on the effects of such care in South Korea. Addressing this research gap, i.e., determining the cost-effectiveness of hospice-palliative care in South Korea, will help guide policy. Thus, the aim of this study was to evaluate the cost-effectiveness analysis of hospice-palliative care in adults diagnosed with terminal cancer. Methods: We used a Markov model to construct a decision tree, for an analysis comparing the general ward with the hospice- palliative ward in terms of patient quality of life and cost-effectiveness. Cost and quality of life were estimated based on published Korean studies. Cost-effectiveness was calculated as the incremental cost relative to the incremental effect. Additionally, a one-way sensitivity analysis was performed to test the robustness of the results. Results: Hospice-palliative ward care was more cost-effective than general ward care. The incremental cost was 290,401 Korean won (KRW) and the incremental effect was -0.25. The incremental cost-effectiveness ratio was -1,174,045 KRW. A similar pattern of results was obtained in the sensitivity analysis. Conclusions: Our results suggest that hospice-palliative ward care is more cost-effective than general ward care.
Files in This Item:
T201901979.pdf Download
DOI
10.3904/kjm.2019.94.3.273
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170244
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