Costs and cost-effectiveness of palliative care in residential aged care homes: a scoping review.
Background Palliative care is increasingly recognised as a core component of healthcare delivery in residential aged care (RAC) homes, yet its economic implications remain unclear. Understanding costs and cost-effectiveness is essential for guiding resource allocation decisions in these settings. Ob...
| Publicado en: | Age & Ageing Vol. 55; no. 7; pp. 1 - 13 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195867372&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195867372 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2026 vid: 55 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195867372 10.1093/ageing/afag217 ppf: 1 ppct: 12 formats: tig: atl: Costs and cost-effectiveness of palliative care in residential aged care homes: a scoping review. aug: au: Yang, Xueqing Liu, Fengyi MacAndrew, Margaret White, Nicole Carter, Hannah Elizabeth affil: Queensland University of Technology, Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, 88 Musk Avenue, Kelvin Grove, Brisbane, Queensland 4059, Australia Queensland University of Technology, Centre for Healthcare Transformation, School of Nursing, Faculty of Health, N Block, Victoria Park Road, Kelvin Grove, Brisbane, Queensland 4059, Australia su: Queensland Cost effectiveness Palliative treatment Resource allocation Senior housing Medical care costs Medical information storage & retrieval systems Research funding CINAHL database Value-based healthcare Descriptive statistics Systematic reviews MEDLINE Online information services Data analysis software Residential care sug: subj: Cost effectiveness Palliative treatment Resource allocation Senior housing Medical care costs Queensland Assisted Living Facilities for the Elderly Other Residential Care Facilities Medical information storage & retrieval systems Research funding CINAHL database Value-based healthcare Descriptive statistics Systematic reviews MEDLINE Online information services Data analysis software Residential care keyword: copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost-effectiveness economics end-of-life care healthcare costs https://dx.doi.org/10.1093/ageing/afag217 inLanguage:en nursing home older people palliative care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42497095/ copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost-effectiveness economics end-of-life care healthcare costs https://dx.doi.org/10.1093/ageing/afag217 inLanguage:en nursing home older people palliative care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42497095/ ab: Background Palliative care is increasingly recognised as a core component of healthcare delivery in residential aged care (RAC) homes, yet its economic implications remain unclear. Understanding costs and cost-effectiveness is essential for guiding resource allocation decisions in these settings. Objective To map the evidence on the costs and cost-effectiveness of palliative care delivered in RAC homes, and to identify gaps in the evidence base. Methods A scoping review was conducted in accordance with Joanna Briggs Institute guidelines and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Searches were conducted in the PubMed, SCOPUS, Embase, CINAHL and CENTRAL databases. Studies reporting on quantitative economic outcomes of palliative care in RAC settings were included. Findings were summarised using narrative synthesis. Results Of the 3182 items identified, 15 studies were included. Three categories of economic outcomes were identified: care delivery costs (n = 3), healthcare system costs (n = 10) and cost-effectiveness outcomes (n = 2). Studies examining care delivery costs reported additional costs associated with palliative care. Among studies assessing healthcare system costs, six reported reduced costs, one reported increased costs and three reported mixed findings varying by time horizon and care continuity. Two full economic evaluations reported favourable cost-effectiveness findings compared with usual care, although the statistical significance of findings varied. Conclusion Economic evidence on palliative care in RAC remains limited and methodologically heterogeneous, constraining robust conclusions regarding its economic value. Future research should prioritise rigorous economic evaluations that comprehensively capture healthcare and social care costs while incorporating patient-centred outcomes to better assess the value of palliative care in RAC homes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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