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In-home palliative care increased patient satisfaction and reduced use and costs of medical services

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S Enguidanos

Correspondence to: Dr S Enguidanos, Partners in Care Foundation, San Fernando, CA, USA;


Does an in-home palliative care (IHPC) programme plus usual care increase patient satisfaction and reduce use and costs of medical services compared with usual care alone?



randomised controlled trial.




blinded (data collectors).

Follow-up period:

to death or end of study period.


2 health maintenance organisations in Hawaii and Colorado, USA.


310 patients (mean age 74 y, 51% men) who had a primary diagnosis of congestive heart failure, chronic obstructive pulmonary disease, or cancer; had a life expectancy ⩽12 months; had visited the emergency department (ED) or hospital within the previous year; and scored ⩽70% on the Palliative Performance Scale.


IHPC plus usual care (n = 155) or usual care alone (n = 155). IHPC was provided by an interdisciplinary team including the patient and …

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  • Source of funding: Kaiser Permanente Garfield Memorial Fund.