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Title: Extended care unit: a feasible economic solution for longer-term palliative inpatients.
Austin Authors: Wong, Aaron K ;Moran, Juli A 
Affiliation: Department of Palliative Care, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Nov-2018
Publication information: Internal Medicine Journal 2018; 48(11): 1389-1392
Abstract: Palliative patients who cannot go home are placed into nursing homes. This involves moving between up to five locations in the final weeks of life. We censored all inpatients on a single day from a large tertiary centre to investigate the feasibility of a proposed extended care unit to accommodate patients with a prognosis of less than 90 days, unable to return home, and with nursing home referral process commenced. This study identifies a present demand for an extended care unit (15 patients identified), outlines admission criteria, and proposes a funding model that is predicted to save hospital costs (savings of $207.70 per patient per bed day). This patient-focused approach is a feasible economic solution to the current unmet needs of this patient demographic.
DOI: 10.1111/imj.14094
ORCID: 0000-0002-6507-1219
Journal: Internal Medicine Journal
PubMed URL: 30387312
Type: Journal Article
Subjects: cost saving
hospital cost
length of stay
palliative care
Appears in Collections:Journal articles

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